How to handle altitude sickness in La Paz

Combat altitude sickness in La Paz by staying hydrated with at least 3 liters of water daily and resting for the first 24 hours. Avoid heavy meals and alcohol, and consider taking Acetazolamide (Diamox) if recommended by your doctor.

  1. Arrive and do nothing. Do not schedule any tours or intense walking for your first full day in La Paz. Your body needs 24 hours to begin acclimating to the 3,640-meter elevation.
  2. Manage your hydration and electrolytes. Drink at least 3 liters of water per day. Altitude causes faster fluid loss. Add electrolyte powders to your water to maintain mineral balance.
  3. Eat light. Digestion consumes significant oxygen. Stick to carbohydrates like rice, pasta, or potatoes for the first 48 hours and avoid heavy, greasy, or high-protein meals.
  4. Use local remedies. Drink coca leaf tea (mate de coca) offered at most hotels. It is a traditional and effective way to help ease symptoms of mild altitude sickness.
  5. Monitor for danger. If you experience severe headache, persistent vomiting, or confusion, descend immediately. Seek medical help if symptoms do not improve after 48 hours.
Will coca tea make me fail a drug test?
Yes, it can. If you are subject to regular drug testing at work, avoid coca tea and opt for chemical medications like Diamox instead.
Is it better to fly or take the bus to La Paz?
Flying is faster, but taking a bus from a lower altitude city allows for a more gradual climb. If flying, prioritize rest immediately upon landing.