How to handle altitude sickness in La Paz

Combat La Paz's 3,640-meter elevation by spending your first 48 hours resting and hydrating with coca tea. Avoid alcohol and heavy exertion immediately upon arrival to allow your body to naturally acclimatize to the thin air.

1. Hydrate aggressively. Drink at least 3 liters of water per day. Altitude causes faster fluid loss; if your urine is dark yellow, you aren't drinking enough.
2. Incorporate local remedies. Drink 'mate de coca' (coca leaf tea) available at every hotel lobby. It is the most effective local way to manage mild headaches and lethargy.
3. Limit physical output. Do not plan hiking or strenuous walking tours for the first two days. La Paz is built on steep hills; take taxis (radio taxis) for the first 48 hours to avoid unnecessary climbing.
4. Seek medical help if symptoms persist. If you experience vomiting, inability to sleep, or chest tightness, go to a clinic immediately. Ask for oxygen or descent to a lower elevation if your condition does not improve after 24 hours of rest.

Should I take altitude pills before I arrive?

Consult your physician. Most recommend starting Diamox 24 hours before arriving at high altitude, but it is not a cure-all and carries side effects.

How long does it take to feel better?

Most people feel significant improvement after 48 to 72 hours of rest and consistent hydration.