How to manage altitude sickness in La Paz

La Paz sits at 3,515 meters (11,532 feet), so altitude sickness is common. Take it slow your first 2-3 days, stay hydrated, avoid alcohol, and consider altitude medication if you're prone to symptoms. Most people adjust within 48-72 hours.

  1. Start medication before arrival. If you're prone to altitude sickness, ask your doctor about acetazolamide (Diamox) 1-2 days before flying to La Paz. Take 125-250mg twice daily. This helps your body adjust faster.
  2. Fly in, don't drive up. Flying directly to El Alto Airport lets your body adjust immediately to the full altitude rather than gradually climbing. Counter-intuitive but better for acclimatization.
  3. Rest your first day completely. Book accommodation near your arrival point. Don't walk around the city or climb stairs unnecessarily. Sleep, read, eat light meals. Your body needs energy to adjust to the thin air.
  4. Drink water constantly. Aim for 3-4 liters per day minimum. The dry air and altitude dehydrate you faster. Carry a water bottle everywhere and sip continuously, don't wait until you feel thirsty.
  5. Avoid alcohol for 48 hours. Alcohol makes altitude sickness worse and dehydrates you further. Skip the welcome beer until day 3. Same goes for sleeping pills or sedatives.
  6. Eat light, frequent meals. Heavy meals divert energy from acclimatization. Stick to carbohydrates like quinoa, potatoes, and bread. Avoid large portions but eat every 3-4 hours to maintain energy.
  7. Know when to seek help. Mild headache and fatigue are normal. See a doctor immediately if you have severe headache, vomiting, confusion, or difficulty breathing. These are signs of serious altitude sickness.
How long does altitude sickness last in La Paz?
Most people adjust within 48-72 hours. Mild symptoms like headache may persist for up to a week but should gradually improve each day.
Should I take coca leaves for altitude sickness?
Coca tea or chewing coca leaves is a traditional remedy that may help with mild symptoms. It's legal in Bolivia and widely available, but it's not a substitute for proper hydration and rest.
Can I exercise during my first few days?
Avoid strenuous exercise for your first 3-4 days. Light walking is fine, but don't attempt hiking or intense activities until you're fully adjusted.
What if I feel worse on day 2 or 3?
Some people feel worse before they feel better as their body adjusts. However, if symptoms are severe or getting progressively worse, see a doctor immediately.
Are certain people more susceptible to altitude sickness?
Age, fitness level, and gender don't predict altitude sickness well. However, if you've had it before at high altitudes, you're more likely to get it again.