How to Beat Altitude Sickness in Cusco

To acclimatize in Cusco, spend your first 24 hours at a lower elevation like the Sacred Valley or take it extremely easy in the city with minimal movement. Stay hydrated, avoid alcohol for the first 48 hours, and utilize over-the-counter coca leaf products or medication prescribed by your doctor.

1. Prioritize immediate rest. Do not plan any strenuous activity for the first 24 hours. Your body is struggling to process lower oxygen levels; walking up Cusco's steep, cobblestone hills immediately upon arrival will cause rapid fatigue and potential headaches.
2. Hydrate aggressively. Drink at least 3 liters of water per day. Altitude causes faster dehydration, and being well-hydrated helps your blood circulate oxygen more efficiently. Avoid caffeinated drinks and alcohol, as both are diuretics that will exacerbate dehydration.
3. Use local remedies. Drink 'mate de coca' (coca leaf tea) provided by your hotel or buy coca candies. Locals use these to stimulate the system and manage mild symptoms. If symptoms persist, visit a local pharmacy for Sorojchi Pills, which contain acetylsalicylic acid, salofene, and caffeine.
4. Eat light. Digestive processes slow down at high altitudes. Opt for carb-heavy, easy-to-digest meals like soups or pasta. Avoid heavy, fatty foods or large steaks until you feel fully adjusted.

Should I take medication before I arrive?

Consult your doctor about Diamox (Acetazolamide). Many travelers take a half-dose starting 24 hours before ascent, but you must discuss side effects with a professional first.

How do I know if I have severe altitude sickness?

If you experience confusion, loss of coordination, or a cough that produces pink, frothy sputum, descend to a lower altitude immediately and seek medical attention. This indicates HAPE or HACE, which are medical emergencies.