How to Plan a Bolivia Trip Without Getting Altitude Sickness
Spend your first 48 hours at a lower elevation in Santa Cruz before flying into the high-altitude hubs like La Paz or Uyuni. Prioritize hydration, avoid alcohol for the first three days, and consult your doctor about acetazolamide (Diamox) before departure.
- Start low, go high. Avoid flying directly into La Paz (3,640m) if possible. Book a flight to Santa Cruz de la Sierra (400m) first to spend two days acclimating before heading to the Andes.
- Schedule a gradual ascent. If you must fly into La Paz, immediately take a bus or taxi down to the lower-lying 'Zona Sur' neighborhoods or head straight to Coroico (1,700m) for 24 hours to let your body adjust to the thinner air.
- Hydrate and supplement. Drink at least 3 liters of water daily. Use coca tea (mate de coca) which is readily available in hotels; it is a local mild stimulant that helps with minor symptoms like headaches.
- Pace your activity. Do not plan any strenuous trekking for the first 3 days of your trip. Keep your heart rate low and avoid heavy physical exertion until you no longer feel winded while walking up stairs.
- Is it safe to use oxygen canisters sold in shops?
- Yes. Most pharmacies and some kiosks in La Paz sell small oxygen canisters. They provide temporary relief if you feel lightheaded, but they are not a substitute for proper acclimation.
- How long does it take to fully acclimate?
- Most people feel "normal" within 72 hours, but your body continues to adjust for up to 10 days.