How to acclimatize to La Paz during your first week
To survive the 3,640-meter altitude of La Paz, spend your first 48 hours resting with minimal physical activity and avoiding alcohol. Ease into movement by using the Mi Teleférico cable car system instead of walking steep hills for the first three days.
- Start low, end high. If you are flying directly from sea level, consider taking a bus to a slightly lower altitude (like Sorata at 2,700m) for two days before heading to La Paz, or simply force yourself to stay in your room for the first 24 hours.
- Hydrate and supplement. Drink at least 3 liters of water daily. Consult your doctor about Acetazolamide (Diamox) before you leave, and drink coca tea—it is the local remedy and genuinely helps with minor symptoms like mild headaches.
- Monitor your heart rate. Avoid heavy cardio or intense hiking for the first 72 hours. Even walking up the steep streets of La Paz will leave you breathless; take your time and stop as often as needed.
- Eat light. Your digestion slows down at high altitudes. Stick to soups, carbohydrates, and simple proteins for your first three days to avoid nausea.
- Is it better to stay in the city center or the South zone?
- The city center (near the Witches' Market) is lower in elevation than the affluent South Zone (Zona Sur), which can make a small difference in acclimatization.
- Should I avoid alcohol completely?
- Yes. Alcohol dehydrates you and exacerbates altitude sickness symptoms significantly. Save the Pisco or Singani for your final nights.