How to Acclimatize to La Paz Altitude
Arrive in La Paz with 2-3 buffer days, stay hydrated, avoid alcohol initially, and ascend gradually from lower altitudes like Copacabana if possible. Most people adjust within 48-72 hours with proper preparation.
- Plan your arrival strategy. Book accommodation near the city center (3,500m) rather than El Alto airport area (4,150m). Schedule nothing important for your first 48 hours. If flying internationally, consider spending 1-2 nights in a lower city first.
- Start hydrating 48 hours before arrival. Drink 3-4 liters of water daily before travel. Continue this in La Paz. Dehydration makes altitude sickness worse. Carry a water bottle everywhere.
- Take it extremely slow on day one. Walk at half your normal pace. Climb stairs slowly. Rest frequently. Your body needs time to produce more red blood cells. Even locals walk slowly here.
- Monitor your symptoms. Mild headache, fatigue, and slight nausea are normal. Severe headache, vomiting, confusion, or difficulty breathing require immediate descent to lower altitude and medical attention.
- Use local remedies strategically. Try mate de coca (coca tea) - locals swear by it and it's legal here. Avoid alcohol for 48 hours minimum. Consider acetazolamide (Diamox) if you have a history of altitude problems.
- Plan activities by altitude. Stay in La Paz city center (3,500m) for 2-3 days before attempting higher destinations like Moon Valley or El Alto. Save cable car rides for day 3 or later.
- How long does La Paz altitude sickness last?
- Most people feel better within 48-72 hours. Full acclimatization takes 1-2 weeks, but you'll function normally after 3 days if you take it slow initially.
- Should I take altitude pills before arriving?
- Start Diamox 1-2 days before arrival if you have a history of altitude problems. Otherwise, see how you feel first - many people adjust naturally without medication.
- Can I exercise during my first few days?
- Absolutely not. Avoid any strenuous activity for 48-72 hours. Even walking uphill will exhaust you. Save hiking and gym sessions for after you've adjusted.
- What if I feel worse after 3 days?
- Descend immediately to a lower altitude. Consider Coroico (1,750m) for recovery, then try ascending again slowly. Persistent symptoms may indicate serious altitude illness.