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ACCLIMATIZATION

The human body is capable of adapting to a very wide range of barometric pressures. This adaptation process is known as acclimatization and it does take time. The most important rule is to gain height slowly and it is generally accepted that the maximum safe altitude gain in any one day is 500 meters once above 2500 meters. Where this is not possible, then it is important to have a rest or acclimatization day at the new altitude before gaining further height. In general the maxim ‘climb high and sleep low' applies. It is perfectly acceptable (and even beneficial to your acclimatization) to climb higher than 500 meters above your last camp (for example when crossing a high pass) as long as the increase in sleeping altitude remains within the above rule.

HYDRATION

There is a correlation between daily fluid intake and successful acclimatization and you must pay particular attention to hydration during trekking at high altitudes. On treks to 3000 meters and above most people will need to drink between 4 and 6 liters each day to achieve suitable hydration levels and you must adopt a responsible approach to achieving this target.

DIAMOX

There are a number of untested herbal remedies which claim to prevent mountain sickness. However, only one drug is currently known to have a useful role in preventing AMS and to be safe for this purpose: acetazolamide (Diamox). We recommend that you carry Diamox in your first aid kit for treks where you spend an extended period above 4000m. Diamox can only be obtained from a medical professional on prescription and it is important that you first consult your own doctor so that you know there are no contra indications with other medicines you may be taking and that you do not have an allergy to acetazolamide. Diamox commonly causes some minor side effects, such as tingling fingers and toes, or a metallic taste in the mouth, but more severe reactions are rare. On trek, the decision whether or not and when, you should take Diamox as with any drug, will rest solely with you. If you intend to take Diamox, you must familiarize yourself with the appropriate dosage and regime prior to coming on the trip. The links at the bottom of this page will provide further information on the use of Diamox as an aid to acclimatization.

Travelling to high altitudes is not something you need to be scared of. Every year thousands of people enjoy the most amazing experiences in the world's greatest mountain ranges. Altitude sickness is entirely preventable if you follow very simple rules and procedures. Please make sure you are aware of these before you travel.