How to Avoid Altitude Sickness in Peru: Stay on Top of the World (Literally)

How to Avoid Altitude Sickness in Peru: Stay on Top of the World (Literally)

Planning your dream trip to Peru? Imagining yourself standing triumphantly at Machu Picchu, sipping coca tea like a local, or maybe befriending a llama? Great! But first, let’s talk about the elephant in the Andes: altitude sickness.

Don’t worry, it’s not as scary as it sounds – and no, it doesn’t mean you’ll be crawling up the Inca Trail gasping for air. With a few simple tips (and maybe a touch of humor), you’ll conquer those high-altitude dreams without breaking a sweat.

1. Take it Slow – You’re on Peruvian Time Now

The biggest mistake travelers make? Rushing straight to the highlands. Cusco sits at 3,400 meters (11,200 ft), so give your body time to adjust. Spend your first day strolling, sipping coca tea, and resisting the urge to climb every staircase. You’re here for llamas, not marathons.

2. Hydration is Key – But Skip the Pisco (for Now)

Altitude can dry you out faster than a desert oasis, so drink plenty of water. And yes, try that pisco sour later—alcohol plus altitude is a dramatic duo. Your selfies will thank you.

3. Coca is Your New Best Friend

Coca tea, coca leaves, coca candies—locals have used coca for centuries to ease symptoms. Sip it, chew it, or pop a candy before exploring. It’s like nature’s way of saying: “You’ve got this.”

4. Eat Light – But Don’t Skip the Alpaca Steak Later

On day one, keep meals light: soups, quinoa, veggies. Once you’ve adjusted, go wild with alpaca steak or ceviche. You earned it.

5. Take Your Time at Machu Picchu

Machu Picchu isn’t as high as Cusco, but don’t sprint through the ruins. Soak up the views and pretend you’re the first to discover it. Bonus points if you spot the celebrity “Instagram llama.”

6. Meds Are Okay (No Judgment Here)

Nervous about altitude? Ask your doctor about acetazolamide (Diamox). Pack ibuprofen or paracetamol too—handy if a headache crashes the party.

7. Listen to Your Body – It Knows Best

Headache, dizziness, or the feeling that your hotel hallway is Everest? Rest. Naps with Andean views still count as world-class experiences.

Plan Your Trip (the easy way)

Pro tip: book lodging lower than Cusco (e.g., the Sacred Valley) for night one—it’s a gentler first date with altitude.