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Travel Health | Excursionists

Altitude Sickness Remedies Cusco, Peru

I’ve done SO much research about what we might expect from having altitude sickness when we visit Cusco in Peru.

I visited my doctor today to check on various ways of stopping any altitude sickness before it starts. This is the link to the information on altitude sickness we found, she was actually very helpful and found alternative medication to ACETAZOLAMIDE ( Diamox) which I won’t be able to take as I have had previous reaction to sulphur-based medications. The medication plan for me will be Dexamethasone and Serevent ( an inhaler) . Luckily for my husband, NOT having any prior reactions to sulpha based drugs he will be able to take ACETAZOLAMIDE.

HOWEVER, my research into altitude sickness solutions did bring up the fact that Gingko Biloba can be an effective natural remedy to altitude sickness SO together with the circulation enhancing properties of Ginko Biloba and the ‘relaxing’ properties of chewin and ifg Coca Leaves and drinking Coca Leaf tea we should be in for a very interesting few days!

Limited evidence indicates that an herbal remedy, gingko biloba, may prevent altitude sickness when started before ascent. The usual dosage is 100 mg every 12 hours.”

“Altitude sickness may develop in travellers who ascend rapidly to altitudes greater than 2500 m, including those in previously excellent health. Being physically fit in no way lessens the risk of altitude sickness. Those who have developed altitude sickness in the past are prone to future episodes. The risk increases with faster ascents and higher altitudes. Symptoms of acute mountain sickness, the most common form of the disorder, may include headaches, nausea, vomiting, dizziness, malaise, insomnia, and loss of appetite. Severe cases may be complicated by breathlessness and chest tightness, which are signs of pulmonary edema (fluid in the lungs), or by confusion, lethargy, and unsteady gait, which indicate cerebral edema (brain swelling).

Altitude sickness may be prevented by taking acetazolamide 125 or 250 mg twice daily starting 24 hours before ascent and continuing for 48 hours after arrival at altitude. Possible side-effects include increased urinary volume, numbness, tingling, nausea, drowsiness, myopia and temporary impotence. Acetazolamide should not be given to pregnant women or anyone with a history of sulfa allergy.

For those who cannot tolerate acetazolamide, an alternative is dexamethasone, which has been shown to prevent acute mountain sickness and high-altitude cerebral edema (but not pulmonary edema). The usual dosage is 4 mg four times daily. Unlike acetazolamide, dexamethasone must be tapered gradually upon arrival at altitude, since there is a risk that altitude sickness will occur as the dosage is reduced. Dexamethasone is a steroid, so it should not be given to diabetics or anyone for whom steroids are contraindicated. For those at risk for high-altitude pulmonary edema, one option is to take oral nifedipine 10 or 20 mg every 8 hours. A newer treatment is prophylactic inhalation of 125 mcg of salmeterol (Serevent)every 12 hours, which was recently shown to reduce the risk of high-altitude pulmonary edema in those with a prior history of this disorder.

Limited evidence indicates that an herbal remedy, gingko biloba, may prevent altitude sickness when started before ascent. The usual dosage is 100 mg every 12 hours.

Other measures to prevent altitude sickness include:

  • Ascend gradually or by increments to higher altitudes
  • Avoid overexertion
  • Eat light meals
  • Avoid alcohol

The symptoms of altitude sickness develop gradually so that, with proper management, serious complications can usually be prevented. If any symptoms of altitude sickness appear, it is essential not to ascend to a higher altitude. If the symptoms become worse or if the person shows any signs of cerebral or pulmonary edema, such as breathlessness, confusion, lethargy, or unsteady gait, it is essential to descend to a lower altitude. A descent of 500-1000 meters is generally adequate except in cases of cerebral edema, which may require a greater descent. Travelers should not resume their ascent until all symptoms of altitude sickness have cleared. Supplemental oxygen is helpful if available. Acetazolamide, dexamethasone, and nifedipine may all be used to treat altitude sickness as well as prevent it. In most cases, acetazolamide is recommended as prevention, and dexamethasone and nifedipine are reserved for emergency treatment. Nifedipine is preferable to dexamethasone for high-altitude pulmonary edema.

Travel to high altitudes is generally not recommended for those with a history of heart disease, lung disease, or sickle cell disease. It is also not recommended for pregnant women.

Altitude Sickness and Cusco

I’ve been reading a lot recently about altitude sickness because of our upcoming trip to Cusco, Peru. It seems like the more I read about altitude sickness, the more worried I’m getting. Some people get it and some people don’t, it makes no difference whether you’re fit or not, if you’re going to get it you’ll get it and it can be quite nasty.

One of the things that help with altitude sickness is the local remedy of chewing coca leaves and drinking coca leaf tea, coca leaf is of course the original product that they make cocaine from although it is in its natural state before it goes through the chemical process of making it into cocaine.


there is a drug that can help with altitude sickness, it’s called Acetazolamide, it does seem to be quite effective if you take it a few days before you travel, but unfortunately for me, it belongs to a group of drugs that I could possibly be allergic to, sulpfa based medications so it’s probably not something I would want to try when at the top of a mountain in the middle of Peru.

My research for alternative therapies to help with altitude sickness, has shown that Gingko Biloba can be quite effective, so that’s what I’m going to be trying.

Deet Mosquito Wrist Bands

We’ve just finished getting our vaccinations for our upcoming trip to Peru and the Amazon.

While we were in the doctor’s surgery, the nurse mentioned Deet wristbands as we are in a high risk mosquito area all the way down the Amazon river.

I’ve found them on Amazon, I’ll let you know how we get on with them. I HOPE they will be effective!

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Travel Sickness Help

I’m a terrible traveller, I only need to look at a boat before turning green. My travelling life was turned around when I discovered Sea Legs tablets, they worked brilliantly for me.

Here’s a selection of help for travel sickness, the i-Trans travel sickness bands are extremely effective too !

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Travel And Motion Sickness Solutions

Motion sickness is, unfortunately, the bane of any trip or vacation.

It makes traveling to and from your destination an unpleasant, nausea-inducing experience a MISERABLE journey as I can relate to from several awful boat trips.
– and it may also restrict the things you can do while on holiday.

Below are a few tips for helping you to deal with travel or motion induced sickness:


The root ginger has LONG been recognized for its nausea reducing properties, and is most frequently suggested for pregnant women suffering from morning sickness.

It is a totally natural remedy for those suffering with travel or motion sickness and comes in several forms. My personal favourite is ginger chewing gum.

The best way of taking ginger is in the form of herbal tablets. These can be purchased from a health food store or online – though if you do buy online, check the seller is reputable to ensure you get authentic goods.

Like all herbal products, ginger does not work for everyone, but it is a possible non-medicinal method of at least easing travel sickness.


You can purchase sea sickness wristbands from various places, including health shops and online. Usually, these are woven cotton bands which you place on your wrist and wear for the entirety of your traveling. While they are most commonly associated with sea sickness, users have reported they work on other forms of motion sickness (in the car, for example) also. They work by putting pressure on the inside of the wrist, much in the same way as chinese accupressure.

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Travel Sickness Help

[ReviewAZON asin=”B000R5EK5Y” display=”inlinepost”] I always used to suffer terribly from travel sickness. As soon as the car/bus/coach started, I would turn green and feel absolutely miserable!And as for BOATS?????? FORGET IT!

Over the years, I’ve found 2 solutions, one is travel sickness bands which I wear on each wrist, they are always in my bag, just in case.

[ReviewAZON asin=”B00186JYSE” display=”inlinepost”] The other solution is a non-drowsy travel sickness tablet called Sea Legs. The non-drowsy part is SO important as in the past I have been so zonked by the travel sickness meds that I haven’t been able to enjoy the place once I’ve got there.The active ingredient of Sea Legs is Meclozine Hydrochloride .