Altitude Sickness Information

What is altitude sickness?

Let’s start by looking at what high altitude means. High altitude starts to have an effect on our bodies from between 1,500m – 2,000m (4921ft – 6561ft) when our bodies start to react differently to make up for the changes in oxygen levels.

So, as you go higher the air pressure gets lower (the air gets ‘thinner’) so that for every breath there will be less oxygen for your body. Your body gradually adapts to getting less oxygen – you breathe faster and deeper and the body produces more red blood cells to carry oxygen molecules. This takes time, so this is why if you go from low to high altitude too quickly, you may feel symptoms of altitude sickness until your body acclimatizes.

Cusco is located at an altitude of 3,400 meters (11,200ft) and it is common for many visitors to experience some mild symptoms of altitude sickness or ‘soroche’ as it is known locally. It’s hard to tell if you will be affected by altitude sickness as some people can be more susceptible than others regardless of age, sex or physical condition.

How might altitude sickness affect my trip?

Mild altitude sickness should not interfere too much with your normal activity. Symptoms are usually felt within 12 – 24 hours of arrival and tend to subside within 3 days. It is recommended to give yourself 2 to 3 days to adjust to the altitude before doing a trek!

Symptoms of Altitude Sickness

Common mild symptoms of altitude sickness may include:

Headache
Nausea
Vomiting
Fatigue
Poor appetite
Dizziness
Disturbed sleep

Eight tips to avoid altitude sickness in Cusco

Relax and take it easy! Take a few days at the start of your trip to acclimatize to the altitude before attempting any treks or strenuous activity. This is the best advice we can share! Take it easy for the first few days and your body will thank you later.
Get lots of sleep. Sleep is the best remedy of all! Do not be afraid to just sleep it off as your body adjusts.
Avoid alcohol & drugs. This includes sleeping tablets and tranquilizers as these can all make the symptoms worse.
Drink lots of water. Staying hydrated prior to and throughout your trip is crucial to avoiding unpleasant altitude sickness symptoms.
Drink coca tea. Nearly every hotel in Cusco and the Sacred Valley offers fresh coca tea to guests and for a good reason too! Coca tea is completely safe to drink and a cup or two each day can ease altitude symptoms.
Go lower to acclimatize. Head straight to the lower altitude of the Sacred Valley or Machu Picchu. Believe it or not, Cusco is at an altitude of 3400m (11,154ft) so heading to Ollantaytambo at 2,900m (9,514ft) or Machu Picchu at 2,400m (7,874ft) can make a huge difference
Get an Oxishot. Oxishot is a small dischargeable can that contains 8 litres of oxygen that you can take when you arrive in Cusco and anytime you need a boost. It can help reduce headaches and fatigue associated with altitude sickness.
Visit your doctor. If you are still worried before you to travel, head to your doctor and ask for an acetazolamide prescription (also known as brand name Diamox) which can be taken to help avoid altitude sickness symptoms. Regardless of altitude worries, you should always visit your doctor or a travel clinic prior to travel to Peru.
Medical practitioners and hospitals in Cusco are quite used to treating altitude sickness, so if something does go wrong there are medical facilities available here. There are several private clinics who offer doctors fluent in English.

Traveller reviews

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Christian B

10/10 Amazing experience

If you’re thinking about which agency to use, look no further- Ray and Jimmy went well above and beyond and made this a memorable, safe, fun, and professional experience.

Ray is the most knowledgeable guide I’ve ever had in any country for any excursion - during both the Short Inka Trail and the actual tour of Machu Picchu, Ray’s expertise shined through in his ability to give us a detailed background on every aspect of the history, climate, nature, flora, animals.. anything!

Likewise, Ray and Jimmy were truly the friendliest, kindest hosts that I could have imagined our group having.

Thank you both so much and I will definitely book with you again if (when) I come back!

Jan 2023 • Friends

Matt A

Awesome experience!!

Did the 2 day Inca trail with Ray and Jimmy they were great and knowledgeable. Ray not only guided us along trail to Machu Picchu but also was an excellent photographer and taught us the history. It was a group of 10 and we had a great time. Even everything going on in Peru, we always felt in good hands.

Jan 2023 • Friends

Rius

Short Inca Trial (2-Day)

This tour was the perfect experience for our (group of 10) short trip to Peru. The trail was sometimes challenging, but the views and history made it all worth it. Ray and Jimmy were our guides and imparted sooo much knowledge about the history of Peru, Inca, and beyond. I would definitely recommend!

Jan 2023 • Friends

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Daniela Rabito

It was perfect! On the first day we had a great time exploring the Sacred Valley and see the main attractions and learn about the history of this beautiful place.

I would definitely recommend the short Inka trail, I think it was the best way to get to know Machu Picchu and the surrounding area. We arrived at Machu Picchu when most of the crowd was gone and it felt really special.

Abril 2023

Brittany Skulkety

You won’t regret booking with this tour company, especially if Liz Montesinos is your guide. My boyfriend and I did the 4 day Sacred Valley, Machu Picchu and Rainbow Mountain (private) tour. The tour covered everything; from transportation, hotels, meals, tickets and entrance fees, to stops at local places we would’ve never known to go or check out. We did a private tour because for us we felt this would help us get the most out of our time and experience in Peru

Dic 2022

M B

Best mix of adventure, history and nature: Sacred Valley & Short Inca Trail to Machu Picchu

4-day trekking option seemed too intense for us, but we still wanted to experience the entrance to Machu Picchu through the ancient Inka trail, so we opted for Orange Nation’s combination of Sacred Valley & Short Inca Trail to Machu Picchu. I couldn’t be more happy about our decision.

Dic 2022

Sakeb

We booked and paid the deposit to Orange Nation / Sam travel for the 4 day Inca Trail and Machu Pichu trip back in 2019. But we couldn't travel in 2020 and 2021 - but the company honoured our agreement and so we came back in 2022.

Dic 2022

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Brittany Nicole

recommends Orange Nation Peru

September 16, 2022

Ray Besos

recommends Orange Nation Peru

My girl and i did the Machu Pichu trek tour with Orange Nation. It was seriously the most amazing experience that we'll never forget. Gorgeous views! The long trek was worth the amazing view. The tour guide was friendly and very knowledgeable. We considered other tours but chose Orange Nation because we liked the idea of smaller groups and this was definitely worth it. I will be using Orange Nation again next year when I come back to Peru!

November 29, 2018

Juliet Julz

recommends Orange Nation Peru

Wow, what a wonderful trekking experience! My trip to Peru was amazing thanks to this awesome tour that i took with Orange Nation. I did multiple tours with this company. I'm a solo traveler and everyone in my group was always still friendly and did not make me feel left out. I loved going off the beaten track with this company. It's much better to pay extra to go off the path for the quality experience of this amazing guided tour They definitely helped guide us and gave us a quality experience with a small group and paid special attention to each one of us. I highly recommend using Orange Nation for your next tour in Peru!

November 29, 2018

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