Read and follow all instructions on the label. Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve).Your doctor may recommend dexamethasone to treat altitude sickness.This may take from 12 hours to 3 or 4 days. Do not go to a higher altitude until your symptoms go away. Drink plenty of water, but do not drink alcohol. Never let someone with severe altitude sickness go down alone. This fools the body into thinking that it has enough CO2, which in turn increases the amount of oxygen. Diamox is a medication that forces the kidneys to excrete bicarbonate (so you pee more), which makes the blood more acidic. Go to a lower altitude as fast as you can or get emergency help if someone with you has severe symptoms such as being confused or not being able to walk straight. Personally, I prefer Diamox, but you should always ask your physician for advice.Go down at least 500 metres if your symptoms are moderate to severe, they get worse, or treatment with medicine or oxygen does not help.If you have mild symptoms, you may be able to stay at that altitude and let your body get used to it.This is the best treatment for altitude sickness. These medicines may prevent or lessen symptoms. You may consider taking medicines such as ibuprofen, acetazolamide, or dexamethasone before travelling to high altitudes.For example, if you ski at 3,000 m (9,500 ft) during the day, sleep the night before and the night after at 2,500 m (8,000 ft). Sleep at an altitude that is lower than the altitude you were at during the day. The most effective medication for prophylaxis of AMS and HACE is acetazolamide (Diamox) 125 mg PO twice daily starting 12 days before ascent.If you have symptoms, do not go higher until they have gone away.
If this is not possible, avoid large meals, alcohol, and being very active after you arrive. For example, in Canada, spend a night in Banff before going to the Rocky Mountains. If you go to altitudes higher than 2,500 m (8,000 ft), try to spend at least a night at a medium altitude before going higher.We will compare the common dose of 125 mg twice daily with a lower dose of 62.5 mg twice daily.You may be able to prevent altitude sickness by taking your time when you go to high altitudes and using medicine in advance. A smaller dose has not been studied, however. In addition, hydrating and taking headache medications such as. Acetazolamide is normally discontinued 2 days after the user has reached their highest elevation or a plateau in elevation.Ī lower dose may be just as effective in preventing high altitude illnesses while preventing the disconcerting side effects resulting from its use. Rest and moving to a lower altitude are the best treatments for developing AMS symptoms. These effects can affect safety at high altitude. Since acetazolamide is a mild diuretic, frequent micturition may occur leading to interruption of daytime activities as well as broken sleep.
Side effects include tingling of the fingers and toes and perioral numbness which may be erroneously interpreted as stroke symptoms. As a result, acetazolamide hastens acclimatization and helps prevent high altitude disorders.Ĭurrent recommended dosing is 125 mg, orally twice daily, started 24 hours prior to ascending in elevation. It facilitates the excretion of bicarbonate in the urine. Altitude sickness can be extremely debilitating and, at its most severe, deadly. Its mechanism is via inhibition of the carbonic anhydrase enzyme which counteracts the respiratory alkalosis which occurs during ascent to altitude. The medication is effective in preventing acute mountain sickness (AMS), high altitude pulmonary edema (HAPE), and high altitude cerebral edema (HACE). Diamox (Acetazolamide) is used for the prevention or lessening of symptoms related to mountain sickness in climbers attempting rapid ascent and in those.
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