Everyone has different advice about Diamox. This post is how we managed the altitude and the Diamox.
Advice – Diamox is your Friend
People following our trek to Everest Base Camp know the Trainer was also the researcher extraordinaire. I found printed information he had and have linked the sites at the end. Trekking companies often have information too.
Advice from your Doctor
Visit your doctor for advice. A doctor at the clinic we visit had been to Base Camp three times. His advised us to not take the Diamox too early and only if we needed it. He reasoned taking it too early didn’t allow any reserve to fall back on. He suggested if we had problems to take the Diamox, descend, sleep lower and come back up. Time permitting this is a good plan.
Advice before Leaving Kathmandu
The company who organised our porter, Lukla flights and TIMS cards brought our tickets to our hotel. We had met Doma who manages the business in Kathmandu in 2013. This time her husband accompanied her. Lhakpa is usually out with a group trekking somewhere. His advice was to definitely start taking half a Diamox twice daily at Dingboche (4,000 metres) if we weren’t already taking it.
So what did we do?
The Trainer smokes but he is very fit. He started taking half a Diamox twice a day in Namche Bazaar. I had decided to take our doctor’s advice but changed my mind to take Lhakpa’s advice with his experience of many treks. So what did I do? Altitude can affect your sleep. You momentarily stop breathing and then your body wakes you. A bit scary and annoying. The trainer with his husband hat on suggested taking the Diamox purely to sleep better. I started taking half a tablet twice daily in Phortse (I think) two nights before Dingboche and slept much better. The trade off is Diamox makes you wee more . So read all the info, get medical advice, guide’s advice then do what feels right at the time, all things considered.
The Altitude Rule – the Key Factor
The golden rule is not to sleep more than 300 metres higher each day. Sticking to the rule the Trainer planned a sixteen days trek which meant staying in Dughlia. Not the most beautiful place and with only two lodges. Most treks stop for lunch here and then continue on to Lobuche.
We experienced no headaches. Our itinerary was a slow trek. The night we factored in Khumjung gave us an extra day to acclimatise at a slightly higher altitude after our two nights in Namche Bazaar.
Bistari, bistari – slowly, slowly our porter used to say. And we did go slowly and rested regularly. It is not a race. We took time to savour the amazing views. We kept hydrated and didn’t drink alcohol on the trek, not counting my Mohito in Namche on the way back.
Acclimatisation days are important for day walks to a higher altitude. Then you sleep at the same altitude a second night.
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