Manaslu, Nepal
Location
13 Days
Duration
Moderate
Trip Grade
Autumn, Spring
Best Time
Min: 2, Max: 10+
Group Size

Manaslu Circuit Trek – Entry to the Hidden Valley

Manaslu Circuit is an ideal trek that holds the blend of wonderful cultural heritage, unparalleled Himalayan vistas, pure Himalayan eco system and great walking experience following the ancient salt trading route of Tiber along the Budi Gandaki river.

This trek is an awesome entry to the hidden valley bordering Nepal with Tibet. The trails get opened to tourist only since 1992. From then onward, it has become the best alternative trekking to Annapurna Circuit Trek. The trek begins with a drive to Arughat and chases the traverses uphill beside the rushing Budi Gandaki River. The walk through uneven gorges sliced between Himachuli Peak 7890m, the Manaslu Circuit Trek most of the times covers wilderness walk.

Adventurous trek, which has been partly affected by quake despite lying in the district that epicenter the devastating quake, Manaslu Circuit Trek also highlights the beautiful cultural blend of different ethnic tribes. The landscape dominated by wonderful Budi Gandaki River Valley, the views of majestic Manaslu (eighth highest peak in the world), Mt. Himachuli and Mt Ganesh among others are other major highlights of the trek. Moreover, the latter half of the trek caters the challenge of crossing Larkya La Pass 5153m. The culture of Nuri, which manifests little Tibet in the mountains below Mt. Manaslu is great cultural encounter during the trek. After crossing the wide Larkya pass, it finally enters Annapurna Conservation Area Project and treads along the trails of famous Round Annapurna Trek before it ends at Besisahar.

In addition, if you have enough time and wish to enjoy natural beauties, enhance cultural experiences; you could join our Manaslu Circuit Trek with Larkya Pass. You could also join our challenging trekking along the remote trail in Manaslu Region by joining our Round Tsum Valley and Tsum Valley and Manaslu Circuit Trek. 

If you are not satisfied with this itinerary or if you want to customize this package in your timeline or budget, then you could contact us, or email to info@hikingnepal.com

Outline Itinerary:

Day 01: Drive from Kathmandu to Soti Khola via Arughat (Altitude: 700-m/2296 ft. 6/7 hour’s drive. Meal: BLD)
Day 02: Trek from Soti Khola to Machhakhola (Altitude: 870 m/2952 ft. Trek: 6/7 hrs. Meal: BLD)
Day 03: Trek from Machhakhola Gaon to Jagat (Altitude: 2340 m/7676 ft. Trek: 6/7 hrs. Meal: BLD)
Day 04: Trek to Deng (Altitude: 1870m/6170 ft. Trek: 6-7 hrs. Meal: BLD)
Day 05: Trek to Ghap (Altitude: 2,160m/7,086ft. Trek: 4-5 hrs. Meal: BLD)
Day 06: Trek to Lho (Altitude: 3150m/10395 ft. Trek: 6/ hrs. Meal: BLD)
Day 07: Trek to Sama Gaon (Altitude: 3500m/11550 ft. Trek: 3-4 hrs. Meal: BLD)
Day 08: Rest day at Sama Gaon (Altitude: 3500m/11550 ft. Trek: 3-4 hrs. Meal: BLD)
Day 09: Trek to Samdo (Altitude: 3,690m/12,106 ft. Trek: 6/7 hrs. Meal: BLD)
Day 10: Trek to Larkya Phedi (Altitude: 4,470m/14,665ft. Trek: 6/7 hrs. Meal: BLD)
Day 11: Trek to Bimtang crossing Larkya La Pass (Altitude: Larkya La Pass: 5153 m/ 17005 ft. Bimtang: 3,720m/12,204ft. Trek: 8/9 hrs. Meal: BLD)
Day 12: Trek to Dharapani (Altitude: 1,860m/6,102ft. Trek: 5/6 hrs. Meal: BLD)
Day 13: Trek to Syange and Jeep/Public Bus drive to Besisahar (Altitude: 60 m/2,493ft) & Private car drive back to Kathmandu. End of the trip.

Trip Notes in Detail :

Trekking in the remote Himalayas of Nepal, where we need to consider different circumstances like natural calamities, health. It may compel the trip to be customized even at last minute. Hence, we always suggest being flexible with the condition. Your safety and satisfaction of the trip is our prime concern.

Day 1: Drive from Kathmandu to Soti Khola via Arughat (Altitude: 700-m/2296 ft. 6/7 hour’s drive. Meal: BLD)+

Wake up early morning and get ready after having breakfast at the hotel, also re-check your luggage. Our driver will escort you to the Bus Park to catch a bus to Arughat.  You will be driving towards the western part of the valley following a blacktopped Prithvi Highway. Crossing the Trishuli River, you will drive towards Dhading Besi from where you will have a bumpy drive of around 3 hours to Arughat. On the way, you can view the beautiful landscape, countryside lifestyle, terraced fields, rivers, and waterfalls. Arughat is a small town mostly settled by the Newar ethnic group.

 

Resting for a while at Arughat starts a journey towards Soti Khola. Crossing a bridge across the Budhi Gandaki River, you will pass small villages settled by Gurung and Magar ethnic groups, beautiful field of millet and Paddy and landscape along the Sotikhola. Spend overnight at the local lodge.

Day 2: Trek from Soti Khola to Machhakhola (Altitude: 870 m/2952 ft. Trek: 6/7 hrs. Meal: BLD)+

Begins trek on few ups/down rocky trail after crossing a suspension bridge passing beautiful Sal forest. Viewing tropical waterfalls and passing terraces, you will walk up to the village of Lapubesi settled by traditional Gurung. Resting for a while, you will start walking uphill along the bank of the Budhi Gandaki River till Khanibesi. Here, you can click North-east view of Ganesh Himal and a beautiful waterfall and then starts descending towards the village at Macchakhola. You can take a relaxing dip in a hot spring and explore the surrounding. Spend overnight at the local lodge.

Day 3: Trek from Machhakhola Gaon to Jagat (Altitude: 2340 m/7676 ft. Trek: 6/7 hrs. Meal: BLD)+

Today, you will start walking in a narrow trail following the Budhi Gandaki River. Just walking in a zigzag trail and crossing a suspension bridge will take you to the Khorlabesi that offers a fantastic view of Ganesh Himal. Now onwards, you will walk in ascending and descending trails, crosses several suspension bridges, passes landslides, rock falls, and small hamlets; even walk in stone steps along with rocky trail en-route to Jagat. On reaching Jagat, see the fabulous view of Sringi Himal; mani walls and Chortens representing the Himalayan culture. Spend overnight at the local lodge.

Day 4: Trek to Deng (Altitude: 1870m/6170 ft. Trek: 6-7 hrs. Meal: BLD)+

After sliding down a long chain of stone steps to the river, you will climb on a terraced hill to Saguleri.  See the impressive view of Singri Himal, 7187m from Saguleri. At Saguleri, the path splits. You will continue with the left-hand branch heading upstream, through a gorge section with towering walls. Thrice you cross the river in next couple of hours to avoid difficult valley sides and then slide up over a further steep spur to reach the village of Deng. Spend overnight at Deng local lodge/camping.

Day 5: Trek to Ghap (Altitude: 2,160m/7,086ft. Trek: 4-5 hrs. Meal: BLD)+

Today, you will cross the village of Lamaistic Buddhism, see the some Mani walls/ Chortens and flattering flags while entering the elevated Buddhist Community. Since today’s trek is relatively short you reach the village of Ghap in about four hours, which straddles the river. Officially, you have entered the Tibetan Region as you feel the perceptible change in the climate and culture. Spend overnight at Ghap local lodge/camping.

Day 6: Trek to Lho (Altitude: 3150m/10395 ft. Trek: 6/ hrs. Meal: BLD)+

The clear sighs of gaining the elevation are visible as you move into alpine territory where the mountain views are more than terrific. Myriads of mani stone walls and crossings of the Buri Gandaki thrice en-route will bring to Namrung. At Namrung, you need to issue trekking permits and MCAP permit. Beyond Namrung, the valley opens out and there are extensive pastures. Then, a gradual up climb followed by crossing a bridge over a large stream flowing down from the Lidanda Glaciers, you reach the Tibetan village of Sho, 3000m. Beyond Sho, you get first incredible views of the Manaslu North and then of Manaslu Main. A further trek will bring you to Lho, a large village at 3150 meters where there is a lovely little monastery and numerous chortens and Manis. Looking back, Ganesh I is visible. Spend overnight at Lho local lodge/camping.

Day 7: Trek to Sama Gaon (Altitude: 3500m/11550 ft. Trek: 3-4 hrs. Meal: BLD)+

Beyond Lho, chase the right bank of the river, with views of Peak 29 ahead. Continuing along the main trail, you will reach Sama Gaon 3500m after a while trek. You can visit Sama Gompa which is just 20 minutes’ walk from Sama. Spend overnight at Sama local lodge/camping.

Day 8: Rest day at Sama Gaon (Altitude: 3500m/11550 ft. Trek: 3-4 hrs. Meal: BLD)+

It is wise to rest during trek for proper acclimatization before gaining the height. Spend your time at Sama Village enjoying the culture, lifestyle, and people following Lamaism. You can either hike to a ridge to view the stunning mountain including Nadi CHuli, Manaslu, Larke, and Naike. Or, you can also go to visit the Pung Gyen Gompa, capture the fabulous view of Puggen Glacier. Your walk on rest will let you familiarize with height. Retrace Back to Sama Goan for the overnight stay.

Day 9: Trek to Samdo (Altitude: 3,690m/12,106 ft. Trek: 6/7 hrs. Meal: BLD)+

Today, you will trek to the Manaslu Base Camp that is incredibly a great trip. You will walk up for around 5 hours to base camp. Explore the surrounding and continue walking for your final destination towards Samdo. Todays’ trail will be a bit longer enjoying the sunlight on the mountains and glaciers. The best part of the trek is the incredible turquoise view of Birendra Lake. Spend some time in the base camp, then trek to Samdo. From now, you will enter the forest filled with birch, juniper, rhododendron, moss, and Lichen. The trail will take you towards the Kyonggma Kharka that manifests small huts made with stones and a long Mani walls. Crossing a bridge over Budhi Gandaki River, you will enter the village of Samdo. It is the very close village to Tibet settled by the Tibetan Refugee community, have Taka Choeling Gompa, big Mani wall and close to Sonam Glacier as well as a viewpoint of Naike and Pangboche Peaks. Spend overnight at Local lodge/camping.

Day 10: Trek to Larkya Phedi (Altitude: 4,470m/14,665ft. Trek: 6/7 hrs. Meal: BLD)+

Today, you will gain a significant height. Beyond Samdo 3780m, you will trek along Larke Khola to Dharmashala (Stone Hut) 4460 along the steep trail above the river. At a point on today’s trek, you will be mesmerized with the incredible view of Larke Kunda. Keeping on gaining the height, you will arrive at Larkya Phedi 5105 crossing Larkya-La Pass 5153m. The trail passes through the Mani walls and Stone Huts while walking towards Larke Phedi. Larke Phedi is also called as Dharmasala or Rest House, is a seasonal village that provides rooms and tents for the trekkers. On reaching, you can hike the hills for acclimatization and retrace back to Phedi for the overnight stay at Resthouse/camping.

Day 11: Trek to Bimtang crossing Larkya La Pass (Altitude: Larkya La Pass: 5153 m/ 17005 ft. Bimtang: 3,720m/12,204ft. Trek: 8/9 hrs. Meal: BLD)+

Today will be the most exciting day crossing a Larkya-la Pass gaining an ultimate altitude of this trek. Just starts walking in the early morning, you will pass the moraine route of the Larkya Glacier, cross frozen lakes and follow the steep up will takes you to Larkya-La. You will see the flattering colorful flags in a place, make your day a wonderful time catching the magnificent view of the snowcapped peaks including Annapurna II, Kangguru, Himlung, Larkey and many more. Continue walking following the guide in a steep descend on a high moraine ridge of Salpudanda glacier. Now onwards, the trail will be grassy moraine rock fall of Dangboche Kharka. Walking for a while will take you to the beautiful Bimthang Village. From here, you can view the fantastic scene of the peaks like the Lamjung, Manaslu, Phungi, Himlung and Cheo Himal. Spend overnight at Local lodge/ Camping at Bimthang.

Day 12: Trek to Dharapani (Altitude: 1,860m/6,102ft. Trek: 5/6 hrs. Meal: BLD)+

Begins the trail to the Hampuk, a rock shelter cave, and crossing a bridge, you will continue walking down through the forest of Rhododendron and Pine, passing several villages and cultivated land, explore the Gho Village settled by the Gurung community as well as the Kilpu waterfall. You will reach Tilje, where you can rest for a while. Explore traditional Gurung Village. From now, you will continue walking towards Dharapani after crossing a bridge over the Dudh River. Explore the village and spend time enjoying the surrounding. Spend overnight at Local Lodge.

Day 13: Trek to Syange and Jeep/Public Bus drive to Besisahar (Altitude: 60 m/2,493ft) & Private car drive back to Kathmandu. End of the trip.+

From Today, your trek will officially enter the Annapurna Conservation Area Project and Marshyangdi Valley. Show the TIMS and ACAP at Check Post while leaving Dharapani. Dharapani is a knot of Annapurna and Manaslu Trail as well as a junction of Dudh Khola and Marshyandgi River. Begins walking in a downhill trail passing Tal Village, you will continue a steep stone trail and cross a suspension bridge over Marshyangdi River, you will reach Chamje. From here, a steep descend towards the Syange village and crossing a bridge will take you to the bus stop. Driving for hours down in a snaky road will take you to Besisahar. Resting for a while, you will be escorted towards Kathmandu following Highway blacktopped road.

What is included

Accommodation  during the trek at Mountain Lodge or Homestay in a sharing basis Full board meal during the trek (Breakfast, Lunch, Dinner, tea & coffee, seasonal fruits, chocolate/s & biscuits)

English speaking, First Aid and Eco-trained local trekking guide, Assistance guide as per the group size, porters (2:1)

All the expenses for guide and porters along with Insurance

Manaslu Special Permit

Manaslu Conservation Area Project (MCAP) fee

Annapurna Conservation Area Project (ACAP) fee

Public Sharing Bus transfer for Kathmandu/Sotikhola- option for private vehicle is also available

Public Sharing Jeep transfer for Syange to Besisahar

Public sharing bus transfer to Kathmandu from Besisahar- option for private vehicle is also available

Exclusive medical kit bag, Duffle Bag, Trekking T-shirt,  Adventure Certificate

Sleeping Bag and Down Jacket during Trek

All government and local taxes as applicable

What is not included

Nepal Visa – (Cost- US$- 30 for 15 days & $- 50 for 30 days)

Lunch & evening meals while in Kathmandu (Except welcome/farewell dinner)

Travel insurance

Cost of personal nature expenses, Beverages (Mineral water or coca-cola), cost of extra meals, snacks, phones bills, Internet, WiFi, laundry etc.

The cost incurred during emergencies, evacuations

Tips for Guide/porters/driver …

Nepal Visa & Getting in to Nepal

All the foreign nationals (except Indian nationals) are required to display Visa while entering Nepal. Nepalese Visa can be obtained either at Nepalese Embassy of respective country or can be obtained during your arrival at the International Airport in Kathmandu or from the Nepal’s border entry point. However, certain nationals are requested to arrange Visa prior to arrival in Nepal. The listed countries are- Afghanistan, Iraq, Cameroon, Ghana, Somalia, Swaziland, Palestine, Zimbabwe, Nigeria, Ethiopia and Liberia and cannot secure Nepalese Visa on arrival.
Requirements: Traveler should have a valid passport for at least six months, recent digital photos (size: 1.5″ x 1.5″) and Visa fees (either US$ or equivalent) mentioned as below:
Visa Facility    Duration    Fee
Multiple entry    15 days        US$ 30 or equivalent Nepalese currency
Multiple entry    30 days        US$ 50 or equivalent Nepalese currency
Multiple entry    90 days        US$ 125 or equivalent Nepalese currency
You can also download VISA form and fill up. Please go through the link as below:
http://www.online.nepalimmigration.gov.np/tourist-visa   

Group Size:

For group, we normally run with minimum 2 person to maximum 10 in our published group departure program. However, there is no barrier for a private trip. We can run a trip for single person and even more than 10 in a group. Normally for a group, we provide 1 main guide, 1 assistance guide along with 1 porter for every 2 trekkers. Moreover, for every additional 2 trekkers, 1 more assistance and a porter will be provided making a team combination as follows:
Minimum to 2 PAX: 1 Guide and 1 porter
4-6 PAX: 1 guide, 1 assistance guide and 3 porter
7-10 PAX: 1 guide, 2 assistance guide and 4/5 Porter

Guide and Trip Safety

Once, you confirm your trip, it is our responsibility to make your trip wonderful without creating any difficulties. Hence, we have prepared our itinerary in such a way that it will properly acclimatize you. Also, we request you in advance to have regular exercises and make habits to walk in a daily basis. Similarly, during trek, you will be fully guided by our professional trekking guides and supporting team. They are properly trained in regards to safety and first aid. Even, we have every set up in case of emergency such as high altitude medicine and Gammow Bag (High altitude Chamber bag). Please note High altitude Chamber Bag is used to provide heat in your body and it is available on certain cost. Moreover, to let you familiar with altitude, you are suggested to walk slow and steady and ensure for proper acclimatization.

For trekking, we provide local experienced guide speaking fluent English and familiar with the local routes, landscape, flora, fauna as well as culture, and tradition of certain areas and let you feel comfortable. We do not encourage for child labor, hence, our porter will be above 16 years that are living in the Himalayas of Nepal; as well as carries only 20-22 kg weight per porter. Normally, the guide and support teams are selected with proper analyzing of their experience, leadership skills and personal aptitude. Our guides are well familiar with different societies of all caste and customs along the trail and share the insight culture with you that are not even noted in guide book.

To make our staffs more fluent and experienced, we consistently provide trainings. They have been participating in special training programs like Trekking guide training, Rock climbing, Ice climbing, Intensive Wilderness first Aid and many more that has been certified and approved by Nepal Government.

Meals and Accommodation

During your stay in Kathmandu, we accommodate you in 3 star category hotel in a comfortable and relaxing environment. Breakfast is included with room accommodation. Normally, based on your group size, you will be accommodated in twin and triple sharing basis. Likewise, in case of single room stay in a group, you will require to pay single supplement charge mentioned in our trip cost. Also, if you wish to upgrade hotel accommodation, we can accommodate you in respective hotels with surcharge. On your arrival in Kathmandu and a day before your departure for homeland, we Hiking Nepal Team will invite you for Welcome and Farewell dinner. You will be taken to an authentic restaurant serving Nepali Cuisine with some cultural Dance Show. For your other day’s meals, you can get hygienic restaurants providing verities of taste including continental, Chinese, Italian, Nepalese and many more.
Similarly, for your stay during trek, we shall accommodate you in local lodge available en-route. Normally, the rooms are basic and in a twin sharing basis. Some lodges offer shower system and hot water.

For meals, you will be served sufficient hygienic food. Our service includes a full board meals (Breakfast, Lunch, Dinner and Tea/Coffee) based on lodge menu. Normally, for breakfast; porridge, cereals, toast or chapattis, omelets and a range of hot drinks are served. Likewise for Lunch and Dinner; you can taste some Nepalese food (esp. rice, lentils and curry), Sherpa food, Indian food, Italian Spaghetti, noodles, potatoes, even Pizza in some areas. It is obvious that you will receive fresh and organic food in the Himalayas of Nepal. Your breakfast and dinner will be served in lodge where you stay and lunch on the way during trek.

Travel Insurance

While travelling to Nepal, you are requested to have a travel insurance that should cover any comprehensive expenses possible to acquire due to medical issues or accidents. Especially, your travel insurance must protect air ambulance, treatment charges, rescue and evacuation, product cancellation and refundable charges, flight delay and cancellations. We suggest you to bring you travel insurance certificate or send us scan copy and required to issue from your home land and we do not arrange or sell insurance.

Travelling in the Himalayas is full of adventurous; hence it is wise to choose a proper insurance policy. While choosing your insurance policy, make sure that it will protect all such unforeseen expenses. Your insurer should be well familiar with our itinerary that you have booked and must have agreed to cover all activities being undertaken during trip. Meantime, it is not compulsory that our all the assigned trip are facilities with Heli-rescue. You will not require heli rescue insurance for Tibet Tour as it is not possible to provide such facility.

Vaccination

It is better to follow the precaution given by World Health Organization and other international health related institutions that recommend having vaccines before travelling Nepal to prevent from certain fatal illness. If possible, we suggest you to bring your medical certificate however, it is not required to show but for safety. The recommended vaccines are polio, Diphtheria, Tetanus, typhoid, yellow fever, hepatitis A/B, Influenza (Flu), Japanese encephalitis, and Tuberculosis. Meantime, it is better to consult your professional doctor about your travel and he might recommend you properly. You can also take suggestion of local travelers who have travelled Nepal before and know more about the required precautions. Please note that the protection that can be gained from vaccines varies from 50% to almost 100%. So remember that even if you have taken a vaccine you might still get the disease, although you will have greatly reduced your chances of getting ill.

Guide and Trip Safety

Once, you confirm your trip, it is our responsibility to make your trip wonderful without creating any difficulties. Hence, we have prepared our itinerary in such a way that it will properly acclimatize you. Also, we request you in advance to have regular exercises and make habits to walk in a daily basis. Similarly, during trek, you will be fully guided by our professional trekking guides and supporting team. They are properly trained in regards to safety and first aid. Even, we have every set up in case of emergency such as high altitude medicine and Gammow Bag (High altitude Chamber bag)- will charge additional cost. Please note High altitude Chamber Bag is used to provide heat in your body and it is available on certain cost. Moreover, to let you familiar with altitude, you are suggested to walk slow and steady and ensure for proper acclimatization.

For trekking, we provide local experienced guide speaking fluent English and familiar with the local routes, landscape, flora, fauna as well as culture, and tradition of certain areas and let you feel comfortable. We do not encourage for child labor, hence, our porter will be above 16 years that are living in the Himalayas of Nepal; as well as carries only 20-22 kg weight per porter. Normally, the guide and support teams are selected with proper analyzing of their experience, leadership skills and personal aptitude. Our guides are well familiar with different societies of all caste and customs along the trail and share the insight culture with you that are not even noted in guide book. To make our staffs more fluent and experienced, we consistently provide trainings. They have been participating in special training programs like Trekking guide training, Rock climbing, Ice climbing, Intensive Wilderness first Aid and many more that has been certified and approved by Nepal Government.

Health and Fitness

While Trekking in the Himalayas of Nepal, you will be hiking up in high altitude, hence slow and steady is main concern which helps you to acclimatize properly with the altitude. During trekking, you will required to walk for 5-6 hours in average. If you are planning to trek in Nepal, make sure that you are in good shape and fitness, and consult your doctor or general physicians about your health. You should be physically and mentally prepared. Before commencing a trek, we recommend you to do some regular exercises, make habits to use stairs than elevator that makes your knees strong, and, if possible, join some aerobics, gyms and make sure about your good health. If you are used to with these habits, you will definitely walk in the Himalayas of Nepal. Sincere preparation and strong determination for the trip is very important making your trip a wonderful memory of your life. It is not compulsory to have any previous experience. Follow the guidance and enjoy the trip.

High Altitude Sickness

At the higher altitude, you will feel a decrease in availability of oxygen and shorten in oxygen cause an altitude sickness. If a person walk in the high altitude particularly climbs up too quickly, he might suffer from High altitude sickness. Hence, proper rest is required at that altitude. You can cure at right time knowing certain symptoms of Altitude Sickness. Common symptoms are headache, loss of appetite, tiredness and nausea, vomiting, dizziness and difficulty in sleeping. The best remedies that local belief and take is taking garlic, or ginger in mouth. Eat dry food and take liquid as much as possible. We recommend Diamox if there is no any options.  Also, we provide experienced guide and staffs in dealing with the effects of higher altitudes. As they are natives of Nepal, they easily acclimatize and therefore can care for their clients. They are equipped with necessary medical supplies and will assist with basic first aid treatment. We design our tours to ensure clients are ready for high altitude, and arrange alternative itineraries for those at risk.

Acclimatization

While, trekking in the Himalayas, you will walk in the Ups down trail taking you to the elevation over 2500 m. Hence, you might feel difficult to breathe or your breathe speed up. Hence, it is most important to familiarize with the altitude and let you adjust with the decreased availability of oxygen at high altitude. Our itinerary is designed with sufficient days to acclimatize. In case of gaining certain height, there is a rest day when you can explore the area as well as walk to high altitude and sleep at low land. Likewise, you are suggested to walk slowly and carefully without getting any stresses. Also, for proper acclimatization, you should care about your eating habits. Don’t focus on Junk food and eat as much liquid as possible. Hard drinks are not recommended. The right way to acclimatize properly is walk high, sleep low.

Diamox (Acetazolamide)

Diamox, a mostly recognized drugs for altitude sickness prevention and treatment. It allows you to breathe faster so that you metabolize more oxygen, thereby minimizing the symptoms caused by poor oxygenation. This is especially helpful at night when respiratory drive is decreased. While using a Diamox, it is advisable to start taking it 24 hours before you go to altitude and continue for at least five days at higher altitude. The recommendation of the Himalayan Rescue Association Medical Clinic is 125 mg. twice a day (morning and night). (The standard dose was 250 mg. but their research showed no difference for most people with the lower dose, although some individuals may need 250 mg.) Possible side effects include tingling of the lips and finger tips, blurring of vision, and alteration of taste. These side effects may be reduced with the 125 mg. dose. Side effects subside when the drug is stopped. It is more appropriate to contact your physician for a prescription. Since Diamox is a sulfonamide drug, people who are allergic to sulfa drugs should not take Diamox. Diamox has also been known to cause severe allergic reactions to people with no previous history of Diamox or sulfa allergies. Frank Hubbell of SOLO recommends a trial course of the drug before going to a remote location where a severe allergic reaction could prove difficult to treat.

Highly recommended to take a trial course before going to a remote location where a severe allergic reaction could prove difficult to treat if it occurred.

Alternative Drugs:

Dexamethasone (a steroid) is also a prescribed drug that decreases brain and other swelling reversing the effects of AMS. The dose is typically 4 mg twice a day for a few days starting with the ascent. This prevents most of the symptoms of altitude illness from developing.

ADVICE:

Dexamethasone is a powerful drug and should be used with caution and only on the advice of a physician and should only be used to aid acclimatization by sufficiently qualified persons or those with the necessary experience of its use.

NOTE:

It is more advisable to take drugs taking proper suggestions from Personal Physicians and in case if there is no any options. In the Himalayas of Nepal, the mountain dwellers believe in taking some garlic or ginger along with Red Pepper to produce heat for fast breathings.

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