You’ve arrived in Peru, and your body is just taking a moment to adjust to the altitude. It’s not uncommon: altitude sickness peru affects more people than you might think. In places like Huaraz, Cusco, Puno, and Arequipa, altitude changes can affect anyone, even the most excited travelers, if they’re not prepared.
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We’ve got simple and clear tips to help you avoid altitude sickness in Peru, so you can keep enjoying your trip without any issues.
What is altitude sickness and how can it affect your experience?
Why does altitude sickness occur?
Your body is used to breathing a certain amount of oxygen. But when the environment changes, that oxygen is no longer the same. It’s like the air becomes ‘lighter,’ and your body has to work twice as hard. This difference is what causes the well-known altitude sickness.
At what altitude do people start feeling it?
There is no exact altitude for everyone, but altitude sickness in Peru typically starts at around 8,200 feet above sea level. However, some people may feel it even earlier, at 4,900 or 6,600 feet. It all depends on how your body reacts.
Who is more likely to suffer from it?
Anyone can feel altitude sickness, even if they are in good physical condition.
Altitude sickness is more common in people who aren’t used to high altitudes or who do strenuous activities without adjusting first. This can happen in places like Huaraz’s snowy peaks and lagoons, or when visiting Rainbow Mountain or Humantay Lagoon in Cusco. It can also affect people with respiratory or circulatory problems more severely.
Symptoms of altitude sickness you should not ignore
At high altitudes, you may experience mild discomfort at first. However, if you notice any of these signs, it’s time to take a break:
- Headache.
- Difficulty breathing.
- Dizziness or a feeling of instability.
- Excessive tiredness.
- Nausea or stomach discomfort.
- Loss of appetite.
- Difficulty sleeping.
- Rapid breathing even at rest.
If the symptoms worsen or don’t go away with rest, it’s best not to push your body and seek medical help.

In which cities of Peru can you feel altitude sickness?
Cusco
Located at 3,399 meters above sea level, Cusco is one of the most visited destinations in the country. Many travelers experience altitude sickness as soon as they arrive, especially if they don’t take the time to acclimate.
That’s why it’s recommended to start with relaxing activities. You can take a city tour of the historic center or visit the Sacred Valley at a leisurely pace. It’s better to avoid physical exertion during the first few days.

Puno and Lake Titicaca
Puno is located at 3,827 meters above sea level, making it one of the highest cities in the country. Lake Titicaca attracts thousands of travelers with its beauty and culture, and it is a must-see for what to do in Puno. However, the altitude can hit hard as soon as you arrive. That’s why it’s recommended to take it easy on the first day, avoid physical exertion, and choose light activities while your body adjusts.

Arequipa and the Colca Canyon
At 2,335 meters above sea level, Arequipa doesn’t cause discomfort for many people upon arrival. However, if you intend to visit the Colca Canyon, note that the altitude in that area rises above 3,600 meters.
The change in altitude can affect you if you don’t give your body time to acclimate. It’s ideal to spend at least one night in Arequipa before continuing with your tour, and choose relaxing activities on the first day

Huaraz and Its Lagoons
Huaraz sits at 3,052 meters above sea level. It’s a favorite destination for travelers seeking nature, altitude, and adventure.
Among the wonders to visit in Huaraz, several are located above 4,000 meters, such as Laguna 69 and Laguna Parón. For this reason, it’s one of the areas where altitude sickness is most commonly felt in Peru. It’s recommended to take it easy during the first few days before embarking on any trekking.

Can I get altitude sickness in Machu Picchu?
You might be wondering if it’s possible to experience altitude sickness in Machu Picchu. The truth is, not always.
The citadel is located at 2,430 meters above sea level, which is lower than Cusco. Since most travelers pass through Cusco first, which is at a higher altitude, their bodies start to acclimate.
If you’ve spent one or two days in Cusco, you’re likely to feel fine upon arriving at Machu Picchu. And if you do feel any discomfort, don’t worry: it won’t be as severe, as the altitude in Machu Picchu is not that high. Just rest, move slowly, and enjoy the place without rushing.

How to avoid altitude sickness (without ruining your trip)
Drinks, remedies, and tricks that actually work
- Drink mate or coca tea: This traditional drink, made with coca leaves, helps improve circulation and oxygenation. You’ll find it in hotels, markets, and restaurants as soon as you arrive.
- Try sorojchi pills: These capsules are well-known among travelers in Peru for dealing with altitude. You can easily find them in pharmacies and they’re often used to support your body during the first few days at high altitudes.
- Avoid physical exertion on the first day: Walk calmly, take the stairs slowly, and leave long walks or demanding tours for after you’ve acclimated.
- Stay hydrated: Drinking plenty of water helps your body adjust faster. Avoid alcohol and heavy meals during the first few days.
- Get good rest before each trip: Rest also helps your body recover from the altitude.
- Don’t skip meals: Eating light but consistent meals gives your body the energy it needs to adapt to the change.

What to do on the first day at high altitude
- Stroll through the most iconic streets of the city.
- Visit local markets and get to know the daily life of the area.
- Try typical food, but choose light dishes in moderate portions.
- Engage in calm activities, such as a city tour or cultural visits.
- Visit museums.
- Avoid long walks, climbing hills, or demanding tours.
- Rest at your accommodation if you feel tired.
- Go to bed early so your body can recover better.
Peru is worth it, and altitude sickness doesn’t have to stop you
Traveling through high-altitude cities is part of what makes exploring this country unique. Yes, altitude sickness in Peru can occur, but with the right care, it doesn’t have to ruin your experience. Resting, eating well, staying hydrated, and taking the time to acclimate will make all the difference in your journey.
Because yes, the best experiences are lived at high altitudes, and with proper preparation, you’ll enjoy them to the fullest.

And remember…
Traveling is about discovering, learning, and creating unforgettable memories, and Peru is the perfect destination for all of that. Its landscapes, history, and culture make every experience unique, filled with moments that will change your life.
We invite you to explore our Peru packages Your experience in Peru is just one step away. Contact us now and start living the unique adventure you’ve always dreamed of.
More information:
- Visit our English website: Peru Grand Travel
- Visit our Spanish website: Viajes Machu Picchu Tours
- Visit our Portuguese website: Machu Picchu Pacotes