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Travel Himalaya Nepal
Water & Health

Altitude & Medication

Discuss with a doctor before you fly, not in Namche.

About the links on this page.Some go to Amazon, and as an Amazon Associate we earn from qualifying purchases — at no extra cost to you. It does not change what we recommend: every card here also says who the item is not for, and a few things we think you should simply rent in Kathmandu or Pokhara instead, which earns us nothing.

Fingertip pulse oximeter — A trend to watch, not a number to trust
Useful with caveats

A trend to watch, not a number to trust

Fingertip pulse oximeter

SpO2 and pulse, fingertip clip

Useful for spotting a trend across several mornings, and actively dangerous if you treat a single reading as a verdict — cold fingers alone can drop a reading by several points, and consumer devices are not calibrated for 5,000 m.

A falling trend over days is genuinely informative

Costs very little and weighs nothing

Your guide can use it as one input among several

Cold hands produce alarming, meaningless numbers

Not accurate at the altitudes it is bought for

Encourages self-diagnosis, which is the real risk

Not for you if: Anyone who would use it to overrule how they feel or what a guide says. Symptoms decide; the number does not.

Check price on Amazon
Prescription only in most countriesNot ours to sell

The one thing on this page you cannot buy from a link

Acetazolamide (Diamox) — a conversation with your doctor

Acetazolamide is genuinely effective for acclimatisation and it is also a prescription drug with real side effects and real contraindications — sulfa allergy among them. Have that conversation at home, not in a Thamel pharmacy.

Prescription medication. Ask your own doctor — we are guides, not clinicians.