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Nepal is open for the autumn season, and glad you are coming.

How to help
Travel Himalaya Nepal
Water & Health

Altitude & Medication

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

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

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.

Skip it ifAnyone who would use it to overrule how they feel or what a guide says. Symptoms decide; the number does not.

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.

The rest of the shelf

  • Not 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.

    Skip it ifAnyone hoping to skip acclimatisation days. No drug replaces walking high and sleeping low.

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