Classic Annapurna Circuit Trek

Classic Annapurna Circuit Trek

Classic Annapurna Circuit trekking is Strenuous Treks (Treks in other areas of demanding nature, require all participants to be fit and in excellent health, often in remote alpine areas and sometimes reaching altitudes up to 5,500 meters and high pass crossing over) and provides beautiful Himalayan scenery and a fascinating life of local people and culture. Classic Annapurna Circuit Trek Starts from Besisahar through the Marshyangdi Valley, lush green foothills and terraced rice fields, alpine forests to a dry desert region and the Tibetan Buddhist beautiful village of Manang. The mountain views are fantastic, Lamjung, Himalchuli, Manaslu and the Annapurna’s tower spectacularly over the valley. Crossing the famous Thorung La pass (5,416m) is the highlight of this trek to enter the Kali Gandaki Valley and the long descent to the Hindu temple at Muktinath. We continue down to Jomsom from where we take a spectacular flight to Pokhara city "known as city of Natural beauty".

Classic Annapurna Circuit Trekking begins from Kathmandu upon your arrival at Tribhuwan International Airport. The Historical Capital city of Nepal, also known as the city of Hindus Temples, Buddhist Stupas and Monasteries. We start our trip to Annapurna Circuit after having good overnight rest in Kathmandu. Next morning we start our trip with Cultural sightseeing tour around Kathmandu valley Swayambhunath (Known as monkey Temple/one of the oldest stupa), Colourful Kathmandu Durbar Square, Pashupatinath (one of the most sacred Hindu shrine in the world. and Boudhanath (one of the biggest stupa).

Having good time around Kathmandu we start our trip to Classic Annapurna Circuit We drive along the Kathmandu-Pokhara Highway to Dumre and then follow the rough road by the Marsyangdi River to Besi Sahar (where we check our Annapurna Conservation Area Project (ACAP) and Trekkers' Information Management Systems (TIMS) permit) from where we start our Trekking to Puwa Khola, Khudi (First Gurung village), Bhulbule, (Mostly we follow the Marsyangdi River Valley and walk to the highest elevation ( 5,416 meters Thorong-la pass) Ngadi, Lampata, Bahundanda, Kanigaon, Syange, Jagat, Ghatta Khola, Chamje, Sattale, Tal Besi, Tal, Khorte, Karte, Dharapani, Bagarchap [2,160m], Danaque, Temang Besi, Lattemarang, Thanchok, Kotho and finally we arrive in Chame [2,630m] (the headquarters for the Manang District) In these areas we pass through waterfalls, Rivers, suspension bridge, Wooden bridge, rock, and beautiful forest of blue pine, spruce, hemlock, maple and oak and magnificent Himalayan view of Manaslu, Lamjung, Himalchuli, Thorong peak, Tilicho peak, Gangapurna etc.

We continue trekking to Teleku, Bhratang (which used to be a Khampa settlement), Dhukure Pokhari, Pisang Village [3,230m], Sabche (with Annapurna III and IV just above), Hongde (Manang’s airstrip), Mungji, Bryaga and Mananag [3,540m] where we will have an extra night for best acclimatization, and we visit Himalayan Rescue Association [HRA] aid post, walk to visit the Bhojo Gompa. These days you will find incredible change in landscape and culture. The trader valley of Manang is the homeland of Manangis of Tibetan origin that migrated 500 years back and Himalayan range to the high and dry Tibetan Plateau, the scenery is equally breathtaking. Many chorten and mani walls.

After having good rest and acclimatization, we continue our Classic Annapurna Circuit Trekking to Throng-La (5,416 m) Pass with magnificent views of Annapurna Himallaya via Tengi, Gunsang, Yak Kharka, Churi lattar, Letdar [4,250m], Jarsang Khola, Thorung Phedi. After crossing Throng-La Pass 5,416 meters. We go down to Muktinath [3,802m] (place of liberation). Then we follow Gandaki valley to Jomsom from where we take a himalayan flight to Pokhara. We spend a night. In Pokhara you enjoy your time like boating in Phewa Lake, walking around the market (Shopping) or go to the bar (Restaurants) just before you fly back to Kathmandu.

After the memorable time in the Himalayas (Classic Annapurna Circuit Trekking), you enjoy your last Night in Kathmandu. You will be transferred to the airport according to your flight time. You will fly back home with lots of good memories that last lifetime. "Namaste"!

Trip Details

  • Itinerary
  • Detail Itinerary
  • Trip Info
  • Weather
  • Equipment
  • Useful Info

Day 01: Arrival in Kathmandu [1,338m] Transfer to the Hotel.
Day 02: Sightseeing tour of Swayambhunath, Kathmandu durbar Square, Pashupatinath and Boudhanath. “B”. (06-07 Hours).
Day 03: Drive to Beshishar [820m]. Trek to Khudi [790m]. "B,L,D". (Drive 05-07 Hours). Trek (02-03 Hrs).
Day 04: Trek to Bahundanda [1,310 m]. "B,L,D". Trek (04-05 Hrs).
Day 05: Trek to Chamje [1,430m]. "B,L,D". Trek (04-05 Hrs).
Day 06: Trek to Bagarchap [2,160m]. "B,L,D". Trek (05-06 Hrs).
Day 07: Trek to Chame [2,715m]. "B,L,D". Trek (05-06 Hrs).
Day 08: Trek to Pisang [3,230 m]. "B,L,D". Trek (04-05 Hrs).
Day 09: Trek to Manang [3,540m]. "B,L,D". Trek (03-04 Hrs).
Day 10: Rest day at Manang [3,540m]. "B,L,D".
Day 11: Trek to Letdar [4,200 m]. "B,L,D". Trek (03-04 Hrs).
Day 12: Trek to Throng Phedi [4,535 m]. "B,L,D". Trek (04-05 Hrs).
Day 13: Trek to Muktinath [3,802 m] Via Throg-La pass [5,416 m]. "B,L,D". Trek (08-09 Hrs).
Day 14: Trek to Jomsom. [2,730 m]. “B,L,D”. Trek (05-0 Hrs).
Day 15: Fly to Pokhara. [930 m]. “B”.
Day 16: Fly to Kathmandu [1,338m]. "B". (Car/Flight/Car).
Day 17: Free day in Kathmandu. [1,3380m]. "B".
Day 18: Trip ends! Fly back home, taking with you the memory of a life time. "B"

Day 01: Arrival to Kathmandu (1,330m): Upon your arrival, a representative from Adventure Treks Nepal will be waiting outside the airport gates to take you to the hotel. Depending on time of arrival, plans will be made for a briefing meeting once you have settled in. Please let us know if there is anything special you would like to do while in Kathmandu and we can help you arrange that.

Day 02: Cultural Tour in Kathmandu (1,330m) - (B): After breakfast in the Hotel we have a sightseeing tour around Kathmandu vally which takes in the key attractions in and around Kathmandu. Including AM: Visit 2000 years old Buddhist shrine Swyambhunath, situated on the top of the hill west of the city the most popular and instantly recognizable symbols of Nepal. The temple is colloquially known as the “Monkey Temple”. There are many small buildings and shrines down the hillside behind Swayambhunath. Explore the colorful Kathmandu Durbar Square - The Old Royal Palace of Kathmandu, Temple of living goddess Kumari, the Jagannath temple, 17th century temple known for colorfully painted erotic carvings, Kasthmandap temple a three story temple built from a single tree in 12th century.

PM: Visit Pashupatinath temple one of the most sacred Hindu shrine in the World. The holy river Bagmati and the burning ghats and also visit one of the oldest and biggest stupa of Boudhanath. Overnight stay at Hotel. (Also it is good time for acclimatization).

Day 03: Drive To Beshishar [820m] Trek To Bulbule via Khudi [790m] - (B,L,D): We drive along the Kathmandu-Pokhara Highway to Dumre and then follow the rough road by the Marsyangdi River to Besi Sahar. [drive approx 5-6 hours]. Besi Sahar is the starting point of the trek. After Lunch we follow a rough rock staircase down to the Puwa Khola. We climb onto the roadbed and trek past Chanaute. Going through several ups and downs we pass through subtropical forests and the rice terraces of Sera then to Khudi, the first Gurung village on the trek, We continue to Bulbule where we are going to stay. O/n In Tea House (Driving time 04/05 hours). (Walking time 02-03 Hrs).

Day 04: Trek To Bahundanda [1,310 m] - (B,L,D): From Khudi we follow the road to Bhulbule and the Thorung La Guest House, we leaving the road cross the Marsyangdi Khola on a long suspension bridge. Collecting the first stamp on our entry permit at the ACAP check post we cross the few trail junctions between Bhulbule and Lampata, taking the trail to the left in each case and reach to Ngadi. We to continue with our trek head towards the Tibetan Settlement crossing a stream beyond Ngadi. Moving gently upwards through scrub forests and across landslides to Lampata. The trail winds around to the small Manaslu lodge and a police check post, then make a short steep climb to Bahundanda. O/n In Tea House (Walking time 05-06 Hrs).

Day 05: Trek To Chamje [1430m] - (B,L,D): Before crossing a stream at the bottom of a small waterfall, we descend a steep, slippery trail through rice terraces from Bahundanda. From here a climb over a ridge leads us to the pleasant village of Kanigaon, at 1170m. The trail then descends crossing the Marsyangdi on a long suspension bridge at Syange. Beyond Syange the valley narrows and becomes a steep canyon. A steep climb over a landslide leads to Shree Chaur, beyond which the trail climbs quite high on an exposed trail carved into nearly vertical cliffs. It’s a short descent past a small waterfall to Jagat. From Jagat, we descend and cross a landslide near the Ghatta Khola, from where we take a long climb through forests passing a waterfall to Chamje. (Walking time 05-06 Hrs).

Day 06: Trek To Bagarchap [2160m] - (B,L,D): Crossing the east bank of the Marsyangdi we follow the trail along the river embankment on rocks. Passing under an overhanging rock, we climb a rocky trail and a steep stone staircase to several tea shops in Sattale, then make a short to descend to Tal Besi and then head for Khorte and then to Karte. We climb from the bridge to a stone kani marking our entrance to Dharapani. Beyond Dharapani, we pass through a school and climb over a spur. 30 minutes walk through a forest of blue pine, spruce, hemlock, maple and oak will reach us to Bagarchhap. (Walking time 04-05 Hrs).

Day 07: Trek To Chame [2,715m]. 9B,L,D): Staying on the south bank of the river we climb through forests to Danaque. Beyond Danaque the route crosses a stream on a wooden bridge, and then reaches a trail junction, we follow the usual route to Manag, which is the right fork. A broad level stretch of trail will lead us through forests to a cement bridge near a spectacular waterfall. We traverse a rock ledge, climb over a ridge on a steep, rocky trail and descend to the tiny settlement of Temang Besi. We cross several landslides as it works its way uphill through a forest of walnut trees to Lattemarang. After making several ups and downs over forested ridges and landslides, crossing a large stream and the ridge we reach to the entrance chorten of Kotha, known as Kyupar from where we can look straight up at nearby Annapurna II - a sight convincing us that we are deep in the Himalayan mountains. From here climbing through a fir and pine forest we reach to Chame, the administrative headquarters for the Manag District. (Walking time 04-05 Hrs).

Day 08: Trek To Pisang [3,230 m] (B,L,D): After breakfast at Chame, we set off for Pisang. We continue making a long and pleasant walk in the forests, crossing a short landslide, to a huge apple orchard surrounded by a stone wall. From this point the valley becomes extremely steep-sided as we follow the path to Bratang. There is also a bridge leading us to the old part of Bhratang, which used to be a Khampa settlement. We without crossing the bridge , staying on the northern side of the river follow a new trail that has been blasted out of the side of the cliff. We cross to the south bank of Marsyangdi on a suspension bridge. Further ups and downs from here will lead us to Pisang. (Walking time 04-05 Hrs).

Day 09: Trek To Manang [3,540m] (B,L,D): Continue being at the Southern side of Marshyangdi, we cross a stream and make a long climb over a forested ridge that extends across the valley. A short descend will lead us to the broad valley floor. We follow along the valley floor to Manang’s airstrip at Hongde. We further pass a long mani wall and then the airport, thirty minutes beyond the airport there is Sabje Valley, with Annapurna III and IV just above. We cross to the north bank of the Marshyangdi on a wooden bridge near mungji and then climb past fields of barley and buckwheat over a low ridge at Bryaga. A short walk past chorten and mani walls, will lead us to the Plateau of Manang. (Walking time 04-05 Hrs).

Day 10: Rest day at Manang [3,540m] (B,L,D): We spend one whole day at Manang taking rest which is very important for us before crossing the Thorung La. We can spend the rest day by making visits to various places. We can climb high above the village for a full panorama of the Annapurna range and the Manang Valley. There is also a Himalayan Rescue Association [HRA] aid post in the village, which makes an interesting and educational visit. We can also walk to visit the Bhojo Gompa. O/n in lodge.

Day 11: Trek To Letdar [4,200 m] (B,L,D): From Manang, we cross a stream and climb to Tengi, which has the magnificent Annapurna Himal views to offer all the way. From here the trail climbs to a small village of Gunsang at 3960m. We pass through sparse forests of Juniper, rose and barberry and cross a large stream, then pass an ancient mani wall in a meadow at 3990m. Beyond is Yak Kharka , also known as Koche. An hour walk further from Yak Kharka is Letdar. (04-05 Hrs).

Day 12: Trek To Throng Phedi [4,535 m] (B,L,D): After an early breakfast at Letdar we continue with our trek for the day. From Letdar the trail continues to climb along the east bank of the Jarsang Khola, then descends and crosses a stream on a wooden bridge at 4310m. We make a short ascent on a good trail to a tea shop, then we follow a narrow trail across a high, unstable scree slope and then descend to Thorung Phedi. (04-05 Hrs).

Day 13: Trek To Muktinath [3,802 m] (B,L,D): people for hundreds of years the path, though often steep is well defined and easy to follow. It will take us almost 4 hours from Thorung Phedi to reach to the pass. The views from the trail and from the pass itself, are outstanding high Himalayan scenes. We then start descending down the barren Kali Gandaki Valley, which is far below the to the west. The descent is steep and rough. Eventually the moraines yields to grassy slopes and the final descent walk to Muktinath is a pleasant walk along the upper part of the jhong Valley. We crossing the meadows, drop into a deep ravine the starting of the Jhong Khola , we climb out and follow a wide trail into Muktinath. (08-09 Hrs).

Day 14: Trek To Jomsom. [2,730 m] (B,L,D): We now begin the descent down the Kali Gandaki Gorge. After passing through Jharkot and Khingar, villages with typical Tibetan architecture, we follow the valley floor most of the way to Jomsom. As the trail continues towards Jomsom, the landscape becomes increasingly arid and impressive with its mixture of browns, yellows and greys, contrasting with the white snowcaps of Tilicho and Nilgiri. By afternoon, the stiff winds begin to blow, hastening our way to Jomsom. The wind generally picks up after about midday, but will at least be blowing at our backs as we head up to Jomsom. (05-06 Hrs).

Day 15: Fly To Pokhara. [930 m] (B): After early breakfast at your Tea House in Jomsom. We fly to Pokhara. It is 22 Minute exciting flight. Upon your arrival in Pokhara Airport we transfer to you to the Hotel. Rest of the day is Leisure. (20-25 M.).

Day 16: Fly to Kathmandu [1,330 m] - (B): After breakfast in Pokhara, we have a mountain flight to Kathmandu; it is a thrilling exciting flight over forests, fields and villages with the Himalayas at the background. On arrival, we transfer to the hotel. The remainder of the day is at leisure. (22-25 m flight).

Day 17: Free day in Kathmandu [1,330 m] - (B): There are plenty of interesting sites to visit in the Kathmandu valley like the Old Palaces at Patan, Bhaktapur, Durbar square, Swayambhunath (the monkey temple or you may wonder down town Thamel to shop for souvenirs and sample the various restaurants of Kathmandu. We are happy to offer you some recommendations. This evening we will have a farewell local dinner at the Local restaurent with Culture Show. O/n in Hotel.

Day 18: Fly back home - (B): We will transfer you to the airport and assist with check-in procedures.

Trip Cost Includes:

  • Arrival & Departure Transfers by private Car on both domestic / international flights.
  • Accommodation in Kathmandu and Pokhara with breakfast.
  • Sightseeing tour in Kathmandu with an entrance fee.
  • Breakfast, Lunch & Dinner during the Trekking.
  • Trekking Duffel Bag.
  • Accommodation in Tea house (mountain lodge) while trekking.
  • Private Transport Kathmandu - Bensisahar.
  • Jomsom Pokhara flights with airport Tax.
  • Pokhara -Kathmandu flights with airport Tax.
  • Trekking Porter with Insurance. (We Provide 01 Porter for 02 Pax).
  • Trekking Guide with insurance.
  • Trekking Region map.
  • TIMS / National park / ACAP / Conservation entry fees.
  • All Government taxes.
  • Office service charge.

Trip Cost Excludes:

  • International Airfare.
  • Your travel insurance of any kind
  • Nepal entry Visa fee (US$ 40 for 30 days and US$ 25 for 15 days you should get visa open your arrival)
  • Drinks, Dessert, Juice, Mineral Water, Heater charge, Hot Shower during the Trekking and main meals in cities.
  • Tips for Guide, Porter and driver.

 

Weather information

We offer trekking in Nepal from mid-September to May. However within this period there are clear seasons in the weather. From early September the monsoon rains decrease. By mid-October through to December the weather is usually stable with mild to warm days, cold nights and clear views. Daytime temperatures can reach 25-30 deg C at low altitude in October and nights can drop to below 0 deg C at higher altitudes.

Winter trekking, from December to February, offers cool to mild and clear days with often very cold nights. Daytime temperatures at low altitudes will be mild, around 20 deg C and at night may drop to 0 or as low as -10 deg C at the higher points. Occasionally winter storms can bring snow as low as 2500m.

In March the cold, dry winter season begins to give way to warmer, wetter spring conditions. Mornings are usually clear with cloud build-up occasionally bringing afternoon rainstorms. Daytime temperatures increase quickly in March, with temperatures of up to 30 deg C and mild nights at low altitudes. The increase in rainfall in the hills is more than compensated for by the spectacular displays of rhododendrons and other wildflowers at this time of year. Late spring conditions, as in April and May, are generally hot at low elevations and as the clouds build up to the next monsoon, daily afternoon rainstorms are common. This is a period that generally has clear weather at the higher altitudes and is traditionally a time when mountaineering expeditions commence their ascents.

The monsoon creates a rainy season in Nepal, which lasts from mid-June to mid-September. During this time the Nepal Himalaya is unsuitable for trekking, with the exception of a few remote valleys. We offer treks during this period in Low altitude Treks in the Nepal Himalaya, Tibet & India (Kulu, Ladakh).

The post-monsoon period: From early September the monsoon rain starts to decrease. By mid-October through to mid-December the weather is usually stable with mild to warm days, cold nights and clear views. Daytime temperatures can reach 25-30 degrees Celsius at lower altitudes and decrease as you gain height. Over 3000 meters the daytime temperatures can vary as much as 10 to 20 degrees Celsius, and may be hotter or colder, depending on whether it is sunny or windy etc. At night at lower altitudes, temperatures do not normally drop much, although as you approach November it does get colder and the days shorter. Up high it can drop sharply at night, from 0 to minus 10 or 15 and more when camped on the ice or snow.

The pre-monsoon period:In March the cold, dry winter season begins to give way to warmer, wetter spring conditions. Mornings are usually clear with cloud build-up bringing occasional afternoon rainstorms. Views of the mountains in the middle of the day and afternoon may often be obscured. Daytime temperatures increase quickly in March with temperatures of up to 30 degrees Celsius and mild nights. At higher altitudes it is similar to the conditions of the post-monsoon period, however there is usually more snow, which has accumulated over the winter period. There are spectacular displays of rhododendrons and wildflowers at this time of year. Late spring conditions ie April and May, are generally hot at low elevations and as the clouds build up to the next monsoon, daily afternoon rainstorms are common.

Trip Cost Includes:

  • Arrival & Departure Transfers by private Car on both domestic / international flights.
  • Accommodation in Kathmandu and Pokhara with breakfast.
  • Sightseeing tour in Kathmandu with an entrance fee.
  • Breakfast, Lunch & Dinner during the Trekking.
  • Trekking Duffel Bag.
  • Accommodation in Tea house (mountain lodge) while trekking.
  • Private Transport Kathmandu - Bensisahar.
  • Jomsom Pokhara flights with airport Tax.
  • Pokhara -Kathmandu flights with airport Tax.
  • Trekking Porter with Insurance. (We Provide 01 Porter for 02 Pax).
  • Trekking Guide with insurance.
  • Trekking Region map.
  • TIMS / National park / ACAP / Conservation entry fees.
  • All Government taxes.
  • Office service charge.

Trip Cost Excludes:

  • International Airfare.
  • Your travel insurance of any kind
  • Nepal entry Visa fee (US$ 40 for 30 days and US$ 25 for 15 days you should get visa open your arrival)
  • Drinks, Dessert, Juice, Mineral Water, Heater charge, Hot Shower during the Trekking and main meals in cities.
  • Tips for Guide, Porter and driver.

 

Trekking in Nepal need not be considered risky affair as far as your health is concerned. Nevertheless, preventive measures such as a through medical checkup and inoculations before you start trekking can save you from unexpected hazards. Since the remote places of Nepal are not supplied with necessities that are essential for modern medical facilities and as the rescue and evacuation are measured in days, it is imperative to make a comprehensive first aid box consisting of basic drugs and accessories as part of the paraphernalia for trekking. Modern dentistry is unknown in the hill of Nepal so it is advised to have a checkup before departure from home. Tooth fillings; sometimes loosen in cold temperatures and high altitudes, so it is recommended to have them checked. Travelers are requested to bring medicine prescribed by their doctor at home. Common medicine for stomach problems, headache, and malaria is available in Kathmandu. Medicine is usually not available in remote areas. So necessary medicine is advisable to carry with you. Before going to Nepal, it is advised to get injections against typhoid, meningitis and hepatitis.

OVERCOMING ALTITUDE PROBLEM:
This is often known as Acute Mountain Sickness (AMS), which is particularly a matter of important medical consideration while trekking in the Himalayas. Altitude Sickness means the effect of altitude on those who ascend too rapidly to elevations above 3000 meters. Early mountain sickness will manifest itself in headache, nausea, shortness of breath, fatigue; etc can be encountered as initials of the sickness. The major information source on prevention and treatment of the sickness is Himalayan Rescue Association (HRA) and Adventure Treks Nepal (P). Ltd. is the confide life member of it. We assure every trekker that all our guides have followed the training conducted by HRA with the understated information.

CAUSE/FACTOR OF ALTITUDE SICKNESS
1. Less Oxygen
2. Low Pressure i.e. Barometric Pressure
3. Rapid Ascent
4. Possible Dehydration
5. Hypothermia TYPE OF ALTITUDE SICKNESS

  TYPES ALTITUDE SICKNESS
1. AMS - Acute Mountain Sickness
2. HAPE - High Altitude Pulmonary Edema
3. Hace - High Altitude Cerebral Edema

SYMPTOMS
1. (AMS) ACUTE MOUNTAIN SICKNESS
Mild symptom feels like hangover/not feeling good
a. Headache
b. Fatigue/Tiredness
c. Nausea
d. Shortness of breath
e. Loss of appetite
f. Sleep disturbance
g. Dizziness

2. (HAPE) HIGH ALTITUDE PULMONARY EDEMA (Water in lungs)
a. Increasing shortness of breath even at rest
b. Severe cough-dry/Productive
c. Very tired-Unusual fatigue while walking
d. High Pulse rate i.e. 110
e. Blueness of face, lips, finger nails that means inability to transport Oxygen into the blood

3. (HACE) HIGH ALTITUDE CEREBRAL EDEMA (Water in the head)
Severe symptoms of altitude sickness
a. Severe Headache
b. Vomiting
c. Walking like a drunk (Ataxia)
d. Mental confusion/Altered mental status
e. Irritable-Does not want to be bothered by other people
f. Unconsciousness or Coma
TEST - Tandem walking test, Heel to toe step fall off from the line.

DECISION MAKING
1. Find out the main problem i.e. at altitude. Assume all problems are Altitude Sickness unless proven otherwise.
2. If it is an altitude problem with mild symptoms, stay at the same altitude until the symptoms are completely gone. Take an Aspirin tablet, try to go up but listen to your body. If symptoms are worsening, go down.

PREVENTION
1. Acclimatization: - After a 1000m. Ascent, stay one more night for acclimatization.
2. Do not make RAPID ASCENT; don't go too fast too high.
3. No alcohol, sleeping pills and smoking.
4. Drink more fluid 3-4ltrs a day… clean, boiled or treated water/tea/coffee/soup/juice etc.
5. Do not carry heavy packs.
6. Climb higher sleep lower.
7. Do not travel alone.

TREATMENT
1. DESCENT is the best medicine; do not wait for the Helicopter.
2. Medicine:
a. Oxygen.
b. Diamox…for AMS 125mg. Before dinner, for sleeping problem if feeling suffocated.
c. Nafedipine for HAPE
d. Steroids/Dexamethasone for HACE
3. Hyperbolic Bag - Gammow Bag
4. Golden Rules
a. Awareness of ALTITUDE SICKNESS
b. If you have mild symptoms, do not go higher. Take Aspirin.
c. If you have worsening symptoms, go down.
d. Do not leave your team member behind unattended, either trekker or porter.
5. IMPORTANT
a. Go up slowly.
b. Drink plenty of fluids (at least 3 liters per day)
c. Get all information about Altitude Sickness before your trekking tour that will make you confident to make your tour successful.

Our advice: Drink 3-4ltr of water minimum a day, don't exhaust yourself so much and breathe deep and take rest more than usual.


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