Soroche: How to prevent and alleviate altitude sickness in Cusco 2025

If you are planning to travel to Cusco or any other high altitude region, it is important to prepare for soroche. Also known as altitude sickness, this discomfort can affect anyone who quickly ascends to high altitudes. But don’t worry, here are the best recommendations to prevent and alleviate soroche and make the most of your trip.

What is soroche?

Soroche is a response of the body to the lower amount of oxygen at altitude. It presents with symptoms such as headache, nausea, fatigue, dizziness and, in extreme cases, shortness of breath. The good news is that there are ways to minimize its effects and acclimatize properly.
Tips to prevent altitude sickness
Progressive acclimatization
Do not attempt strenuous activities the first day in Cusco. The ideal is to rest, drink fluids and allow your body to adapt to the altitude. It is recommended to stay in the city the first day before venturing to higher sites such as Machu Picchu or the Sacred Valley.

Soroche - Tourist in the Andes taking deep breaths to adjust to the altitude.

Hydrate well

Drinking water constantly helps to better oxygenate the body. Avoid alcohol and coffee in your first hours at altitude, as they can dehydrate you and worsen the symptoms of soroche.

Coca and muña infusions

One of the best natural ways to combat soroche is to drink coca or muña leaf tea. These Andean plants help improve oxygenation and reduce discomfort. Coca has been used since Inca times for its stimulant properties and its ability to improve blood circulation. Drinking coca tea several times a day can help reduce fatigue and headaches. Muña, on the other hand, is a medicinal plant with digestive properties that also helps relieve dizziness and shortness of breath.

Soroche - Coca tea served in a cup, a traditional remedy for altitude sickness.

Light meals

Opt for foods that are easy to digest, such as soups, fruits and vegetables. Avoid heavy, fatty meals on your first day. A balanced diet with light carbohydrates can give you the energy you need without overtaxing your digestive system, which is already working with less oxygen.

Avoid excessive physical exertion

While Cusco is full of wonderful places to explore, walk slowly and breathe deeply. Your body needs time to adapt to the altitude. It is advisable to move slowly and avoid running or long hikes until you feel fully adapted.

Sleep well and keep warm

Rest is key to acclimatization. Sleeping well helps your body recover energy and adapt better to the altitude. In addition, Cusco can have low temperatures at night, so it is important to wrap up warm to avoid colds.

Soroche - Doctor explaining how to prevent and treat altitude sickness.

How to alleviate the symptoms of soroche?

If despite following these recommendations you feel the effects of soroche, here are some solutions:
Rest and breathe deeply. If you feel dizzy or fatigued, sit down and breathe slowly until you stabilize. Try to remain calm, as anxiety can worsen symptoms.

Supplemental oxygen. Many hotels and pharmacies in Cusco offer oxygen in case you need it. Some tours also carry oxygen tanks for travelers.
Soroche pills. You can find medications in local pharmacies that help alleviate the symptoms. Consult a doctor before taking them. Acetazolamide (known as “Diamox”) is a common choice to help with acclimatization.

More coca tea

If symptoms persist, continue drinking coca tea or chewing coca leaves (depending on local customs). This natural remedy can be very effective in relieving discomfort.
Other natural remedies for soroche
In addition to coca tea and muña, there are other natural remedies that can help fight soroche:
Ginger: Reduces nausea and improves blood circulation, helping to better oxygenate the body.
Garlic and onion: These ingredients have properties that improve circulation and help to better adapt to the altitude.
Vitamin C: Consuming citrus fruits can help strengthen the immune system and improve oxygen absorption.

Backpacker experiencing soroche, drinking water and resting in the mountains.

Enjoy Cusco without worries

Soroche doesn’t have to ruin your trip. By following these tips, you will be able to enjoy the magic of Cusco without any problems. Remember that every body adapts differently, so listen to it and give it the time it needs to acclimatize. If you feel that the symptoms are too intense or do not improve with time, consult a health professional.
Cusco awaits you with its wonders, its ancient culture and exquisite cuisine. Be well prepared, follow these recommendations and enjoy an unforgettable experience in the capital of the Inca Empire. Have a good trip!