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Doctor insights on: Alternatives To Diamox For Altitude Illness

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Alternatives to Diamox (acetazolamide) for altitude illness?

Alternatives to Diamox (acetazolamide) for altitude illness?

Not really: Fundamentals include gradual ascent, graded exercise, prevention of dehydration, avoidance of alcohol and prompt recognition of symptoms. Acetazolamide (diamox) is the cornerstone of phrmacotherapy for prevention, but Dexamethasone is often used in treatment of acute illness. ...Read more

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Dr. Benjamin Constance
83 doctors shared insights

Altitude Illness (Definition)

Altitude sickness—also known as acute mountain sickness (ams), altitude illness, hypobaropathy, "the altitude bends", or soroche—is a pathological effect of high altitude on humans, caused by acute exposure to low partial pressure of oxygen at high altitude. It commonly occurs above 2, 400 ...Read more


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Getting some headaches and having trouble sleeping at 5000'. Is this altitude illness? Should i ask doc about diamox (acetazolamide)?

Getting some headaches and having trouble sleeping at 5000'. Is this altitude illness? Should i ask doc about diamox (acetazolamide)?

Acclimatization: It depends on how soon you went to the new altitude. Low oxygen levels will cause headaches, dizziness, check about altitude sickness with your md. ...Read more

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Why did my doc prescribe triamterene hctz (hydrochlorothiazide) 37.5/25 for altitude illness? I thought Diamox was the one. My BP is 120/65 so i question triamterene

I agree: See a travel or wilderness specialist. Diamox (acetazolamide) is a sulfa medication. If you have severe sulfa allergy the next appropriate medications would be a form of Prednisone and/or a high dose of Motrin (if appropriate)--which has recently been shown to be helpful as well. ...Read more

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I have altitude sickness. How is diamox (acetazolamide)?

I have altitude sickness. How is diamox (acetazolamide)?

Brief Summary: This is a sulfa medicine and mild diuretic. Normally start 12-24 hours ahead of time. Causes tingling limbs, change in taste, ; can cause blurred vision and dry mouth with other rarer side effects. Works best as preventative. Higher dose needed to treat once have mountain sickness. If ill with significant altitude sickness, go down to lower altitude or risk serious illness and possible death. ...Read more

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Can Diamox (acetazolamide) suppress altitude sickness symptoms? Took it & had minor altitude sickness symptoms. After 1 day of returning home vomited for 2wks. -10+lb

Can Diamox (acetazolamide) suppress altitude sickness symptoms? Took it & had minor altitude sickness symptoms. After 1 day of returning home vomited for 2wks. -10+lb

Vominting for 2 wks: Yes Diamox (acetazolamide) is sometimes used to prevent altitude sickness. Vomiting for two weeks does not sound like altitude sickness. It sounds more like infection. Better see your doctor for a check up. ...Read more

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My travel clinic prescribed Acetazolamide for altitude sickness for an upcoming trip to Machu Pichu. I have elevated liver enzymes. Thoughts?

Renal excretion: Acetazolamide, commonly prescribed for prevention or amelioration of mountain sickness, is not metabolized and is completely eliminated by the kidneys so elevated liver enzymes should not pose a contraindication. However, the reason for the elevated liver enzymes should be evaluated for in those with liver failure, azetazolamide can increase hyperammonemia. ...Read more

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How can I treat altitude illness?

Safe descent: The best treatment for altitude illness or altitude sickness is to decrease one's elevation by at least 1000 ft (quickly and safely.) if symptoms do not improve, one needs to descend another 1000 ft. If one has symptoms of hace (high altitude cerebral edema) or hape (high altitude pulmonary edema) contact search and rescue and arrange for emergent air evacuation. ...Read more

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Are the symptoms of altitude illness bad?

Yes: High altitude sickness is associated with fluid accumulation in the lungs which causes severe shortness of breath and if left untreated, may be lethal. ...Read more

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What do you recommend for altitude illness?

Drop in elevation: The best treatment for altitude illness or altitude sickness is to decrease one's elevation by at least 1000 ft (quickly and safely.) if symptoms do not improve, one needs to descend another 1000 ft. If one has symptoms of hace (high altitude cerebral edema) or hape (high altitude pulmonary edema) contact search and rescue and arrange for emergent air evacuation. ...Read more

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Dr. Siviero Agazzi
178 doctors shared insights

Acetazolamide (Definition)

Acetazolamide is a carbonic anhydrase inhibitor which is a kind of water pill or diuretic (heart ...Read more


Dr. Katharine Cox
81 doctors shared insights

Diamox (Definition)

Diamox is a carbonic anhydrase inhibitor which is a kind of water pill or diuretic (heart ...Read more