HOW I PREVENTED ALTITUDE ILLNESS ON MT. KILIMANJARO
I did the 5-day Marangu route up Kilimanjaro in December 2012. It’s 3 days of ascent and 2 days going down, so there’s absolutely no chance to acclimatize.
This was the second time I’ve done this route.
What to do: My best advice is to take a combination of acetazolamide (Diamox) and
dexamethasone (Decadron) a steroid, plus use a salmetrol inhaler (Brand name Serevent Diskus).
Acetazolamide: 250 mg twice daily. Start 1 day before ascent.
Dexamethasone: 8 mg orally at bedtime. Start first night above 5,000 ft.
Serevent: 1 inhalations twice daily. Start first night above 5,000 ft.
Last doses of all meds taken at the Horombo Hut on descent at 12,500 ft.
Dexamethasone & Serevent also have a role in preventing High Altitude Pulmonary Edema (HAPE).
My main symptom on this trip was loss of appetite. I had no medication side effects.
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