• All tourist/visitors arriving in Leh must undergo at least 48 hrs of acclimatization before initiating their journey to high altitude areas
  • Road travel does not help at all in acclimatization. It builds up the altitude effect progressively.
  • Tablet Diamox-250mg (acetazolamide) must be taken twice a day, after breakfast after dinner at least two days before starting journey to Leh and should be continued for two days more, after arriving at Leh.
  • There should be no active physical exertion on the first two days of arrival in Leh.
  • Tourists should have at least 2-3 ltrs. of water per day and should avoid alcohol, smoking cigarettes and sedatives
  • Tourists should have a light meal on the first day of arrival to avoid indigestion.
  • In case of symptoms of HAPE/HACE kindly consult a doctor immediately.

Danger Signs

  • Headache
  • Nausea
  • Coughing
  • Lassitude
  • Lack of Concentration
  • Disturbed sleep
  • Loss of appetite.
  • Irregular breathing
  • Breathlessness


  • Take complete rest for 24 to 36 hrs
  • Avoid excessive sleep during day time.
  • Avoid sleeping pills, alcohol and smoking
  • Take an adequate amount of fluid 2-3 Itrs.


Symptoms of High-Altitude Pulmonary Edima (HAPE) and High -Altitude Cerebral
Edema (HACE) can be life threatening and fatal

In case of any emergency kindly contact the following telephone No.

1. CMO office Leh 01982-252012
2. Medical Superintendent, SNM Hospital Leh 01982-252014
3. Casualty SNM Hospital Leh 01982-053629