Nar & Phu with Kangla-Thorangla
Annapurna Trekking

Nar & Phu with Kangla-Thorangla

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Trip Facts

  • Max Altitude 870m - 4190m
  • Duration 15 - 16 days
  • Group Size 2 - 15

Overview

Unique Holidays, Nar & Phu with Kangla-Thorangla is an awesome and most amazing adventure of a lifetime experience, trekking from the main route of Annapurna circuit for a few days then off on the isolated route towards remote north visiting the forgotten unbelievable scenic Nar & Phu with Kangla-Thorangla a remote windswept country with strong Tibetan culture and religion as this region lies close to Tibet border towards the north.

Nar & Phu with Kangla -Thorangla Trek is one of the best picturesque classic areas for a wonderful adventure and visiting its valley, villages, and old monasteries this is truly a pure Nepal’s wild northwest country in this least trekked area by any other western travelers, Nar & Phu with Kangla-Thorangla has been legally opened to westerners from 2003 onwards, it was considered as one of the Shangri-La in the hidden pockets of Himalaya.

This classic journey offers medieval Tibetan ancient tradition. After a wonderful time at Nar and Phu journey continues on the remote end of this valley to cross a scenic high pass at Kang-la and then from Manang to Thorang-la, with a wide-angle super panorama of Annapurna mountains ranging from Annapurna II at 7,937 m (26,040 ft) Annapurna IV at 7,525 m (24,688 ft), Gangapurna at 7,455 m (24,457 ft) and many other peaks of over 6000m.

After Manang through the highest pass of this awesome journey at Thorang-la 5,416 meters, then heading downhill to lower Mustang area at Jomsom after visiting the holy Muktinath area, from Jomsom a sweeping short scenic flight to the famous, popular tourist holiday destination at Pokhara, concluding this remarkable and memorable trip of a lifetime in Kathmandu with great support and friendly service of Unique Holidays.

What to expect on this tour ?

Experience the scenic hidden valley of Nar & Phu, near the Tibet border zone in the absolute wilderness on the less-visited area in the remote Tibetan like country charming villages with rich traditions, culture, and religion of Tibetan origin located in the far north of Annapurna Himalayan range near Manang crossing of two great picturesque passes Kangla & Thorangla in the country of rich flora and fauna, blue sheep, elusive rare snow leopard.

The difficulty of the trek

Due to the long days and steep elevations, this is a challenging hike. Due to the limited choice of accommodation along the way, there is little flexibility in daily distances, which increases the number of hiking days. The daily rise in altitude is so rapid that it is not always predicted how the body will react to altitude. This trek is ideal for healthy and healthy people with extensive mountain trekking experience.

Who can do this trek ?

Anyone with a passion for trekking can easily do this trekking. This trip to the Annapurna area is considered an easy hike, but there are a few things to keep in mind. Physical fitness also plays an important role in successful trekking.

Physical fitness is important, but mental strength is also important for traveling. If you are interested in trekking in the Everest area, you should practice walking and jogging before trekking to improve your stamina and endurance, which play an important role in trekking.

Besides, you must not be ill yourself. Similarly, you must be under the age of 60 and over the age of 16 to obtain a travel permit for this area.

Highlights of the tour

  • Experience the scenic hidden valley of Nar & Phu
  • Explore charming villages with rich traditions, culture, and religion of Tibetan
  • Observe crossing two great picturesque passes Kangla & Thorangla in the country of rich flora and fauna, blue sheep, elusive rare snow leopard.
  • Explore the rich biodiversity of the place
  • Enjoy the beautiful landscape of the place

Itinerary

Day 01

Arrive in Kathmandu received by Unique Holidays staff.

On arrival at Kathmandu Tribhuvan international airport meet Unique Holidays with a warm welcome with garland and transfer to respective hotels in the hub of Kathmandu at Thamel area, after fresh up and relaxation Unique Holidays guide will brief on the program regarding hotel, Kathmandu, trekking.

Day 02

In Kathmandu with sightseeing tour at places of interest.

The morning after breakfast at the given time our city and cultural guide will guide you in and around Kathmandu at places of interest and importance, as Kathmandu Valley is full of World Heritage Sites the holy Pashupatinath temple, Bouddhanath ( Little Tibet), Swayambhunath ( Monkey Temple) & monasteries, ancient Kings Palaces and courtyard in Kathmandu; after an interesting sightseeing back to the hotel, preparation for the trip to Nar & Phu with Kangla & Thorangla trek.

Day 03

Drive to Jagat 1,290 m via Beshsishar 800 m - 08 hrs.

Unique Holidays trip to Nar & Phu begins with a morning scenic and interesting drive towards Annapurna circuit route in Nepal midwest with mountain scenery, the journey leads to Beshsishar town then on the dirt road to Khudi, Bhulbhule and Ngadi following the Marsyangdi River upstream, the drive continues through rice terraces fields and villages to Syange, from here with a slow climb leaving the Marsyangdi River behind for few days then reaching our first overnight stop at Jagat village, a farm village with many lodges to take care the needs of the travelers.

Day 04

Trek to Dharapani 1,920 m - 05 hours.

From this village walk leads to a gradual winding path to Chamje, after this village back to Marsyangdi River crossing towards east bank and then through a thick forest, with superb views of majestic Annapurna and Manaslu mountain ranges, then on the wide path all the way to a nice village at Tal Besi, after a break here another few hours walk reaches to Dharapani village for overnight stop, this village situated on the junction of Annapurna circuit and Manaslu trek.

Day 05

Trek to Koto 2,670 m - 05 hours.

After Dharapani walking along the wide trail through tranquil rhododendron and pine forest passing the small villages of Bagachap and Danque, then to Timang village with its ancient Buddhist culture along with grand view of Mt. Manaslu 8,163m / 26,781ft, after Timang village another hour walk leads to the village of Koto for overnight stop. Koto just 30 mins away from Chame a large major town and headquarter of Manang area.

Day 06

Trek to Dharmashala 3,230m - 05 hours.

Today our route leaves behind the main Annapurna circuit route for a week till it joins at Manang, from Koto heading towards Nar & Phu walk continues reaching a narrow valley between massive walls of high rock cliffs and into cool forest of pine and rhododendron trees, passing farm huts and sheds and in a gorge formed by Pisang Peak and Kangguru Himal the trail leads to an upstream of Nar-Phu khola (stream). Our route leads north on the isolated area through number of scattered small farm hamlets to Dharmashala for overnight stop this spot a small farm settlement.

Day 07

Trek to Kyang 4,100 m - 6 hrs.

The morning walk continues towards the northern area, as the journey progress further north towards the Phu region in complete isolation and wilderness, around this area chances of seeing some wildlife like Blue sheep, Snow Leopards. Trek passes several cattle herder’s huts and shades on the upstream walk following Phu Khola to reach at Kyang for an overnight stop.

Day 08

Trek to Phu village 4,080 m - 06 hours.

Today heading to Phu valley and its village one of the highlight of this trip, morning trek leads towards a raging Phu Khola upstream. Then descending to the river and walk along the river bed, after crossing the stream leading to a climb into a valley and into a gorge then reaching an area where this glacial valley widens and opens up, after a good interesting walk of the day on the pasture lands till it reaches the Phu village for an overnight stop.

Day 09

Rest at Phu village and explore Phu Valley

A rest day in Phu village after many days of a good walk, a necessary rest and acclimatization day at Phu before going through two high great passes of Kang la and Thoran la, here a short hike and explore around this wonderful village for some it is a Shangri-la, worth a visit to Tashilkhang and Samdu Choling Monastery and Kyauchyu waterfall, here at Nar and Phu villages the local people has a strong connection and with an influence of Tibetan lifestyle, religion, traditions, and cultures. This village consists of nearly 30 houses for 100 to 150 people.

Day 10

Trek to Nar Phedi 3,545 m - 06 hrs

After a wonderful time at Phu village and with local’s warm hospitality, our journey starts going back the same path with a downhill walk into a narrow gorge, then the path leads downstream at Phu Khola, though smaller villages of Yughat and many mani and shortens a Buddhist shrine, then leading to a flat and level ground of Nar Phedi for overnight stay.

Day 11

Trek to Nar Gaon 4,206 m - 06 hrs.

Today’s walk follows the Phu Khola for a few hours, then reaching to a newly built steel suspension bridge over the raging Phu Khola, from here walk leads to a steep uphill then reaches a flat gradual trail for a few hours, and then concludes the day at famed Nar village for an overnight stop.

Day 12

Trek to Kang La Base Camp 4,530 m - 05 hrs.

After a great interesting time around Naar village, the journey starts heading towards the western direction, the morning walk carries on with a pleasant walk into a small forest of firs and pine trees, then leaving the tree lines behind towards barren country trekking for a few hours, then with a long slow climb through the lateral moraine of Temdenzon Khola, the trek continues for another couple of hours on this nice gradual path, then finally reaching at the base of Kang La pass at 4,530 m for an overnight stop on a flat grassy field.

Day 13

Cross Kangla Pass 5,322m trek to Ngawal 3,650 m - 07 hrs.

A Big Day! today crossing the first pass of this adventure is another highlight of this trip, early morning starting the walk with a stunning view of Pisang Peak and Chulu Far East Peak, walk leads crossing a stream on a long bridge and then it leads to a climb slowly up to the top ridge at Kangla pass at 5,322 meters, so far the highest point before Thorang-la, the top of Kangla Pass offers overwhelming views of scenic landscapes and of Annapurna huge massif range, Chulu Peaks, Lamjung Himal and number of peaks of Annapurna Himalayan range, after an amazing scenery, walk downhill through Julu village and then to overnight stop at Ngawal village. From Kangla pass reaching into Manang area onto the most popular scenic route of Annapurna circuit trek.

Day 14

Trek to Manang 3,450 m - 04 hrs

A different and strong feeling after the high pass and being in the hidden area of Nar and Phu village, from this interesting village at Ngawal, morning walk heading on to Manang valley, then reaching at Humde a large village with an airstrip (the air strip for smaller planes flights are normally 3 times a week only) from here three hours of good scenic walk leads to Manang village through Braga village with its very old monastery, worth a visit in old Braga monastery which houses old Buddhist relics, ancient wall painting and frescos, offering stunning views of Annapurna’s Himalaya, after Braga an hour walk reaches at Manang village and its wide windswept valley, in Manang overnight stop in cozy nice lodge, this village with houses in traditional Tibetans style and rich Buddhist culture.

Day 15

Trek to Thorong High Camp 4,600 m - 06 hours

After a good time at Manang, morning adventure leads towards Ghunsang village on the uphill path to Yak Kharka, an interesting high altitude walk with super scenery of the snow capped mountains, then crossing the river to reach Yak Kharka a small settlement, offering tremendous views of Gangapurna, Annapurna III and Chulu Peaks, as the walk progress and getting closer to the base of Thorang-la, crossing a bridge then a climb along the river bank of Jarjung, leading up on the narrow path to cross a steep rocky slope and finally reaching at Thorung Phedi, depending upon the physical conditions of the clients, if all goes well an hour steep climb to the overnight stop at Thorang High Camp, staying here to make it easier for the next day climb over Thorang pass.

Day 16

Cross Thorong-La 5,416 m and to Muktinath 3,800 m - 07 hrs

Today the highlight of this great journey after early breakfast set for the long climb to Thorang-la with a steep ascend all the way to Thorung La Pass top at 5,416 m / 17,700 ft, the highest altitude gain of this memorable adventure this certainly requires a high spirit and physically strong mind to cross over it. The top offers mind blowing scenery of beautiful landscapes and snow capped peaks, from here the walk leads to a long descent to Muktinath at 3,800 m. on reaching Muktinath for the overnight stop, this is a sacred and holy place for both Hindus and Buddhists the word Muktinath literally means ‘the place for Nirvana or Liberation.

Day 17

Trek to Jomsom 2, 715 m - 04 hours

After a hard walk the previous day, today’s walk is short and easy on the downhill track passing the traditional villages of Jharkot, with the rich culture and tradition of Thakali people similar to the Tibetan lifestyle. A few hours of walk reaches the Kaligandaki river valley and to the lonely village of Ekale Bhatti from here a few hours of good walk reaches the Jomsom town, Jomsom at 2,715 m. The headquarter town of Mustang district of Mustang region with apple orchards and apple products.

Day 18

Fly to Pokhara and transfer to hotel

(Optional driving journey to Pokhara) Morning transfer to Jomsom airport for a short scenic flight to scenic Pokhara, Pokhara valley another highlight of this fabulous trip, Pokhara is regarded as the most beautiful place on this globe with an awesome mountain views and natural surroundings with its serene lake Phewa.

Day 19

Drive or fly back to Kathmandu

Morning a scenic drive to Kathmandu, after a wonderful memorable trip in the high mountains of Annapurna area, then on reaching Kathmandu transfer to respective hotels with afternoon free at leisure. (Flying options as per the flight time our staff will transfer you to Pokhara domestic airport for 30 minutes scenic flight to Kathmandu, on reaching Kathmandu meet Unique Holidays staff for the drive back to respective hotels).

Day 20

International departure for home ward bound

After a most memorable experience of a lifetime with Unique Holidays, our staff will transfer you to the airport for your final departure as per your flight time.

Service Includes and Excludes

Service Included in this Trip

  • All the ground transportation as per itinerary.
  • Hotel in Kathmandu ( 2 nights) and Pokhara ( One night) with breakfast at 3 stars level.
  • Meals 3 times a day (Breakfast, lunch and dinner) during the trekking and Pokhara for you.
  • Twin sharing comfortable and clean private room in trekking ( 8 nights).
  • Domestic flight ticket from Kathmandu to Pokhara with airport tax.
  • Trip Map.
  • An experienced, knowledgeable, helpful, friendly and English-speaking trekking guide and porter to carry your luggage during the trek (2 trekkers:1 porter).
  • Food, drinks, accommodation, insurance, salary, equipments, transportation, local tax for Guide and porter.
  • Group medical supplies (first aid kit will be available).
  • Four season sleeping bag and down jackets to use for trekking, if necessary.
  • Trip achievement appreciation certificate(sample of certificate).
  • All necessary paper works and Annapurna conservation entry permits.
  • Emergency helicopter rescue arrangement which will be paid by your insurance company.
  • TIMS (Trekkers’ Information Management System).
  • Farwell dinner in Kathmandu.
  • All our government taxes, vat, local tax, tourist service charges.

Service Excluded in this Trip

  • Lunch and dinner in Kathmandu (Expect farewell dinner in Kathmandu)
  • All kinds of drinks in the mountain (hot, cold and alcoholic).
  • Sightseeing in Kathmandu.
  • Personal equipment.
  • International airfare to and from Kathmandu.
  • Travel and rescue insurance.
  • Extra personal expenses (phone calls, laundry, bar bills, battery recharge, laundry, shower, excess baggage charges)
  • Tips for trekking staff and driver (Tipping is expected).
  • Any others expenses which are not mentioned on ‘Price Includes’ section.

SEASONS & DEALS
February through May and September through November are the major seasons in Nepal. So, we kindly ask you to confirm your trip as early as possible for the best deal and good travel management.
For the most up–to–date information & latest pricing please contact us.

Trip Info

The Nar and Phu with Kangla Thoroangla pass starts with Kathmandu. Upon reaching Kathmandu the trip continues a sightseeing tour in Kathmandu. Then from Kathmandu, the trip continues with a drive to Jagat 1, 290 m via Besisahar. After, trek to Dharapani and from Dharapani the trip continues through Kotto, Dharmashala, Kyang, Phu village

Similarly, while in Phu village there all visitors will rest and explore the Phu village. Then from Phu village, the further trekking continues Nar Phedi and to Nar Gaon. Likewise, from Nar Gaon, the trekking continues to Kang La Base Camp. After that, Cross Kangla Pass. From there to Manang and after that to Thorong High Camp.

Then the trip resumes from there to Muktinath, Jomsom then fly to Pokhara then drive to Kathmandu and International departure for homeward bound.

Frequently Asked Questions

When is the best time for the Nar and Phu with Kangla Thorong La Pass?

The Nar Phu with Kanga la pass is almost 2 weeks long. Similarly, this trek is at a high altitude so choosing the right time is very important. Trekking at  Mardi Himal Trekking is possible all year round. However, the best times to travel are spring and autumn. The weather is fine during this time and you can travel on sunny days. Also, during this period you will have a perfect view of the area and its landscape. All visitors need to understand that choosing the best time to travel is just as important as choosing the right destination. So keep that in mind before you go on a trip.

What are the difficulties of the Nar Phu with Kangla Thorong La Pass trek?

What is the weather and climate of Nar Phu with Kanga la pass?

How to prepare for the Nar Phu with Kanga la pass?

Is the Nar Phu with Kanga la pass Open?

How fit should I be for Nar Phu with Kanga la pass Trek?

Can you do the Nar Phu with Kanga la pass by yourself?

Do I need a sleeping bag on my Nar Phu with Kanga la pass?

What is the age limit for the Nar Phu with Kanga la pass?

What is the max altitude of the Nar Phu with Kanga la pass?

What are the transportation facilities on the Nar Phu with Kanga la pass?

How Long Is the Nar Phu with Kanga la pass?

Can you have altitude sickness on the Nar Phu with Kanga la pass?

What is the food price at the Nar Phu with Kanga la pass?

Grade A: Easy *

Trekking is essentially day hiking and doesn’t require any special training. However, good physical condition, a love of walking, and a desire to enjoying the spectacular views of the mountains and encounter village life are essential. We offer a diverse range of easy treks. Categorizing a trek as easy means that no difficult climbing or ascents to high altitudes is involved. They take usually no more than a week and are suitable for anyone. Be assured that a loss of altitude in no way means a loss of interesting things to see and experience. While our more challenging treks get you closer to a small number of mountain ranges, lower altitude treks often provide better viewpoints from which to enjoy the colorful horizons of a whole series of ranges. The duration of a trek can be from 4 to 9 days with an average of 4 to 5 hours walking per day. The elevation of the trail will be between 800m/2624ft and 2800m/ 9240ft above sea level.

Grade B: Moderate **

These treks are suitable for any walker looking for something a little more challenging and energetic. They are a combination of some longer and shorter walks and hill-walking experience is desirable. The duration is usually from 10 to 15 days. Following the up and down terrain of Nepal and walking to higher elevations contrasts these treks to those in the easy classification. However, you will be rewarded for your efforts with spectacular close-up views of glaciers and of the high Himalayas. Although the terrain is not difficult, some vigorous hiking experience is useful. There may be up to 6 hours a day on the trail and the elevation rises and falls from 800m/ 2624ft to 4000m/13210ft above sea level.

Grade C: Fairly Strenuous ***

Since the terrain can be hard and the days long, hikers on these treks should be in good physical condition and have some previous mountain walking experience. Steep climbing may be involved, although it is never necessary to use ropes. Treks at this level can he arranged for periods of 16 to 21 days. Typically, a gradual ascent through a green river valley will lead you up to a number of high passes, where you will reach the altitude of 5416m. Often times, you will get a close insight into the Tibetan culture. Participants should except to trek above 5416m/17872ft.

Grade D: Strenuous ****

These real adventure treks are both technical and highly strenuous. Excellent physical condition is essential and mountaineering experience is preferable. Following rough terrain, they involve steep ascents to high altitudes with the possibility of some rope climbing. Stamina is needed to complete one of these treks, as it can take from 20 to 28 days to reach the heart of the wildernesses that they transverse. Participants should except to trek above 5600m/18480ft

EQUIPMENTS & GEARS

Nepal is one of the best places in the world for river rafting. Numerous fine rivers offer excellent opportunities for rafting, canoeing and simply immersing oneself in the magnificent landscape. Nepal’s thundering waters, coming from the glaciers of the mighty Himalayan, provide unmatched thrills.

Clothing

Down Or Fiber Filled Waterproof Jacket And Trousers 1
Fleece Jacket Or Pullover 1
Warm Cotton Trousers 2 Pairs
Shirts And T-Shirts 4 Pieces
Lightweight Cotton Long Pants 3 Pairs
Long Under Wear 2 Pieces
Short Under Wear 4 Pieces
Sun Hat Or Scarf 1
Woolen Hat 1
Sunglasses 1
Lightweight Gloves 1
Rain Coat 1
Heavyweight Gloves Or Mittens With A Waterproof 1

Footwear

Trekking Boot 1 Pair
Thick Socks 4 Pairs
Light Socks 3 Pairs
Camp Shoes 1 Pair
Sandals 1 Pair

Other Equipments

Sleeping Bag(4seasons) 1
Down Jacket 1
Daypack 1
Water Bottle 1
Sun Cream, Sunglasses
Flashlight With Spare Bulbs, Batteries, Lip Salve, Gaiters.

Optional

Insect Repellent Toilet Articles Note Book & Pen Toilet Roll
Laundry Soap Pocket Knife Towel Sewing Kit
Plasters Binoculars Camera Film
Cards And Personal Medical Kit

Travel insurance is compulsory for all Clients undertaking any tour. It should provide adequate protection for the full duration of the tour to cover personal injury, medical expenses, repatriation expenses, helicopter evacuation, loss of luggage, etc.

For your kind information, we would like to give a list of the insurance companies, please go through the links below:

For Canadians And Americans

  1. http://www.travelguard.com
  2. http://www.worldnomads.com
  3. http://www.mondial-assistance.ca
  4. http://www.travelassistnetwork.com
  5. http://www.travelex-insurance.com
  6. http://www.travelite.com
  7. http://www.travelunderwriters.com
  8. http://www.hccmis.com/atlas-travel-insurance

For Australians And New Zealanders

  1. http://www.covermore.com.au
  2. http://www.allianz.com.au
  3. http://www.worldnomads.com.au
  4. http://www.bupa.com.au
  5. http://www.itrektravelinsurance.com.au
  6. http://www.1cover.com.au

For British

  1. http://www.travel-guard.co.uk
  2. http://www.worldnomads.co.uk
  3. http://www.thebmc.co.uk
  4. http://www.direct-travel.co.uk
  5. http://www.essentialtravel.co.uk

For Europe And Slovenia

  1. http://www.coris.si
  2. http://www.europaeische.at

For South-Africa

  1. http://www.travel-guard.co.za
  2. http://www.tic.co.za

For Indians

  1. http://www.internationalsos.com/en/asia-pacific_india.htm

MAJOR SYMPTOMS OF ALTITUDE SICKNESS

INITIAL SYMPTOMS

  1. Periods of sleeplessness
  2. Runny nose.
  3. Extra tiredness
  4. Occasional loss of appetite
  5. Feeling laziness
  6. Wish to vomiting
  7. Periodic breathing

Above are normal symptoms which may occur into your body that you should not be worried. Every trekker will experience some or all of these, no matter how slowly they ascend.

ADVANCE SYMPTOMS

  1. Headache and vomiting
  2. Dizziness
  3. Racing heartbeat
  4. Exhaustion
  5. Nausea
  6. Diarrhoea
  7. Loss of apatite
  8. Weakness
  9. Hard to breath
  10. Extra tired
  11. Dry Raspy cough
  12. Sleeplessness

When above symptoms will occur into your body, these symptoms usually resolve by spending one or two extra nights at the same altitude or using medicine. Even you are resting at the same altitude or using medicine, if symptoms are becoming worse, then it is necessary to descend.

SERIOUS SYMPTOMS

  1. Worsening headache and vomiting
  2. Swelling of hands and face
  3. Reduced urine output
  4. Walking with a staggering gait
  5. Confusion
  6. Increased tiredness
  7. Breathing irregularity
  8. Visual hallucinations (seeing things that are not real)
  9. Changes in the ability to think
  10. Changes in normal behavior

If above serious symptoms will occur into your body, these extremely dangerous symptoms are called High Altitude Cerebral Edema (or HACE). They can lead to unconsciousness and death within 12 hours. Increasing shortness of breath, cough and tiredness may also be signs of High Altitude Pulmonary Edema or HAPE. HAPE can also be rapidly fatal if ignored.

TO PREVENT ACUTE MOUNTAIN SICKNESS

  1. If possible, don’t fly or drive to high altitude. Start below 3,000 metres (10,000 feet) and walk up.
  2. If you do fly or drive, do not overexert yourself or move higher for the first 24 hours.
  3. If you go above 3,000 metres (10,000 feet), only increase your altitude by 350 to 500 metres (1,000 feet) per day
  4. Climb high and sleep low! You can climb more than 300 to 500 metres in a day as long as you come back down and sleep at a lower altitude.
  5. If you begin to show symptoms of moderate altitude sickness, don’t go higher until symptoms decrease.
  6. Drink plenty of water, tea or juice etc (at least three to 4 liters per day). Urine output should be copious and clear to pale yellow.
  7. Eat high-carbohydrate foods (rice, pasta, cereal) for more energy.
  8. Take it easy and don’t overexert yourself when you first get up to altitude. But, light activity during the day is better than sleeping because respiration decreases during sleep, exacerbating the symptoms.
  9. Avoid alcohol as it may increase the risk of dehydration, and don’t smoke.
  10. Don’t push yourself when climbing up to passes, rather take plenty of breaks.
  11. Avoid taking sleeping pills.
  12. Avoid active movements and try to relax in the first one or two days upon arrival at the high altitude areas.
  13. Bring adequate medicine.
  14. If nothing else works, return to the areas with the lower elevation.
  15. Allow sufficient time for acclimatization (After 3000 meters).
  16. Don’t make rapid Ascent. Don’t go too far too fast.
  17. Do not trek/travel alone, take guide/porter.
  18. Follow the advice from your guide, hotel, local, guide book.
  19. Descent if mild symptoms rapidly getting worse.
  20. Never leave or descent sick person along.
  21. Avoid getting cold.
  22. Take an easy and comfortable trekking route even if its longer

MEDICINE

Following is a list of items you should consider including in your medical kit – consult your pharmacist for brands available in your country.

  1. Aspirin or paracetamol – for pain or fever
  2. Antihistamine – for allergies, eg hay fever; to ease the itch from insect bites or stings; and to prevent motion sickness.
  3. Antibiotics consider including these if you’re traveling well off the beaten track’ see your doctor, as they must be prescribed, and carry the prescription with you.
  4. Loperamides or Diphenoxylate ‘blockers’ for diarrhea’ Prochlorperazine or metaclopramide for nausea and vomiting.
  5. Rehydration mixture to prevent dehydration, eg due to severe diarrhea; particularly important when traveling with children.
  6. Insect repellent, sunscreen, lip balm and eye drops.
  7. Calamine lotion, sting relief spray or aloe vera-to ease irritation from sunburn and insect bites or stings.
  8. Antifungal cream or powder – for fungal skin infections and thrush.
  9. Antiseptic, such as povidone-iodine for cuts and grazes.
  10. Bandages, band-aids or plasters and other would dressings.
  11. Scissors, tweezers and a thermometer (note that mercury thermometers are prohibited by airlines)
  12. Cold and Flu tablets, throat lozenges and nasal decongestant.
  13. Multivitamines – consider for long trips, when dietary vitamin intake may be inadequate.