Visiting in september 2018 , how cold and isolated will it be ? and no diamox

#1 May 23rd, 2018, 23:37
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  • mtgox is offline
#1
Visiting Leh in september 2018. Cant take diamox or any other meds that fall into the opiate/painkiller/asprin category without having panic attacks due to past history of Long mental illness. Can only take antibiotics. Have had 3 bouts of pneumonia+bronchoitis in the past couple of years so there's that.

Will be staying in leh for the first two days,flying into leh from mumbai via delhi.This should help acclimatising. Have trekked to 14000 ft also slept for 2 days at that alti at the age of 15 so there's that. Not obese,no other illness.


Day 1 : Mumbai -> delhi -> leh (by air)
Day 2: Leh->indus valley->leh
Day 3 : Leh->Numbra
Day 4: Nubra -> leh
Day 5 leh -> pangong
Day 6: Pangong - tsmori
Day 7: tsmori-> leh
Day 8: leh
Day 9: Leh -> delhi -> Mumbai
#2 May 24th, 2018, 05:34
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#2
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Originally Posted by mtgox View Post past history of Long mental illness. Can only take antibiotics. Have had 3 bouts of pneumonia+bronchoitis in the past couple of years so there's that.
You should have this discussion with your primary health care provider; absence that, consult a specialist !
#3 May 24th, 2018, 12:01
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@mtgox, yes, consult. Instead of diamox you can consider Coca homeopathic med. Some say it has effect on AMS some say they don't. We use that while trekking. Seems to reduce our AMS.

P.S: https://www.wemjournal.org/article/S...rticle-outline

Regards,
Aneek
Darjeeling, Kuari Pass Winter trek, Tawang-Dirang-Bomdila


Two roads diverged in a wood, and I – I took the one less traveled by, And that has made all the difference.
#4 May 24th, 2018, 20:14
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#4
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Originally Posted by mtgox View Post ..... Cant take diamox or any other meds that fall into the opiate/painkiller/asprin category....


Diamox doesn’t fall in any of these categories. The closest relative is an antibiotic: sulfonamides are divided between the antibiotic group (“sulfa “ ) and the non-antibiotic ( like Diamox and the worlds most common diuretic, furosemide.) Diamox works from the same mechanism as natural acclimatization.


Quote:
Originally Posted by mtgox View Post Will be staying in leh for the first two days,flying into leh from mumbai via delhi.This should help acclimatising.
Two main risk factors for AMS is first nights at 3000+ meters , and exertion the same days. Spending first nights down in Alchi or Ule Tokpo, four hundred meters lower than Leh, is the softer option. After basic acclimatization you can cross the Khardung La to Nubra -which is at the same altitude as Alchi & Ule Tokpo.
#5 May 24th, 2018, 20:22
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Originally Posted by aneek View Post Instead of diamox you can consider Coca homeopathic med. Some say it has effect on AMS some say they don't.
No one with medical training will/should say that homeopathic coca works . This includes the 2010 evidence based guidelines from WMS linked above -it merely notes that a lot of people use it , in a lot, lot higher dosages. The document has been updated since in 2014 , with the same conclusion.

https://www.wemjournal.org/article/S...14)00257-9/pdf
#6 May 24th, 2018, 23:55
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Diamox isn't necessary, don't worry, but your plan is too packed. Give yourself two days on arrival in Leh or west of Leh in Sham (eg Alchi or Uletokpo as Vistet suggested). And cut one or two of your three insanely long road trips. They're not enjoyable, especially not if you do them back to back like that.

It won't be very cold in September and not nearly isolated enough, except that your current plan has you sitting in a taxi for 8 to 12 hours a day on bad winding car-sicky roads going over very high passes, so that might be rather isolating, tedious, and not much fun.
#7 May 26th, 2018, 16:33
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https://www.indiamike.com/india/lada...-less-t162974/
The plan is unfortunately the usual one of 'how can I fit a holiday that needs 2 weeks into one?' It will fail and you will be miserable.
Diamox is not necessary but I find its a real help with sleep, subject to Drs advice, I would take it.
Homeopathic medicine is no longer available on the British National Health Service, there is a reason for that - there is no evidence that it works at all other than a placebo. If Coca does that for you then fine but if I'm concerned about self treatment when I dont have a Dr nearby then I only trust meds that I know work.
Past experience is not necessarily a guide to how you will adapt now. Follow guidelines, they will be a comfort if you are nervous, a panic attack when you are short of breath sounds like no fun............

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