Where to get Diamox?

#1 May 17th, 2012, 17:44
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#1
I am flying into Leh in about 10 days and I still do not know how and where to get Diamox.

Is it available OTC? and under what brand name?
Is it widely available in Delhi? (I am not in delhi currently). Or in some special places?.
Pls inform.
#2 May 17th, 2012, 18:48
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#2
Diamox is a brand name. The chemical name you need is Acetazolamide.

Some brand names - according to this website: http://www.drugsupdate.com/brand/showavailablebrands/10

Have you inquired at each of your local chemist / pharmacy / medicine store ?


http://www.lonelyplanet.com/thorntre...readID=2113028 suggests it is easy to find

http://www.indiamike.com/india/trekk...-help-t107023/

http://www.indiamike.com/india/ladak...tions-t137105/
#3 May 17th, 2012, 18:52
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#3
It is easily available with the same name "Diamox". The tablet contain " Acetazolamide salt".
Regards
VB
#4 May 18th, 2012, 00:35
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#4
It's available on any of the regular chemist shop; I purchased it in Noida and was available at most of the stores where I checked.
#5 May 18th, 2012, 01:21
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The normal use of Diamox is to treat glaucoma , this means it should be available in any well stocked pharmacy on this planet. See a doc to work through side effects , sulfa allergy and interaction issues ( don´t use ASA/Aspirin at the same time etc ) .
#6 May 18th, 2012, 04:43
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#6
There are several pharmacies in connaught Place that have it and will give it without prescription. last year you could get it in the bazaar in Leh anyway but out of paranoia do it in Delhi. Not going to be a problem
#7 May 18th, 2012, 04:45
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#7
get it in Delhi
it is easily available OTC
in case you are asked for a prescription, let them know that you are leaving for Ladakh.
best results are obtained if you take this drug a week prior to your departure.
#8 May 18th, 2012, 08:31
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#8
Quote:
Originally Posted by drk View Post get it in Delhi

best results are obtained if you take this drug a week prior to your departure.
???!

That should be 24 hours before the flyin. See ISMM , CDC or any other medical source. Starting earlier means only more side effects .

Again : plan your medication together with a doc.
#9 May 18th, 2012, 18:04
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#9
Thank you.
I am still confused whether we should take diamox or not.
We had been at high attitudes--uptp 4300 m at Hemkund without any symptoms but that journey was slow--first by bus and then by horse.
Last year too we were in Kinnaur upto 3600 m with no symptoms.

But now we are flying straight to 3600 m attitude.
So do most of the people that fly into Leh take diamox?
Do they report side-effects?. Adverse reactions?
Any for kids?
I have read one has to take 2.5 mg/kg weight. So for a 20 kg kid, it is 50 mg. Is Diamox available at this mg?
#10 May 18th, 2012, 19:44
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#10
The best way to avoid altitude sickness is to ascend slowly, taking several days to get to the intended destination. This allows the body time to get used to the decreasing supply of oxygen available at high altitude. At high altitudes it can take three to five days for your body to acclimatise before you should ascend further.

If it is not possible to acclimatise — for example, if you are taking a short flight from sea-level to 3000 metres or more — acclimatisation can be helped by taking acetazolamide, which is started one day before the planned trip and continued for 2 to 3 days at altitude. Acetazolamide works by increasing a person’s breathing rate and helps with acclimatisation.

That said, I strongly counsel against self-medicating, especially children, and urge you to see a medical practitioner before you travel.
#11 May 21st, 2012, 12:23
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#11
AMS is hardly a thing a lot of doctors in the cities would have experience or knowledge of.

Anyway, is diamox safe with paracetamol?
#12 May 21st, 2012, 16:23
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#12
Quote:
Originally Posted by vmehra View Post AMS is hardly a thing a lot of doctors in the cities would have experience or knowledge of.

Anyway, is diamox safe with paracetamol?

You underestimate doctors.

Diamox is safe to take with paracetamol.
#13 May 22nd, 2012, 20:42
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#13
Quote:
Originally Posted by vmehra View Post AMS is hardly a thing a lot of doctors in the cities would have experience or knowledge of.
A lot of city doctors will have experience with Diamox : AMS is by far the most unusual reason for taking Diamox. Sorting out this kind of interaction issues is a routine task.
Yes , paracetamol can be used at the same time , although ibuprofen may be a better help.
#14 May 23rd, 2012, 15:56
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#14
Quote:
Originally Posted by vistet View Post Yes , paracetamol can be used at the same time , although ibuprofen may be a better help.
Hi Vistet,
Is your comment based on the recent article from Stanford suggesting Ibuprofen is a reasonable alternative for AMS ? I was not particularly impressed with the methodology but the easy availability of Ibuprofen is appealing. You may have already read the article but if not the link is below:

http://med.stanford.edu/ism/2012/march/altitude.html

Cheers
#15 May 23rd, 2012, 16:17
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#15
Quote:
Originally Posted by Supra View Post Hi Vistet,
Is your comment based on the recent article from Stanford suggesting Ibuprofen is a reasonable alternative for AMS ? I was not particularly impressed with the methodology ..[/url]
I have a number of reservations as well after reading the full study , see here . The doses used were a lot higher in the Stanford study , so no , I wasn´t suggesting Ibuprofen here for this reason. But ibuprofen has come out better against high altitude headaches than paracetamol/acetaminophen the way I remember it , even though I can´t toss out a link at the moment. (Apart from the study by the same Lipman from the Stanford study, that triggered the AMS suggestion.)

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