You’re about to embark on one of Peru’s most breathtaking adventures: Choquequirao, the hidden Inca city nestled among mountains, far from the crowds and close to the stars. But before you throw on your backpack, there’s something important to keep in mind: the altitude.
Altitude sickness, known in Peru as “soroche,” can sneak up on you if you’re not careful. That’s why we’ve put together this simple and useful guide to help your body and mind get ready to enjoy every step of the journey.

What Is Soroche and Why Can It Affect You in Choquequirao?
As you ascend through the Andes, the oxygen in the air decreases. This can cause headaches, dizziness, fatigue, and even nausea. And although Choquequirao is located at over 3,000 meters (9,800 feet) above sea level, the trek takes you through even higher passes.
The interesting thing is that soroche doesn’t care whether you’re an experienced backpacker or a beginner it all depends on how your body adapts. So, it’s better to prevent than to treat.
Medications You Can Bring with You
Fortunately, there are several ways to keep altitude sickness at bay. Here are some allies you’ll want to have in your backpack:
1. Sorojchi Pills
A classic among travelers arriving in Cusco. These capsules combine caffeine, aspirin, and potassium salt to help your body oxygenate better. You can take them before starting your hike or if you begin to feel symptoms.
2. Diamox (Acetazolamide)
This medication is used to prevent acute mountain sickness. It’s usually taken a day before ascending and during the first few days at altitude. It requires a prescription, so consult your doctor before your trip.
3. Basic Painkillers (Ibuprofen or Acetaminophen)
For mild headaches or general discomfort. They don’t treat soroche itself but can help ease some annoying symptoms.
4. Coca Tea or Coca Candies
A natural and traditional option. While it’s not a substitute for medical treatment, it can help improve oxygenation and give you a small energy boost during the hike.
Additional Tips to Prevent Soroche
- Arrive in Cusco a few days before starting the trek. Give your body time to acclimate.
- Avoid heavy meals and alcohol during your first 24 hours at altitude.
- Stay well hydrated — water is your best ally on these routes.
- Ascend slowly. Listen to your body, breathe deeply, and enjoy the scenery. You’re exploring, not racing.
- Get a good night’s sleep before the trek. A rested body adapts better.