Understanding altitude
Leh is already high enough for altitude illness to matter. Symptoms can include headache, nausea, unusual fatigue, poor sleep and dizziness. Fitness does not provide immunity. The first response to worsening symptoms is to stop ascending and seek qualified help; severe symptoms require urgent descent and medical care.
Acclimatisation plan
Rest on arrival, hydrate normally, avoid alcohol and heavy exercise, eat light meals and sleep in Leh before higher excursions. Do not fly into Leh and immediately drive to Pangong or an even higher sleeping point. Medication decisions belong with a clinician who knows your history.
Medical preparation
Discuss heart, lung, blood-pressure, pregnancy or other relevant conditions with a qualified doctor. Carry prescriptions and adequate medication. Buy insurance that covers emergency evacuation and the altitudes on your route.
Packing essentials
- Layered base, fleece and insulated outerwear.
- Waterproof shell and sturdy footwear.
- Sun hat, sunglasses and high-SPF sunscreen.
- Reusable bottle and personal medicines.
- Power bank, offline maps and document copies.
- Lip balm, moisturiser and basic first aid.
- Small backpack for daily essentials.
Road and activity safety
Use helmets and protective equipment, do not stand through vehicle sunroofs, stay away from unstable river edges, and choose registered operators for trekking or adventure activities. Weather can turn quickly in mountain terrain.
Respectful travel
Dress and behave respectfully at religious sites, remove shoes where required, walk clockwise around Buddhist monuments when indicated and ask before photographing people. Do not fly drones without confirming all local and security restrictions.