Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment drugs Home Care pain in adults pain in children warning signs Prevention Complications Underlying Cause Types

High Altitude Illness Home Care

Home care for high altitude illness includes:

High Altitude Illness Pain in Adults

Common medications used for pain in adults with high altitude illness include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

High Altitude Illness Pain in Children

Common medications used at home for pain and fever in children with high altitude illness include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



High Altitude Illness Warning Signs

Notify your doctor if you have high altitude illness and any of the following:

Continue to High Altitude Illness Prevention

Last Updated: Mar 4, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed High Altitude Illness References
  1. Basnyat B, Murdoch DR. High-altitude illness. Lancet. 2003 Jun 7;361(9373):1967-74. [12801752]
  2. Foster PP, Feiveson AH, Boriek AM. Predicting time to decompression illness during exercise at altitude, based on formation and growth of bubbles. Am J Physiol Regul Integr Comp Physiol. 2000 Dec;279(6):R2317-28. [11080100]
  3. Gallagher SA, Hackett PH. High-altitude illness. Emerg Med Clin North Am. 2004 May;22(2):329-55, viii. Review. [15163571]
  4. Gertsch JH, Basnyat B, Johnson EW, Onopa J, Holck PS. Randomised, double blind, placebo controlled comparison of ginkgo biloba and acetazolamide for prevention of acute mountain sickness among Himalayan trekkers: the prevention of high altitude illness trial (PHAIT). BMJ. 2004 Apr 3;328(7443):797. [15070635]
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