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Altitude sickness Altitude sickness primarily affects travelers who spend more than 8 hours at altitudes above 10,000 ft. Mild illness involves headache (most common symptom), nausea, generalized fatigue, and shortness of breath. More severe symptoms include vomiting, ataxia, changes in mental state, fever, and cyanosis.
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Travelers also may want to pack a supply of loperamide hydrochloride, an analgesic and antipyretic drug, an anti-inflammatory agent, an antihistamine, and an antifungal cream. Prednisone is recommended for persons with chronic obstructive pulmonary disease or asthma. In addition, a mild hypnotic agent (eg, zolpidem tartrate [Ambien]) can be helpful for adjusting to new sleep schedules. The need for other medications, such as prophylactic drugs for malaria and altitude sickness, should be determined on the basis of the traveler's destination. While traveling, patients are advised to avoid any antibiotics and nonprescription medications that they have not taken previously.
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