At 2,850 metres (9,350 feet) above sea level, Quito is one of the highest capital cities in the world, and for many visitors, the altitude makes itself known within the first day or two. Locally called soroche, altitude sickness is common enough among travelers that it’s worth planning around before you touch down.
What Is Soroche (Altitude Sickness)?
Soroche happens when your body hasn’t yet adjusted to lower oxygen levels at high elevation. It’s usually mild and temporary, but it can affect anyone regardless of age or fitness level, and it tends to hit hardest on the first one to two days after arrival.
Common Symptoms to Watch For
- Headache
- Fatigue or shortness of breath during light activity
- Nausea or loss of appetite
- Dizziness or difficulty sleeping
How to Prevent Altitude Sickness
- Hydrate: drink at least 2-3 litres of water daily; skip alcohol and go easy on coffee for your first day or two.
- Eat carbohydrates: potatoes, rice, quinoa and bread help your body adjust.
- Take it slow: plan a light first day – a short walking tour rather than a strenuous hike.
- Acclimatize gradually: if you’re heading up to Cotopaxi or other high-altitude sites, spend a night or two in Quito first rather than going straight up.
- Talk to your doctor beforehand: some travelers use prescription medication like acetazolamide to ease symptoms; discuss options before your trip.
What to Do If Symptoms Appear
Rest, hydrate, and avoid pushing through strenuous activity. Over-the-counter pain relief can help with headaches, and most mild symptoms fade within 24-48 hours as your body adjusts.
When to Seek Medical Help
Severe symptoms – confusion, chest pain, a persistent cough, or shortness of breath at rest – are signs to seek medical attention right away rather than waiting it out. These are rare but shouldn’t be ignored.
Planning Your First Days in Quito the Smart Way
A gentle introduction to the city works in your favor both for acclimatization and for getting your bearings. Many travelers start with a relaxed walking tour of the Historic Center before moving on to higher-altitude adventures like Cotopaxi.
Frequently Asked Questions
How long does it take to acclimatize to Quito’s altitude?
Most people feel noticeably better within 24-48 hours, though full acclimatization can take a few more days.
Can altitude sickness be dangerous?
Mild soroche is uncomfortable but not dangerous. Severe altitude illness is rare at Quito’s elevation but is more of a concern if you continue on to higher peaks like Cotopaxi (5,897m) without acclimatizing first.
Should I avoid exercise when I arrive?
Yes, at least for your first day – save strenuous hikes for after you’ve had time to adjust.
Ease into Quito with a relaxed introduction to the city on our Free Walking Tour, then build up to higher altitudes with our Cotopaxi Bike & Hike once you’re acclimatized.
