Altitude sickness
WHAT IS ALTITUDE SICKNESS?
Altitude sickness is caused by a lack of oxygen and typically occurs above 2,500 meters. The condition can develop in either a mild or severe form. In mild altitude sickness, symptoms such as shortness of breath, headaches, dizziness, vomiting, and nausea may occur. This mild form can progress to severe altitude sickness, where headaches and shortness of breath worsen and occur even at rest, particularly at night. In this case, a person will begin to feel and act increasingly sluggish, and may eventually lose consciousness. If someone in this condition does not descend immediately and receive medical help, it can lead to coma and death.
HOW DO YOU GET ALTITUDE SICKNESS?
The oxygen level in the air is lower at high altitudes than at sea level. The body needs time to adjust to this condition. If someone ascends too quickly to a high altitude without giving the body time to acclimatize, it can lead to altitude sickness. This results in a lack of oxygen in the blood, causing the previously mentioned symptoms. How susceptible someone is to altitude sickness varies from person to person. If someone has experienced altitude sickness before, the chances of it occurring again are higher.
HOW TO PROTECT YOURSELF AGAINST ALTITUDE SICKNESS?
To prevent altitude sickness, it’s important to follow these guidelines:
• Ascend slowly to altitudes above 2,500 meters.
• Do not sleep more than 500 meters higher than the previous night at altitudes up to 4,000 meters. Above 4,000 meters, do not sleep more than 300 meters higher than the night before. During the day, you can climb more than 500 meters as long as you descend to a level no more than 300 to 500 meters higher than the previous night (climb high, sleep low).
• Drink enough water.
• Allow sufficient time in your travel schedule to acclimatize, and try to avoid strenuous efforts during the first few days. Also, ensure you have enough rest days and the option for extra rest days if symptoms develop.
• Avoid alcohol or sleeping pills.
• If you have previously experienced altitude sickness or are at high risk, medication for altitude sickness (acetazolamide) may be prescribed. This medication helps with acclimatization and can also be used as a treatment for altitude sickness symptoms.
• Don’t forget that the airport you arrive at might be at an altitude higher than 2,500 meters. Altitude sickness can occur even upon arrival. In such cases, try to sleep at a location below 2,500 meters.
You can also take medication for altitude sickness. This medication can be taken once you start experiencing symptoms, or they can be used preventively. This is recommended if you are traveling to high altitudes and know you are prone to altitude sickness. During your consultation at vaccinatiecentrum.nl, you can discuss your travel plans with one of our nurses, and together you can determine if you need altitude sickness medication for your trip. We will arrange the prescription for you right away.
WHAT ARE THE SIDE EFFECTS OF ALTITUDE SICKNESS MEDICATIONS?
In less than one percent of cases, side effects occur when using acetazolamide. Consult your pharmacy for more information about these side effects.
WHAT DO ALTITUDE SICKNESS MEDICATIONS COST?
If you have supplementary insurance, the cost of altitude sickness medication may be reimbursed by your health insurance. If the medication are not reimbursed by you health insurance, you will need to pay for them yourself at the pharmacy.
In addition to the cost of the medication, we charge a fee for issuing the prescription. For more information about these costs, please visit our price list.
WHAT SHOULD I DO IF I EXPERIENCE ALTITUDE SICKNESS SYMPTOMS?
If you experience symptoms of mild altitude sickness, it is important not to ascend further until the symptoms have disappeared. Descend if the symptoms do not improve within a few days or if they worsen. In the case of severe altitude sickness symptoms, it is crucial to descend immediately and seek medical help if necessary.
It can sometimes be difficult to recognize the symptoms of altitude sickness in yourself and to assess their severity. For this reason, it is important to pay close attention to your travel companions.
QUESTIONS OR WANT TO book AN APPOINTMENT?
If you have questions about altitude sickness or would like to book an appointment for personalized travel advice, use the button below, email us at info@vaccinatiecentrum.nl, or call 085 – 90 20 303.
Ruben
Ruben (registered travel nurse).
Ruben has been working with us as a travel nurse since November 2023. After working in the hospital for several years, he opted for a new approach from nursing; traveler advice.
Ruben himself traveled through Asia with his backpack for six months in 2018 and that is where his love for (world) travels originated. In the future he hopes to discover more of South America, among others.
Pieter van Thiel
Pieter van Thiel was a tropical doctor in Malawi for 5 years and subsequently specialised as an internist-infectiologist at the Academic Medical Centre (AMC) in Amsterdam. After this, Pieter was a staff member of the Department of Infectious Diseases and Tropical Medicine AMC and a consultant on tropical diseases for the Dutch Ministry of Defence. Currently, he holds a guest appointment at the AMC, as a consultant for the Tropical Centre, mentor of master’s degree medical students and member of the medical examination committee. In addition, he teaches various courses including the travel medicine refresher courses, the Dutch Tropics course and the military tropics course. Pieter is also chairman of the Quality Concilium of the LCR (Landelijk Coördinatiecentrum Reizigersadvisering), member of the Concilium for the training of tropical doctors and member of the Committee of Experts on Immunisations of Military Personnel (CDIM). He works as chief physician of vaccinatiecentrum.nl and as an internist at a number of institutions. Several weeks a year, he works as supervisor/internist/teacher at the University of Malawi’s teaching hospital in Blantyre, Malawi. He obtained his PhD in the field of leishmaniasis.
Lisanne
Lisanne (registered travel nurse).
Lisanne has been working at vaccinatiecentrum.nl since the end of 2022 and completed her training as a travel nurse in mid-2023. She mainly works at our location in Utrecht.
During the fourth year of her Bachelor of Nursing, Lisanne completed an internship with us. Afterwards, she went on a two-month trip through Thailand and Bali. At the end of 2025, she returned to Thailand for another month, and she still has many other tropical destinations on her wish list.
She especially enjoys traveling with only a departure and return flight booked, deciding along the way where each day will take her.
Ellen
Ellen (quality)manager.
Ellen is the (quality) manager of vaccinatiecentrum.nl. She joined vaccinatiecentrum.nl in May 2018 and deals with quality and personnel policy, procedures, protocols, and improvement processes. She monitors the quality offered by vaccinatiecentrum.nl. Ellen enjoys travelling within and outside Europe and prefers to do so by backpack.
Mirjam
Mirjam has been working as operator at vaccinatiecentrum.nl since april 2024.
She also works in the art sector.
Mirjam loves traveling by train, daydreaming as she gazes out the window at the ever-changing landscapes in countries like Sweden, France, England, Scotland and Germany.
Peggy
Peggy is our office manager. All working days of the week you can contact her for all questions by mail or phone. Should you fail to make an appointment via the website, you can always call on Peggy via our central telephone number.
Sharona
Sharona (registered travel nurse).
Sharona started working for vaccinatiecentrum.nl in 2019 as an intern. After she graduated nursing school, she started working at vaccinatiecentrum.nl.
In 2017 Sharona moved to Australia for her study to do a semester abroad. In 2019 she made a road trip through West Canada, since then her bucket list with destinations is growing.
While traveling she loves to be in nature, and she likes to learn more about the culture of the country she is visiting.
Nienke
Nienke (registered travel nurse).
Nienke started working for vaccinatiecentrum.nl in 2012. In 2017 Nienke moved to Houston, Texas in the USA, where she lived and worked as a CrossFit L2 coach.
She recently moved back to the Netherlands and was welcomed back at vaccinatiecentrum.nl. Nienke works in Utrecht.
Nienke has travelled a lot, she visited Indonesia, Sri Lanka, Emirates, Turkey, Morocco, Namibia, Canada, USA, Mexico, Guatemala, Dutch Antilles, Bahama’s and different countries in Europe.
Judith
Judith (registered travel nurse).
Judith started working for the vaccinatiecentrum.nl since April 2018. As a kid, she always dreamed of becoming a tour guide. Instead, she became a nurse. Before she started at the vaccination centre, Judith worked as a district nurse for five years. Now, as a travel health specialist nurse, she can combine the best of both worlds.









