High-altitude acclimatisation planner

A day-by-day pacing planner for Spiti, Ladakh and the high passes: the common rules, warning signs and what to do about them, an altitude table for stops on these routes, and a log to fill in as you go.

Best for: First-time travellers planning Spiti, Ladakh, Kinnaur or any trip that crosses 3,000 m.

When to use it: Print it before you book your nights, and fill the pacing log while you travel.

What is inside

• The common rules for going up slowly, in plain language.
• Warning signs and what to do about each.
• An altitude table for stops on Spiti and Ladakh routes, taken from public sources.
• Worked examples of checking a plan against the rules.
• A pacing log to fill in each day.

Please read

This planner is general guidance based on the US CDC Yellow Book on altitude illness. It is not medical advice and does not replace a doctor. Talk to your doctor before you travel, above all if you have a heart, lung or other health condition, are pregnant, or are travelling with children or older relatives. Do not start any medicine on your own.