Mt. Everest - Meds

Meds

We made sure we were up on all of immunizations.  Unfortunately, we had to have another tetanus shot, but other than that not too bad on the shots. (Of course, David was all caught up, so no shots for him - not totally fair - but the humor or irony of us having to get shots and not him, was not lost on him.)

(click above)

Typhoid Vaccine (Vivotif Berna)

In any case, we are entering some serious terrain, where we might run into contaminated food or water. So we are all getting our typhoid vaccine. There are two kinds of vaccines to prevent typhoid.  One is a shot (with inactivated vaccine).  The other typhoid vaccine is taken orally and lasts a lot longer (if you take a booster in 6 months it can last almost forever).  You can guess which one we opted for - yes - the oral vaccine.


We need to take one capsule every other night for four nights and then we are done.  Tonight is our second dose. (It should be taken 2 weeks before your trip and not in conjunction with diuretics.)

I should note that routine typhoid vaccination is not recommended in the United States, but it is recommended for folks like us who are traveling to a part of the world where it is, lets say, not uncommon.

Acetazolamide

Acetazolamide is used to reduce the severity and duration of symptoms associated with altitude sickness. Most folks who have heard about it (like John) know about it under the name Diamox.  In spite of our altitude acclimatization preparation we are not going to take any chances. We will take advantage of acclimatization days; (where we hang out and walk around for a day or so before going to a higher elevation).  In addition, we will be taking acetazolamide during the trek, probably after we land in Lukla: one tablet by mouth twice daily for 5 days to prevent altitude sickness.


Azithromycin (antibiotic)

Finally, we will be careful about the water we drink. We have the UV sterilizer.  However, even with the best sanitary practices and precautions things can go very wrong.  David does not have a lot of boy weight so dehydration is no joke if he were to get sick.  We are not all that big either so a serious bacterial infection would not be good in the middle of nowhere (from a hospitalization medication perspective).

If we do get sick we need to take 1 tablet bu mouth daily for 3 days.

These are all precautionary measures.  We should be fine, just trying to minimize the risk of radically shifting our experience in a less than optimal manner or direction.

Be sure to check with your physician before using any of these devices or medications. Also check with the High Altitude Physicians.


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