In short
- Acclimatize in Cusco for a few days first
- Drink plenty of water and coca tea
- Walk slowly and take frequent breaks
In this article
Altitude sickness occurs when you travel to a high elevation too quickly, where the air is thinner. Symptoms include headaches, nausea, and shortness of breath. The Palccoyo hike is short and mostly flat, but the 4,900-meter altitude requires careful preparation to ensure a safe and enjoyable visit.
How high is Palccoyo Rainbow Mountain?
Palccoyo reaches a maximum elevation of 4,900 meters (16,076 feet) above sea level.
This is significantly higher than Cusco, which sits at about 3,400 meters (11,152 feet). Because the trail is mostly flat, the physical exertion is lower than at Vinicunca. However, the lack of oxygen at this height can still trigger symptoms if you are not prepared.
How long should I acclimatize in Cusco?
Spend at least two to three days in Cusco or the Sacred Valley before visiting Palccoyo.
Giving your body time to adjust to the 3,400-meter elevation of Cusco is the best way to prevent altitude sickness. During these initial days, keep physical activity light, eat easily digestible meals, and avoid alcohol.


Does drinking coca tea help?
Yes, local coca tea or chewing coca leaves is a traditional remedy for altitude sickness.
Many hotels in Cusco offer complimentary coca tea in the lobby. You can also carry a small bag of coca leaves to chew during the hike. Be sure to stay hydrated by packing a hydration bladder or 2 liters of drinking water for the trek.
Should I take altitude sickness medication?
Over-the-counter medication like Sorojchi pills can help alleviate symptoms.
Consult your doctor before taking any new medication. You can purchase Sorojchi pills or similar altitude medications at pharmacies in Cusco. Take them as directed, usually starting 24 hours before your ascent.

How should I pace the hike?
Walk slowly, take frequent breaks, and do not rush.
The hike is relatively flat and takes roughly 45 minutes to 1.5 hours. Stop at the viewpoints to catch your breath. For example, spend 15-20 minutes at the First Rainbow Viewpoint to acclimate.

Are oxygen tanks available on tours?
Most guided tours carry an emergency oxygen tank and a first aid kit.
Before booking a tour, check the inclusions. A licensed guide will monitor your condition and can provide oxygen if you experience severe symptoms. Listen to your body and inform your guide immediately if you feel unwell.
| Feature | Palccoyo Hike |
|---|---|
| Max Elevation | 4,900m (16,076 ft) |
| Hike Duration | 45 mins to 1.5 hours |
| Trail Profile | Mostly flat |
| Oxygen on Tours | Usually included |

Questions travellers ask
Can I hike Palccoyo if I just arrived in Cusco?
No, it is highly recommended to spend at least 2-3 days acclimatizing in Cusco before attempting any hike above 4,000 meters.
Is the Palccoyo hike difficult?
The hike itself is not physically difficult, as it covers 3 to 4 kilometers on a gentle incline. The main challenge is the high altitude.
What happens if I get severe altitude sickness at Palccoyo?
If you experience severe symptoms, stop hiking immediately. Your guide will provide emergency oxygen and assist you in descending to a lower altitude.



