
Altitude sickness in Cusco: how to prevent it and what to do
Cusco sits at about 3,400 m. Altitude sickness symptoms, warning signs, how to acclimatize, coca tea, medication and when to do the highest day trips.
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40 guides
Before thinking about tours, it pays to sort out the basics: getting from the airport, moving around, getting cash, how safe Cusco is and how altitude affects you. These guides answer the questions travellers ask most.
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Cusco sits at about 3,400 m. Altitude sickness symptoms, warning signs, how to acclimatize, coca tea, medication and when to do the highest day trips.
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Guide to the Cusco Tourist Ticket (COSITUC): full and partial tickets, sites in each circuit, what it does NOT include, where to buy it and how to use it.
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How many days do you need in Cusco? Short answer, key factors (altitude, Machu Picchu, treks) and day-by-day 3, 5 and 7-day itineraries.
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Dry and rainy seasons month by month, main festivals, approximate temperatures and a practical packing list for Cusco and Machu Picchu.
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What Cusco's weather is like each month: approximate day and night temperatures, rain, crowds and festivals, with tips for Machu Picchu and treks.
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How to get from Alejandro Velasco Astete airport to central Cusco or straight to the Sacred Valley: options, times, approximate prices and safety tips.
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How safe Cusco is for tourists: theft, taxis, nightlife, protests, altitude and adventure tours. Areas, times of day and what to do in an emergency.
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How to travel between Cusco and Lima: 1–1.5-hour direct flights or a roughly 20–22-hour bus, routes, approximate prices, stops in Nazca and Ica, altitude tips.
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Cusco transport guide: walking the centre, taxis and approximate fares, ride-hailing apps, city buses, colectivos to the Sacred Valley and safety tips.
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How to get from Cusco to Puno: direct bus (about 6–7 h), tourist bus with stops at Raqchi and La Raya, scenic train or flight to Juliaca. Altitude, tips and what to see on Titicaca.
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How to travel from Cusco to La Paz: bus via Puno through Desaguadero or Copacabana, travel time, border crossing, Bolivia entry requirements, flights and practical tips.
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How to get mobile data in Cusco and Machu Picchu: an eSIM before you travel, a local SIM with your passport, coverage in the Sacred Valley and on treks, wi-fi and tips to stay online.
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How to get from Cusco to Arequipa: overnight bus (duration, classes, safety), direct or connecting flights, the route via Puno and Titicaca, the luxury train and altitude tips.
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All about coca leaf in Cusco: its cultural role, how it's used (tea, chewing, sweets), what's known about altitude sickness, drug tests and why you shouldn't take it home.
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How to handle money in Cusco: the Peruvian sol, ATMs and fees, exchange offices, US dollars, card payments, tipping, fake notes and safety tips.
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Visiting Cusco and Machu Picchu in the rainy season (November to March): weather, the February Inca Trail closure, treks, what to pack, upsides and planning tips.
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Transport from Cusco to the Sacred Valley: colectivos to Pisac, Urubamba and Ollantaytambo, taxis and private transfers, from the airport, tours and trains, with rough times and tips.
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Health tips for Cusco: recommended vaccines, yellow fever and the jungle, altitude sickness, drinking water, UV index, stomach issues, first-aid kit, pharmacies and insurance.
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How and where to store luggage in Cusco while you visit Machu Picchu or trek: hotel storage, left-luggage services, train baggage limits and safety tips.
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Is Cusco worth it beyond Machu Picchu? What to see in the city, the Sacred Valley and the mountains, who it suits, real downsides and 3 to 7-day itineraries.
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Things to do in Cusco: the city's essentials, Machu Picchu, the Sacred Valley, day trips, treks, food, markets and festivals, with 1- to 3-day plans.
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Packing list for Cusco and Machu Picchu: layered clothing, dry and rainy season, the backpack size allowed at Machu Picchu, an altitude first-aid kit, documents and what to leave home.
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PeruRail vs Inca Rail to Machu Picchu: classes (Expedition/Vistadome vs Voyager/360°), stations, seasonal Poroy, bimodal service and tips. Verify official prices and times.
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A 5-day Cusco itinerary: sleep in the Sacred Valley first, visit Machu Picchu, then explore Cusco. Daily plan, booking order and 7-day extension.
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How to get from Cusco to Nazca and the Huacachina oasis: a direct bus of about 15 hours or via Lima, Nazca Lines flights, sandboarding near Ica and a 3–4 day route.
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Where to buy official Machu Picchu tickets, how far ahead, approximate prices, entry time slots, in-person tickets in Aguas Calientes and common mistakes.
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What to check before booking a tour in Cusco: licence, what's included, group size, guide, porter welfare, cancellation, payment and booking online vs on the street.
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How to reach Machu Picchu without the outbound train: van from Cusco to Hidroeléctrica via Santa María and Santa Teresa, the walk along the tracks to Aguas Calientes, timings, risks and tips.
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Learn greetings and useful Quechua phrases for Cusco: hello, thank you, please, how much, numbers, words you'll see everywhere and tips to use them respectfully.
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How to visit Cusco cheaply: an indicative daily budget, hostels, set lunches, local transport, the Tourist Ticket, budget Machu Picchu, free things to do and costly mistakes.
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How to study Spanish in Cusco: course types, private or group classes, homestays, cultural activities, volunteering, rough prices and how to choose a school.
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Living and working remotely from Cusco: internet quality, neighbourhoods, coworking, cost of living, altitude, visas, time zone, community and practical tips.
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Guide for women travelling solo to Cusco: safety, taxis, accommodation, group tours and treks, nightlife, ceremonies, clothing, meeting people and emergency numbers.
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Rules for visiting Machu Picchu: passport and timed ticket, one-way circuits, bag size, banned items, guides, toilets, food, clothing and what to bring.
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Trekking gear in Cusco: renting sleeping bags, poles and jackets, outdoor shops, what agencies include, what to bring from home, checking gear and a packing list.
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A practical guide to shopping at Cusco's markets: typical hours, cash, respectful bargaining, the yapa, photos, pickpockets and which market to choose.
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Before buying souvenirs in Cusco: which products are banned or restricted when leaving Peru and entering your country (coca, seeds, vicuña, antiquities, food).
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Where to shop for groceries in Cusco: Real Plaza with Plaza Vea, Tottus, central minimarkets and markets. What to buy before a trek, pharmacies and payment tips.
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How to do rafting, ziplining, paragliding, canyoning or ATV tours in Cusco safely: choosing an operator, checking gear, altitude, weather, insurance and red flags.
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A 3-day Cusco itinerary: acclimatize on day 1, city and nearby ruins on day 2, Sacred Valley or a short day trip on day 3. Altitude tips, tourist ticket and useful links.
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