The Trekker’s Handbook: Navigating Toubkal Altitude Sickness

While a trek to Toubkal promises breathtaking views and an unforgettable experience, it’s crucial to be aware of Toubkal altitude sickness. Fortunately, trekking in Morocco does not have a high risk for altitude sickness. It would be a pity to let fear of this unlikely ailment put you off a visit to the stunning High Atlas Mountains!
Even so, at Skyhook Adventure we believe it's always better to be safe than sorry! Let’s arm you with essential tips to conquer the mountain while keeping altitude sickness at bay.

Am I likely To Experience Mount Toubkal Altitude Sickness?

ridge toubkal hikers mountains
Although it's not a major issue on Toubkal, altitude sickness is something you need to consider.
So, you’ve heard the term “altitude sickness” thrown around, and you’re wondering how big of a deal it really is for your Mount Toubkal trek. 
Good news! Altitude sickness on Mount Toubkal is generally less common than on higher peaks like Everest or Kilimanjaro. That’s because Toubkal’s summit sits at 4,167 meters, considerably lower than the altitudes where severe altitude sickness is most likely to occur.
However, let’s not throw caution to the wind just yet. 

Understanding & Managing Altitude Sickness on Mount Toubkal

While the risk is lower, it’s not zero. Altitude sickness can still happen, especially if you’re new to high-altitude trekking or ascend too quickly.
hiking toubkal
Paying attention to your body and recognising symptoms of altitude sickness is the best way to prevent more severe problems.

Recognising the Symptoms

So, you’re trekking in the Atlas Mountains up the scenic trails of Mount Toubkal, and suddenly, you don’t feel quite right. 
How do you know if it’s altitude sickness or just the regular fatigue from the hike? Here are some common symptoms to watch out for:
  • Headaches: A dull ache that won’t go away? It could be the first sign of altitude sickness.

  • Nausea: Feeling queasy? That’s another red flag.

  • Difficulty Sleeping: If you find yourself tossing and turning at the mountain refuge, altitude might mess with your sleep cycle.

Now, you might think, “Oh, it’s just a headache; I’ll power through it.” 
But here’s the kicker: ignoring these symptoms can lead to more severe forms of altitude sickness, like High Altitude Pulmonary Edema (HAPE) or High Altitude Cerebral Edema (HACE), both of which are life-threatening and require immediate descent and medical attention.
So, if you start experiencing any of these symptoms, don’t brush them off. It’s better to address them early on, either by taking it easy for a bit or even descending to a lower altitude for proper acclimatisation.
Toubkal refuge
Not feeling as keen as this trekker? It's normal to be a bit tired but symptoms like headaches and nausea shouldn't be ignored.

The Importance of Acclimatisation

You’ve packed your gear, laced up your boots, and you’re raring to climb Mount Toubkal. But hold on a minute! Let’s talk about acclimatisation before you set your sights on the summit.
Acclimatising to the altitude is your body’s way of adapting to the thinner air up there, helping you avoid the pitfalls of altitude sickness. Skipping this step is risky and ill-advised.
So, how do you acclimatise? 
Consider spending a day or two at a higher altitude before your summit attempt. For instance, you could hike to a nearby peak lower than Toubkal but still offer a suitable elevation. This “practice run” helps your body get used to the altitude and allows you to test your gear and stamina.
Another option is to build acclimatisation periods into your Toubkal itinerary. There are many places to stay in the Atlas Mountains. You can spend an extra day or two doing shorter hikes from Imlil or another village.
Imlil, Morocco
Imlil, the base from which most trekkers embark on their Toubkal adventure
Many trekking companies, like Skyhook Adventure, offer itineraries that include acclimatisation time. These are not just for show; they’re crucial to ensuring your body is ready for the main event.
So, don’t underestimate the power of a good acclimatisation plan. It could be the difference between a triumphant summit photo and a disappointing turnaround.

Tips for Preventing Mt. Toubkal Altitude Sickness

So, you’re well-versed in the symptoms and the importance of acclimatisation. Great! But what else can you do to stack the odds in your favour? 
hiker drinking
Here are some of our tried-and-true tips to keep altitude sickness at bay:
  • Training: Training for Mount Toubkal is essential. With proper training, your body will be ready for this challenging hike.

  • Stay Hydrated: It might sound basic, but dehydration can exacerbate altitude sickness symptoms. Aim for at least 3 litres of water daily, especially when exerting yourself.

  • Pace Yourself: This isn’t a race to the top. Slow and steady wins the altitude game. Your body needs time to adjust, so don’t rush the ascent.

  • Eat Right: High-carb, low-salt foods can help combat altitude sickness. Think pasta, rice, and bananas. Avoid alcohol and caffeine, as they can dehydrate you.

  • Rest Up: Make sure you’re well-rested before your trek. Fatigue can make you more susceptible to altitude sickness.

  • Know Your Meds: Over-the-counter medications like Diamox can help prevent altitude sickness. However, consult a healthcare provider before taking any medication.

We often get asked, “Is climbing Mount Toubkal without a guide safe?” It’s not. Let’s not forget the role of guides. If you’re trekking with a guide, they’re not just there to show you the way.
They’re trained to spot the early signs of altitude sickness and can make the call to either slow down or descend if necessary. They keep an eye on Mt. Toubkal weather. Trust their expertise; it could make all the difference in your trekking experience.

When to Seek Medical Help

Alright, we’ve covered a lot of ground on how to prevent and recognise altitude sickness. But what if, despite all your best efforts, things take a turn for the worse? 
Knowing when to seek medical help is crucial, as ignoring severe symptoms can lead to life-threatening situations. 
If you experience any of the following severe symptoms, it’s time to hit the emergency brakes and descend immediately:
  • Severe Headaches: If over-the-counter pain relievers aren’t helping, it’s a red flag.

  • Extreme Fatigue: Feeling so tired that you can’t go on is a serious warning sign.

  • Shortness of Breath: If you struggle to breathe even while resting, it’s time to descend.

  • Loss of Coordination: Stumbling or difficulty walking straight indicates High Altitude Cerebral Edema (HACE), a severe form of altitude sickness.

  • Chest Pain: This could be a sign of High Altitude Pulmonary Edema (HAPE), another severe form of altitude sickness.

In any of these cases, immediate descent and medical attention are non-negotiable. Don’t try to “tough it out”; your life could be at risk. Once you’ve descended to a lower altitude, seek medical help for proper diagnosis and treatment as soon as possible.

Final Notes- Don't Skimp On Your Insurance

Embarking on a Morocco adventure to conquer Mount Toubkal is an exhilarating experience. Still, it’s crucial to be prepared.
No one likes thinking about the worst-case scenario, but we should still be prepared for it. If you are wondering 'Do I need travel insurance for Morocco?' The answer is 100% 'yes!'. This is one kit list item in adventure travel that we all need to have but hope never to use.
With the proper knowledge and precautions, you can make your trek memorable and safe. So gear up, stay vigilant, and let the mountains call you!