Essential Medicines for the Hidroelectrica to Machu Picchu Route

If you’re planning to reach Machu Picchu via the Hidroelectrica route, keep in mind that while this trek is one of the most budget-friendly and scenic options, it still requires basic health preparation. Carrying the right medications can make the difference between a smooth, unforgettable journey and a challenging one.

Here’s a practical guide to the essential medications you should pack in your backpack for this adventure.

Medication for Altitude Sickness (Soroche)

Although the walk from Hidroelectrica to Aguas Calientes takes place at a lower altitude (approx. 2,000 m / 6,560 ft), the journey from Cusco (3,400 m / 11,150 ft) passes through Abra Málaga, at over 4,300 m (14,100 ft). Many travelers experience mild altitude symptoms during this section.

Recommended:

• Sorojchi Pills or glucose with caffeine

• Paracetamol or ibuprofen for headaches

• Coca tea or coca candies as a natural alternative

Antibiotics and Antidiarrheals

Changes in diet, untreated water, or even travel stress can trigger stomach issues. Being prepared to prevent or treat traveler’s diarrhea is crucial to continue your journey worry-free.

Recommended:

• Loperamide (Imodium)

• Oral rehydration salts

• Ciprofloxacin or similar (only under medical advice)

Repellent and Antihistamines

The trek runs through the high jungle, a humid and biodiverse area. Mosquitoes and other insects are very common, especially between Santa Teresa and Hidroelectrica.

Recommended:

• Repellent with DEET or Icaridin

• Antihistamines like Loratadine or Cetirizine

• Anti-itch creams for bites (calamine, hydrocortisone)

Cold and Climate-Related Medicines

Weather on this route can change quickly: hot during the day, sudden rain, and chilly evenings. Being ready for these shifts is essential.

Recommended:

• Throat lozenges

• Nasal decongestants

• Vitamin C and multivitamins

Basic First Aid Kit

A small first aid kit is always helpful, especially if you’re walking without a guide.

Pack items such as:

• Band-aids and dressings

• Hand sanitizer and/or antiseptic wipes

• Bandages and adhesive tape

• Small scissors

• Tweezers (for thorns or splinters)

• Disposable gloves

Extra Tips for a Safe Trek

• Carry medications in their original packaging and properly labeled.

• If you take prescription or long-term medications, bring your doctor’s prescription and some extra doses.

• Consult your physician before traveling, particularly if you have pre-existing conditions.

Safe Trek, Unforgettable Experience

The walk from Hidroelectrica to Machu Picchu is an incredible adventure that combines low cost with rich landscapes and authentic exploration. With the right preparation, you’ll be able to enjoy the journey without setbacks.

Travel light—but don’t forget the essentials.