Annapurna Circuit - 16 Days

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Activities: Trekking Fitness Level: Fairly Challenging
Max Elevation: 5,416m/17,769ft at Throng-La top Transportation: Private vehicle/Flight
Best Month: Mar - May & Sept - Dec Group Size: 1 - 10 Persons
Arrival on: Kathmandu Departure from: Kathmandu
Meal: Full board Meals on Trek/Breakfast in the cities
Accommodation: Hotel/ Mt. Lodge & Guest Houses
Price: USD:1650
https://www.nepalvisiontreks.com

Trip Introduction

Annapurna Circuit Trek is the most popular trek in the Annapurna Region. The trek is very famed for the dramatic deep gorges, desolate high mountain passes, fantastic viewpoints like Poon Hill, temples of multiple cultures, villages, and not to forget the stunning views of the Annapurna Summits.

Annapurna Circuit Trek Trip Introduction:

The trek lies in the Annapurna region, the region that surrounds the entire Annapurna massifs. The trek also includes an adventurous crossing through Thorung La Pass(5,416m) and Kaligandaki Gorge, the world's deepest gorge. You can also enjoy the views of the Himalayas from Poon Hill. The trekking trails of the Annapurna Circuit trek include a short trip to a major pilgrimage destination for the Hindus and Buddhists, Muktinath temple.

On the trek, you can also enjoy the amazing view of the panoramic scenarios of the Himalayas that includes the majestic Mt. Dhaulagiri(8,167m), Mt. Annapurna I(8,091m), Mt. Manaslu(8,163m), Mt. Annapurna II (7, 937m), Mt. Annapurna III (7,555m), Mt. Annapurna IV (7,525m), Mt. Annapurna south (7,219m), Mt. Nilgiri (7,041m), Mt. Machhapuchhare (6,998m), Mt. Hiunchuli (6,441m), Mt. Lamjung Himal (6,986m), Tukuche peak (6,920m), and Tilicho peak (7134m).

Outline Itinerary

Itinerary Outline:

1st Day: Arrival day in Kathmandu (1,300m/4,264 ft)
2nd Day: Drive to Beshishahar (830m/2,723ft) 6-7 hrs drive
3rd Day: Trek to Bahundanda (1,310m/4,298ft) 5-6 hrs walk
4th Day: Trek to Chamje (1,410m/4,626ft) 5-6 hrs walk
5th Day: Trek to Dharapani (1,960m/6,430ft) 5-6 hrs walk
6th Day: Trek to Chame (2,710m/8,891ft) 6-7 hrs walk
7th Day: Trek to Pisang (3,200m/10,496ft) 5-6 hrs walk
8th Day: Trek to Manang (3,500m/11,482ft) 4-5 hrs walk
9th Day: Acclimatization day at Manang (3,500m/11,482ft)
10th Day: Trek to Yak Kharka (4,110m/13,484ft) 3-4 hours walk
11th Day: Trek to Throng Phedi (4,400m/14,432) 3-4 hrs walk
12th Day: Trek to Muktinath (3,800/12,467ft) via Throng La (5,416m/17,765 ft) 7-8 hrs walk
13th Day: Trek to Jomsom (2,710m/8,888ft) 3-4 hrs walk
14th Day: Fly from Jomsom to Pokhara (823m/2,700ft),
15th Day: Drive to Kathmandu (1,300m/4,264 ft) 5-6 hrs drive
16th Day: Departure from Kathmandu
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Day to Day Itinerary

Detailed Itinerary: 

#@#Day 01: Arrival day in Kathmandu (1,300m/4,264 ft) 
#@#Welcome to the country of the Himalayas, Nepal. On your arrival at the Tribhuvan International Airport, one of our representatives will be there waiting for you to help you with further transfer to the hotel in Kathmandu. After getting refreshed, we'll meet again and go for a welcome dinner at a traditional Nepalese restaurant. You will also get a short briefing about the further trip. You'll spend the night at the hotel.

#@#Day 02: Drive to Beshishahar (830m/2,723ft) 6-7 hrs drive 
#@#On the second day of the trip, we will leave Kathmandu for our long trek to Annapurna early morning. We will drive by private vehicle to Beshishahar through the beautiful Nepalese countryside. Beshishahar is a big town. You will explore the surrounding area in the remaining time. Overnight at the hotel.

#@#Day 03: Trek to Bahundanda (1,310m/4,298ft) 5-6 hrs walk 
#@#We will start the trekking from Beshishahar taking in the beautiful view of Hiunchuli and peak 29 (Ngadi Chuli). We will cross through some local wooden & bamboo bridges on the way to Bhulbhule.  Then the trek will continue to Ngadi village where we will stop for lunch passing through a waterfall on the river bank. We will reach Bahundanda for our overnight stay. Bahundanda is a nice village on the top of the hill and you may have a chance to explore the evening time to the local village of the place.

#@#Day 04: Trek to Chamje (1,410m/4,626ft) 5-6 hrs walk 
#@#After an early breakfast, the trek will descend to Syange village crossing fields and local villages. After a short downhill walk, we will reach Syange village crossing a long suspension bridge. The trek will continue gradually uphill from the river. We will take a last steep climb to get to Jagat for a lunch stop. Then, we will walk for an hour further to reach a rocky path taking us to a long scenic waterfall across the river. We finally reach Chamje for an overnight stop.

#@#Day 05: Trek to Dharapani (1,960m/6,430ft) 5-6 hrs walk 
#@#The fifth day of the trek will start with a short walk from Chamje that will bring you to a suspension bridge over the raging Marshyangdi River. After crossing the bridge, it's another steep climb for another 2-3 hours till we reach Tal, the village is situated on the gorge valley by the side of the river Marshyangdi and decorated with a beautiful waterfall & sandy spread river. Our further trek will follow the upstream up to Dharapani, which is through the rocky trails. Crossing a few suspension bridges and small teashops brings us to a large village at Dharapani for the overnight at the hotel.

#@#Day 06: Trek to Chame (2,710m/8,891ft) 6-7 hrs walk 
#@#We will continue our trek further to Chame. The air gets cooler as the vegetation, people, and landscapes change eventually. The trails will then climb through pine forests to Bagarchhap, the first village on the trek with typical Tibetan architecture. After a pleasant walk to Bagarchhap, we might experience a slight altitude gain as we come to Danaque. The alpine region passes through farms, orchards, and beautiful pine forests with views of the towering peaks of Lamjung and Annapurna II. Then the trail will follow the river Marshyangdi upstream passing by the Tamang villages and Koto. After half an hour, we reach Chame for an overnight at the hotel. Chame is the headquarter of the Manang district with a grand view of Annapurna II.

#@#Day 07: Trek to Pisang (3,200m/10,496ft) 5-6 hrs walk 
#@#The trail will lead from the other side of the river on the northern bank passing through pine woods and small villages with few ups and downs till we reach the orchard village of Bhartang. We will continue on the gradual path up to a bridge. From the bridge, we will take a short steep climb through the pine forest that will bring you to the top of the ridge of Dhukur Pokhari for the lunch. After walking out of the tree line, we can enjoy a great view of Pisang Peak on the north. We can also enjoy the view of the beautiful Chulu peak from Pisang village. We will further go for a gentle descent of one hour that will bring us to the windswept village of Pisang for our overnight stay. You can take the evening visit to the upper Pisang to enjoy the sight of the Tibetan-style houses and monastery surrounded by panoramic views of the Annapurna range.

#@#Day 08: Trek to Manang (3,500m/11,482ft) 4-5 hrs walk 
#@#The eighth day of the trek will start with a pleasant walk through the pine forest and the scenic view. The walk will then climbs gently up for half an hour till we reach the top. We will stop at a ridge to get the first view of the Manang Valley. This grand spot offers spectacular views of the Humde village with its short airstrip and the great peaks of Gangapurna, Annapurna II & III, Tilicho, Chulu, and Pisang Peak. Then, We walk forward towards inner Humde taking a pleasant walk that thoroughly takes us up to the Braga village. The village consists of traditionally built-up Tibetans style of houses. If we have some spare time, we will visit the monastery which has an outstanding display of statues, Thanka paintings, and religious manuscripts. From here it is only an hour's walk to Manang for the day's overnight.

#@#Day 09: Acclimatization day at Manang (3,500m/11,482ft) 
#@#We will take a full day for acclimatizing and exploring Manang. Manag is a village of about 500 flat-roofed houses, that has a picturesque set amongst some spectacular scenery -Annapurna II, Annapurna III (7,555 meters), Gangapurna (7,454 meters) to the South - Tilicho (7,132 meters) and the Grand Barrier to the West - Chulu West (6,583 meters) and Chulu East (6,059 meters) to the North. After exploring and relaxing day at Manang, we will take a short visit to the Himalayan Rescue Association.

#@#Day 10: Trek to Yak Kharka (4,110m/13,484ft) 3-4 hours walk 
#@#After a wonderful time at Manang, the trail will lead us to Tenki Manang by a slow climb up for an hour. The place offers a much-enclosed view of the Annapurna, Gangapurna, and Tilicho peak. The track gently winds up through terrains with juniper bushes as the only surviving vegetation around this region. The walk will bring us to Yak-Kharka for an overnight stay.

#@#Day 11: Trek to Throng Phedi (4,400m/14,432) 3-4 hrs walk 
#@#We will start our trek at a slow and own pace to get to Phedi. We will have some time to enjoy the amazing views of mountains and landscapes to enjoy. After an hour's walk, we will reach the Ledar from where we continue the climb along the east bank of the Jorsang Khola. We then descend and cross the stream on a suspension bridge to get a small tea shop. We stop for a wonderful view and tea breaks. After the break, we will follow a narrow path across a high, unstable slope to head towards Thorong Phedi for the overnight. Phedi, which means 'foot of the hill', is a common Nepali name for any settlement at the bottom of a long climb.

#@#Day 12: Trek to Muktinath (3,800/12,467ft) via Throng La (5,416m/17,765 ft) 7-8 hrs walk 
#@#The 12th day is the longest and hardest day of the whole trip. We will start our walk early in the morning with packed lunch. The trail becomes steepest initially and reaches a high camp going further. We will walk at our own pace viewing with sunrise and glimpse of the mountains. We continue the walking for about 3-4 hrs which will end after reaching the Throng top. Reaching the top, we get a great feeling of victory. We will stop for a short break for picturesque scenery and walk down to the Mustang. Finally, we reach Muktinath after a 7-8 hrs long walk. Overnight at lodge.

#@#Day 13: Trek to Jomsom (2,710m/8,888ft) 3-4 hrs walk 
#@#We will visit the Muktinath temple in the morning and continue our journey descending to the Kaligandaki river valley floor with a brief stop at Ekle Bhatti. The Ekle Bhatti is a lonely teahouse. The valley gets a very windy path onwards here and the walk follows the gentle trail for another two hours till we reach the large town of Jomsom. The town is the headquarter of the Mustang region with a small airstrip just above the Kaligandaki River. You can reconfirm your flight. Overnight stay.

#@#Day 14: Fly from Jomsom to Pokhara (823m/2,700ft)
#@#After breakfast, we will fly to Pokhara and drive to the lakeside at Pokhara. We will spend the evening exploring the surrounding lakeside areas and overnight at the hotel.

#@#Day 15: Drive to Kathmandu (1,300m/4,264 ft) 5-6 hrs drive 
#@#We will take a very early morning drive in a private vehicle starting from Pokhara to reach Kathmandu. We enjoy the ride with the local countryside view throughout the journey. On arrival at Kathmandu, We check in to the hotel. You can take the rest of the time relaxing or exploring the surrounding areas.  Overnight at hotel.

#@#Day 16: Departure from Kathmandu 
#@#The last day can be a chance for you to do any last-minute shopping for souvenirs or gifts for your family, friends, or relatives. You are also free to explore the surrounding or start any extra trips or activities you may have booked with us. If you plan to depart, you'll be transferred to the International Airport for your departure flight to your onward destination.
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Trip Includes

Trip Cost Includes:

✅ All airport and hotel transportation by private vehicle in Kathmandu as per the itinerary suggested.
✅ Deluxe twin-sharing accommodation in Kathmandu with breakfast
✅ Farewell dinner in Kathmandu (Alcoholic beverages are excluded)
✅ Kathmandu to Pokhara & Pokhara to Kathmandu travel cost.
✅ Full board meal (breakfast, lunch, dinner, tea & coffee) during the trek
✅ Seasonal fruits during the trek are provided
✅ Comfortable & clean accommodation on teahouse/lodge/tent during the trek
✅ Government Registered Trek guide (English speaking, First Aid and eco trained), Sherpa porter (one porter for two trekkers)
✅ All necessary paper works, Annapurna entry fee, permits & TIMS card
✅ Four seasonal sleeping bags, Nepal Vision Treks duffel bag,  and trekking map (sleeping bag  to be returned after trip completion)
✅ First aid exclusive medical kit bag
✅ All government and local taxes

Trip Excludes

Trip Cost Excludes:

❌ Visa fees (You can obtain a visa easily upon your arrival at Tribhuwan International Airport in Kathmandu so (bring accurate USD cash and two passport photographs)) International airfare to and from Kathmandu
❌ Lunch and dinner in Kathmandu & Pokhara except for welcome & fare well dinner (and also in the case of early return from the mountain than the scheduled plan)
❌ Any extra night accommodation in Kathmandu because of early arrival, late departure, and early return from the mountain (due to any reason) than the scheduled itinerary plan
❌ Travel and rescue insurance
❌ Personal trekking Equipment Personal expenses e.g. phone calls, laundry, bar bills, bottle or boiled water, shower
❌ Tips for drivers, guides, and porters cost arising out of landslides, road blockade, and rescue of any form or reasons beyond our control
❌ Any extending trips
❌ Any others expenses which are not mentioned in Price Includes section.

Equipments

More Info:

Clothing & Packing Information
Correct Clothing & Equipment’s are essential for a safe and enjoyable trek. Experienced trekkers will often take only a selection of these items based on what has worked in the past. Please find the equipment list below for your personal use during your travel with us.

We are advised to consider the following equipment’s as essentials while packing for the Everest Base Camp Trek. Adjustments to the list can be managed according to our requirements, interests, duration of trip, and season of trip.  We can find variety of these gears to buy in Kathmandu. Majority of the gears which are in sale in Kathmandu are locally is much cheaper and must be tried on carefully and checked carefully for quality, but on the whole it is OK. We can find very high quality branded gears too in some famous stores in Kathmandu; mostly top notch imported gear, Mountain Hardware, The North Face, Marmot, Black Diamond climbing gear plus head torches and others, and prices are reasonable.

The hotel stores free of cost whatever you don't take trekking, and of course they have a laundry service. You might want to plan with a clean set of clothes for your return from the trek.

Who carries what?
You carry a daypack with your camera, a jacket, water and day snacks. The porters will carry everything else, so pack this in a duffel/kitbag rather than backpack. Since, luggage has weight limitation of approximately 33 pounds or 15 kg.

Important documents 
• Passport (must be valid for 6 months after trip), 2 extra passport size photos, airline tickets
• Photocopy of the information pages of your passport and Insurance
• Insurance – this MUST include helicopter rescue, repatriation and medical coverage. Money – US$200 to US$300 personal spending for trek and for Kathmandu depending on souvenir hunting (but don’t change money at the airport as you will get a better rate of exchange in the Thamel District of Kathmandu).
• Credit cards, Bank/ATM/Cash machine cards for withdrawing funds from cash machines.
 

Packing List 
»Running shoes»: 1 pair for casual comfortable support shoes wears on lighter walking days.
»Hiking boots»: 1 pair of sturdy hiking boots. Sole should be flexible but still provide enough support for your feet. Boots should be very water repellent.
»Wool socks»: 2 pairs of thin, lightweight inner socks and 2 pairs of heavy poly or wool socks
» Gaiters»:Only for winter, optional, “low” ankle high
»T-Shirts» Polypropylene shirts (2 half sleeve and 2 long sleeves), Light and expedition weight thermal tops
»Jacket» Fleece wind-stopper jacket or pullover, Waterproof (preferably breathable fabric) shell jacket, Down vest and/or jacket and Gore-Tex jacket with hood, waterproof and breathable
»Trekking pants» Non-cotton underwear briefs, 1 pair of Hiking shorts, 1 pair of Hiking trousers, 1 pair of lightweight thermal bottoms (seasonal), 1 pair of fleece or woolen trousers and 1 pair of waterproof shell pants, breathable fabric
»Head wears» Bandana or head scarf, useful for dusty conditions also, Warm hat that covers your ears (wool or synthetic), Headlamp with extra batteries and bulbs, Sunglasses with UV protection
»Hand wears» 1 pair of lightweight poly-liner gloves, 1 pair of lightweight wool or fleece gloves, 1 pair of mittens, consists of 1 Gore-Tex over mitt matched with a very warm polar-fleece mitt liner (seasonal)
»Sleeping Bag»: High quality with hood to at least - 10 Degree Celsius or 14 degrees F (Company provide you sleeping bag for this trek)
»Rucksack and Travel Bags» 1 medium rucksack (60-80 liters/3500-4500 cubic inches, can be used for an airplane carryon), 1 large duffel bag (Company provide you duffle bag for this trek), A small daypack/backpack for carrying your valuables, should have good shoulder padding, Small padlocks for duffel bags, large waterproof rucksack covers (optional)
»Trekking Poles»: Optional
»Water treatment tablets»: Iodine or Chloride Dioxide tablets. A small bottle or multi pack is sufficient. Taste neutralizer tablets remove iodine taste. Chloride Dioxide formulas will not discolor water
»Water Bottles» 2 Wide mouth bottles with minimum 1 Liter capacity per bottle No water bag or bladder systems; they freeze or are hard to fill.
»Pee Bottle» (Optional) but very useful
»Pee funnel for Women» (Optional) Lightweight urinary director (For minimal undressing for discreet use)
»Sunscreen» SPF 30 or better, 2 small tubes and make sure that the sunscreen is not older than 6 months. Sunscreen older than six months loses half of its SPF rating.
»Hand/foot warmers»: (Optional) recommended if you easily get cold hands and feet 1-3 pairs.
»Lip screen»: SPF 30 or better, at least 2 sticks. Not older than 6 months
»MP3 player» (Optional) Flash memory only players since hard drive players do not work at high altitude (above 13,000ft). Chargers can be used at several lodges along the way.
»Towel» Bring towel for trekking. »Toiletry bag» Include toilet paper, soap, towel, and toothpaste & brush, Wet wipes 1-2 per day and hand sanitizer: Hand moisturizer.
»Extra luggage» Please note you do not need to take all your gear with you while trekking - luggage can be safely stored at the hotel in Kathmandu and collected at the end of your trek.

First aid 
»Personal first aid Kit (small and simple)» Aspirin, Moleskin, Adhesive tape and Band-Aids.
»Drugs/medications/prescriptions» Trekker should bring Mupirocin (Bactroban) cream; excellent topical antibiotic for scrapes and cuts.
Cirprofloxin (Cipro) 500mg tablets for traveler’s diarrhea and for urinary tract infections. Loperamide (Lomotil) or Immodium for diarrhea.
Acetazolamide (Diamox) 125 or 250mg tablets for altitude sickness.
Ibuprofen (Advil, Motrin) 200mg tablets for altitude headaches.
Acetaminophen (Tylenol) 325mg tablets for stomach sensitivity.

This above list is only a guideline for you. While you are required to bring everything on this list, there are numerous options, brands.

Physical Condition and requirement

Useful info

Useful Information for the package:

Passport and Visa Requirements
All foreigners require a visa for entry into Nepal (except Indian nationals). It is your responsibility to obtain an entry visa. You can get it from a Nepalese embassy overseas or on arrival in Kathmandu, Nepal. Most people will obtain their visa on arrival at Kathmandu airport. You will need two passport photos and the following fees in US Dollar cash (this is payable in any major currency but NOT traveler's cheque) dependent upon the duration of the multiple entry visas:

  1. Multiple entries 15 days US$ 30 or equivalent convertible currency
  2. Multiple entries 30 days US$ 50 or equivalent convertible currency
  3. Multiple entries 90 days US$ 125 or equivalent convertible currency

Travel Insurance: 
Travel Insurance is mandatory for booking any of Himalayas Nepal Vision’s Adventure packages. Trekking in the Himalayas is full of fun and adventure but you have to be prepared for risk management. While you are in High Altitude region, there are higher risks of difficulties. You may suffer from various health problems, injuries, and illnesses. Even High altitude sickness can tear up your perfect itinerary. And that’s where travel insurance can save you from distress or at least from some of the costs, depending on the policy you buy. For your adventure, Travel insurance is a safety net if things go wrong. At times, even a helicopter may be needed along with a rescue team, for ground evacuation, so, every traveler must have rescue insurance covered against personal accidents, medical expenses, emergency air ambulance/helicopter rescue service accidents, and personal liability. Start your trip with all the necessary health & traveling insurance for your safety.

Having good travel insurance will not only guarantee you peace of mind while you travel with us but also provide you with complete cover for anything things that may go wrong.

Trip Meal Plan 
Eating is a big part of traveling. With Nepal Vision, you will experience the vast array of wonderful food that is available in the Mountains. Nepal Vision will provide Traveling Mountains meals (breakfast, lunch & dinner) that crews require on the trail. On this trip, you can enjoy both traditional Nepalese three-time served as Dal Bhat (rice and lentils), as well as a variety of different food items, such as vegetables, noodles, potatoes cuisine served and soup along with some, Nepali versions of western food such as pizza, pasta, and French fries. Breakfast and dinner will be served from the teahouse or lodge menu where we will spend the night. Lunch will be eaten at one of the trailside restaurants. A welcome dinner, a farewell dinner, and breakfasts will be served during our stay in Kathmandu.

When an individual is allergic to some food products, requires a special diet, or has specific religious food needs, we will arrange it as per your requirements on request. Also, the crew will carry fresh, fruit supplies at a time along the trail. Our guides will carefully be checked for the quality and quantity of the food in every teahouse. Explicit cooking directions are indicated on each food for your convenience.

Trip Accommodation 
During this trip, we will spend a few nights in Kathmandu at four-star standard hotels. We will spend the nights at standard mountain teahouses. A Tea House is a combination of a guesthouse, restaurant, and social hang-out. Private rooms are available in most tea houses. The lodges are fairly basic. The rooms are spare with twin beds and very little additional furniture. Blankets are generally provided. Most bathrooms are shared and toilets are the western version. Most of the Teahouses have running water facilities while some of them may also have hot water available for bathing at an additional cost. It is advisable to carry wet wipes as an alternative.

There is a large dining room more like the lounge, warmed by an iron cylinder, fitted with a chimney duct, in which a log fire is lit. Most teahouses now also have electricity for charging small appliances, mobile phones, and cameras. Some might charge a small amount for this.

Best time to visit Nepal 
Nepal is for all seasons! But because of the huge range in altitude and landscape, the climate of Nepal differs significantly throughout the country. The most recommended seasons for trekking are autumn (Sept, Oct, Nov) and spring (March, April, and May). In these seasons you will be rewarded with good weather, sunny and warm with clear skies and outstanding views. During monsoons (June, July, Aug) although there will be no problem with trekking, the issue could be less visibility and rain. For the student of botanicals, a monsoon is a blessing as the higher valleys, mountains, and meadows blossom with flowers and abundant vegetation. You can also trek in winter (Dec, Jan, and Feb). Only, the issue will be cold weather with snowfall at higher elevations.

The trekking routes are filled with trekkers during spring and autumn but during monsoon and winter the routes are not packed and you could enjoy rather the best of nature. However, because of the effects of global warming, the climate is changing worldwide and there could always be the possibility of exceptions in these weather patterns. There could be a hoax of bad weather and sometimes even in adverse months during the best seasons too. 

Leader(s) & Staff 
The Trek Leader of your group has a role to ensure all aspects of the trip run smoothly. Our guides are intimately familiar with all local castes and customs along the trails and will share with you many cultural insights that are not covered in any guidebook. You will have a good chance to learn Nepali phrases, cultural things, and more on your trekking. Nepal Vision trained its guide/trekking staff on the following course:

  • Intensive Wilderness First Aid
  • Trekking Guide Training
  • Eco Trekking Workshop and Adventure Meet
  • English Language
  • Conservation and Biodiversity
  • Rock Climbing, Ice Climbing, and Mountaineering (For expedition leaders)

Altitude Information
What is Altitude? 
Altitude is known as elevation, and it is often used to refer to the height above sea level. Altitude is related to air pressure. Trekkers and mountaineers can measure their altitude by measuring the air pressure around them. As the altitude rises, air pressure drops. In other words, if the indicated altitude is high, the air pressure becomes low. The human body reacts to high altitudes. Decreased air pressure means that less oxygen is available for breathing. One normal effect of altitude is shortness of breath since the lungs have to work harder to deliver oxygen to the bloodstream. It can take days and even weeks for a body to adjust to high altitude and low air pressure. To prevent severe altitude sickness, mountaineers bring supplemental (extra) supplies of oxygen and limit their time in the 'high elevation'.

Acclimatization 
We are experts at operating adventure trips at high-altitude destinations. Every trip we run has a realistic acclimatization program. Our treks are designed to allow gradual height gain, spread over several days. There is no way of predicting who will suffer from altitude but, for the vast majority of people, a slow ascent to height will produce minimal effects. Acclimatizing takes time and there are no safe shortcuts. All trips to altitudes over 3,000 meters carry medicines essential to the treatment of altitude illness, and our leaders are trained to administer them and to know the symptoms.

Symptoms & signs of Acute Mountain Sickness

  • Headache (typically throbbing, often worse for bending over or lying down), Additionally one or more of the following symptoms might be seen:
  • Tiredness, weakness
  • Lightheadedness
  • Loss of appetite, nausea (or vomiting)
  • Insomnia, disturbed sleep
  • Dizziness, fatigue, lethargy, heavy legs

Treatment 
The only cure for mountain sickness is either acclimatization or descent to a lower altitude as soon as possible. In the presence of these symptoms, medical attention must be sought immediately in conjunction with a descent to the lowest possible height.

  • Rest (avoid even the slightest exertion if this is possible) at the same (or lower) altitude until the symptoms clear (up to 4 days)
  • Drink enough to keep your urine pale and plentiful
  • Use ibuprofen or paracetamol for headache
  • Consider Diamox™ (125 to 250 mg 12-hourly) for 3 days, or for the rest of the time at altitude if symptoms return
  • Consider Stemeti™l (or other anti-vomiting medication) for persistent nausea/vomiting
  • If AMS symptoms are severe, give oxygen (1 to 2 L/min) OR use a pressure bag until symptoms clear
  • Check the victim regularly for signs of HAPE and HACE, especially during the night
  • Descend far enough to clear symptoms (at least 500m/1640ft) if symptoms of AMS do not improve or get worse

What do we do if we are affected by Altitude Sickness? 
Sometimes trekkers might suffer from ailments like altitude sickness, heart problems, dysentery, or fracture while trekking in the Himalayas. While there are clinics at some places for minor ailments, major hospitals are days away from most of the trekking trails. So, a client’s life could be at risk if he/she is not rescued immediately. If you find yourself ill or injured in the mountains, Nepal Vision Treks will arrange rescue and evacuation services for our clients.

Helicopter rescue services will rarely come to your aid without you either making a cash deposit or a promise in Kathmandu. While you are traveling with us, we can become the guarantor for the helicopter operators, make the initial payments, and send a helicopter for your rescue. We claim the amount later from you or your insurance. Please make sure you have travel insurance that covers emergency helicopter services for rescue to avail of this service.

Our expert and trained guides are very experienced in dealing with the effects of higher altitudes. They are equipped with necessary first-aid medical supplies and will assist with basic first-aid treatment. The safety of our clients is taken very seriously and conducted the operation swiftly and didn’t panic for a second to come up with a proper operation.  

Vaccination: 
Vaccination is the most important thing to consider while traveling to prevent possible diseases. For traveling to Nepal, we recommend you take vaccines against Polio, Tetanus, Typhoid, Hepatitis A, etc. However, it is not a must to have but it is recommended. You should check up with your doctor before the departure of your trip. Your doctor will have access to the most up-to-date information on the required vaccinations for the country you will be visiting.

Extra Expenses Information
You are responsible for your expenses, a cold beverage, mineral water, extra meals, and drinks (more than 3 meals a day), and other services which are not mentioned in our service Includes column. So you should be planning to bring at least US$20 to US$30 per day for these expenses. It is not necessary to obtain local money before departure. Nepal has modern banking facilities so you can use ATMS in Kathmandu where you can easily use your credit card, Debit card, Master card, Visa card, etc. to withdraw local currency.

COVID Precautions
Fully vaccinated travelers don't require a pre-departure PCR test for COVID-19 to enter Nepal. You must bring the vaccination certificate completed at least 14 days prior to arrival at the Airport. In case you are not fully vaccinated or have not completed a full dose of vaccination at least 14 days prior to your arrival in Nepal, you have to bring a COVID-19 test report which can be either RT-PCR, Gene Experr, True NAAT, or WHO accredited test that shows the negative result done within the last 72 hours of boarding from the first airport. In case you are entering through the land border, you will need to do the test within 72 hours before entry. The provision will not be accepted for children below 5 years.

Things to Consider
There are a few important things you need to know before traveling to Nepal so that you can have a smooth journey to Nepal.

  • Be prepared for major emergencies. Nepal experiences natural calamities like Earthquakes, Landslides, floods, and several others. Carrying an emergency kit with necessary first aid supplies and bottled water will be a great help. 
  • Take care while you photograph as it's illegal to photograph army barracks, checkpoints, many temples, and many other areas. 
  • Don't use any illegal drugs. The government of Nepal might take this as a severe charge and also might ask for a sum of penalties for drug offenses.
  • Check with your intended tour provider despite Nepal issuing trekking and mountaineering permits. 
  • Exchange foreign currencies for NPR which will be available at banks or any exchange bureaus. Those can be found in major centers. Most hotels and restaurants accept credit cards but it's better to carry some fleece cash. Make sure you carry enough cash to cover your needs because not all areas have ATMs. 
  • Use the registered taxis. Some taxi drivers may take ask for higher amounts by fooling novice travelers, so make sure you consider checking for prices. 

FAQ

Frequently asked questions:

#@#How difficult is  Annapurna Circuit?
#@#Annapurna Circuit Trek is a moderate trek. As it is the longest trekking route in the region, it can be harder for a beginner trekker to complete the journey without prior training and preparation.

#@#Is the Annapurna Circuit still worth going to?
#@#Yes, the Annapurna Circuit trek is very worth going. Despite the vehicle road construction along the way and the difficulties you will face, the trek will be worth going after the beauty you will be blessed with in the trail and destination.

#@#How long does it take to hike the Annapurna Circuit?
#@#The Annapurna Trekking circuit is a long journey. On average, the trek can be climbed in 16 days. People climb the trek for 12-22 days.

#@#What is the Annapurna Circuit trek? 
#@#The Annapurna Circuit is a popular trek in Nepal that circumnavigates the Annapurna mountain range. The trek offers stunning views of the Himalayas, varied landscapes, and a glimpse into the unique culture of the Himalayan people.

#@#How long does it take to complete the Annapurna Circuit trek? 
#@#The Annapurna Circuit trek usually takes about 20 days to complete, including rest days. However, it can be done in as little as 15 days or as long as 25 days, depending on your pace and itinerary.

#@#What should one pack for the Annapurna Region trek?
#@# It is essential to pack essential trekking gear such as sturdy trekking boots, warm clothing, a backpack, sunglasses, sunscreen, a hat, and a sleeping bag. A good quality trekking pole is also highly recommended.

#@#Is it necessary to have a guide or porter while trekking to the Annapurna region? 
#@#While it is not mandatory to have a guide or porter while trekking to the Annapurna region, it is highly recommended. A guide can assist you in navigation, communication with locals, and ensuring that you follow the correct trail, while a porter will carry your bags, easing the load on your back.

#@#What are the risks involved in trekking to Annapurna Region? 
#@#The risks involved in trekking to ABC include altitude sickness, physical injuries, and the possibility of natural disasters such as landslides or avalanches. However, with proper preparation and guidance, these risks can be minimized.

#@#What is the best time of year to trek the Annapurna Circuit? 
#@#The best time to trek the Annapurna Circuit is from March to May and from September to November. During these months, the weather is mild, the skies are clear, and the views are stunning. However, trekking during the monsoon season (June to August) is not recommended due to the heavy rainfall.

#@#Do I need a sleeping bag on the trek to Annapurna Circuit?
#@#Yes, you will need a winter sleeping bag to handle the low-freezing temperature during the trek to Annapurna Circuit. This is the most needed thing to stay away from the cold.


Source:https://www.nepalvisiontreks.com