The Ladakh tour starts in Leh at the altitude of 3,500 meters, so a slow acclimatization is important. After two nights in Leh, we’ll move on to two nights in Alchi on the western Indus at an altitude of around 3,000 meters. Based on our experience, everybody should be well-acclimatized by then and the minor discomfort (dizziness, headache, insomnia) associated with high altitudes a thing of the past. So, don’t worry!
We have had hardly any cases of “real” altitude sickness on our Ladakh motorcycle tours in the last ten years.
That said, everyone reacts differently to high altitudes. We therefore recommend that you discuss the use of acetazolamide, a medication to prevent altitude sickness, with your GP.