If you live with chronic obstructive pulmonary disease (COPD), you may feel like it’s not safe for you to travel. Or you might think that planning for oxygen, medication and possible infections makes travel too complicated.
Can you travel if you have COPD? With some planning, you can manage your symptoms and explore new places without putting your health at risk.
Because COPD affects your breathing, it’s important to think about the impact of altitude, air quality, physical activity or changes in routine.
“With COPD, your lungs and diaphragm function differently compared to normal lung function,” said Arista Chand, MD, a pulmonologist with Banner - University Medicine. “So, talk with your health care provider before you go to make sure you’re prepared.”
Whether you’re flying to visit family or hitting the road for a vacation, read on to learn how to travel with confidence.
How can you plan ahead with your health care team?
“I recommend that people with COPD discuss what testing may be needed before traveling with their health care professional,” Dr. Chand said. In this conversation, you can talk about your risks and how to minimize them.
Tell your provider:
- Where you’re going, how you’re getting there and how long you’ll be away
- If you’re planning any activities like hiking or diving
- If your COPD symptoms have recently gotten worse or if you’ve had a pneumothorax (collapsed lung)
Your provider may:
- Check your lung function
- Adjust your medications
- Help you plan for oxygen use while you’re traveling
- Write a letter explaining your COPD treatment in case of emergency
- Discuss a COPD action plan, which outlines how to avoid and manage emergencies while traveling
- Update your vaccinations if needed, especially the COVID-19, RSV, influenza and pneumococcal vaccines
What should you know before flying with COPD?
Flying can be safe, but the air pressure in the cabin is lower than at sea level. This might affect your oxygen levels. “Low oxygen levels during flight could cause chest pain, palpitations (irregular heartbeat), lightheadedness or fatigue in someone with lung disease,” Dr. Chand said.
Your provider may recommend these tests to check your fitness for flying:
- Pulmonary function testing
- Oxygen saturation measurement
- Walk distance tests
- Chest imaging
- Specialized hypoxic altitude simulation testing (HAST)
You’ll want to contact the airline well in advance to learn about their rules for flying with oxygen. Ask if they allow portable oxygen concentrators (POCs) and what documentation you will need.
Many airlines require advance notice and may ask for forms signed by your provider. “It helps avoid delays if this process is performed weeks to months in advance,” Dr. Chand said.
Always bring a copy of your oxygen prescription and any other medical documentation. Keep all your medications and inhalers in your carry-on bag. That way, you can easily reach them if you need them and they won’t get lost if your checked luggage is delayed.
What are some packing tips for people with COPD?
Packing smart is important for a smooth trip. “It is especially important you have everything you need prior to traveling,” Dr. Chand said.
Pack like a pro with this list:
- Medications and prescriptions: You need your maintenance and emergency inhalers plus refills. “I often provide an emergency travel pack, which includes corticosteroids, antibiotics and instructions in the COPD action plan,” Dr. Chand said. “I also provide paper prescriptions for my patients to take with them in case medications are lost.”
- Supplies for oxygen: You may need tubing, a portable oxygen concentrator and battery packs. “Some oxygen suppliers will deliver supplies to your destination,” Dr. Chand said.
- Nebulizer: You may need a nebulizer if your symptoms get worse. Dr. Chand said you can find portable nebulizers online.
- Extra batteries, chargers and cords: Make sure you can keep all your devices powered.
- A portable pulse oximeter: You’ll want to bring one if you normally use one at home.
- A written list: Document your health conditions, medications and emergency contacts.
- Medical records: These are important if you need to be treated while you’re traveling.
- Local resources: “I recommend researching the nearest urgent care, hospital and pharmacy at your destination,” Dr. Chand said.
Remember to carry all of these important items with you. Do not check them in your luggage.
How can you manage COPD symptoms during your trip?
COPD does not have to hold you back but it’s smart to plan around your energy level. It may help to:
- Pace yourself and take breaks between activities
- Drink plenty of water
- Eat light meals
- Avoid overdoing it, especially in hot or humid weather
- Always use your inhaler as prescribed
- Watch for warning signs and get care if you’re concerned about any symptoms
How can you stay safe with COPD in new environments?
Different places may come with different triggers for your COPD. “Traveling puts you at risk due to different environmental conditions, humidity and infection risks,” Dr. Chand said. Protect yourself by:
- Avoiding high elevations, extreme cold or heat
- Checking local air quality before going outside
- Staying away from cigarette smoke and pollution
- Washing your hands often, using hand sanitizer and avoiding crowded indoor areas to reduce infection risk
- Avoiding anyone who may be sick
- Choosing smoke-free hotels and restaurants
- Bringing a face mask or a portable air purifier along, just in case
What should you do when traveling by car, train or bus with COPD?
If you are not flying, there are still important ways to stay comfortable and safe:
- Take breaks to move around and stretch
- Avoid strong smells like perfumes or cleaning products
- Keep fresh air flowing if the space allows it
- Let someone in your group know about your COPD, in case you need help
How can you enjoy the journey at your own pace?
Don’t feel pressured to pack your days with nonstop activities. Instead, plan for downtime and keep your schedule flexible. Listen to your body and rest when you need to. Whether it is sightseeing, relaxing with loved ones or enjoying a change of scenery, try to design a trip that fits your pace.
When should you get help while traveling?
Signs of a COPD flare-up can include:
- Shortness of breath that feels worse than usual
- Wheezing, coughing or chest tightness
- Needing to use your inhaler more often
“Your emergency travel pack, with medications like corticosteroids and antibiotics, may be helpful if you develop symptoms of a respiratory illness or worsening COPD,” Dr. Chand said. Your COPD action plan should outline when to use them.
You may be able to use a telehealth service if you don’t feel well and need quick advice while traveling.
If your symptoms aren’t getting better or you’re concerned about them, visit a local clinic or hospital.
Why choose Banner Health for COPD care and travel guidance?
At Banner Health, we understand that COPD doesn’t mean you have to stay close to home. Our expert lung specialists offer personalized care plans and medication support to help you plan safe travel.
When you’re planning your next trip, connect with a Banner Health expert for advice on traveling safely with COPD.
