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Can CPAP make you more tired?

This area is for CPAP Mask and CPAP Machine Related Questions used in the treatment of Sleep Apnea.


Can CPAP make you more tired?

Postby sleepyflyer7 » Sun Nov 08, 2009 2:22 pm

Hi! I just got my CPAP machine on Thursday. I have had 2 sleep studies and was diagnosed with mild sleep apnea, but in REM sleep it was moderate/severe. My pressure is set at 7. The past 3 mornings I have woken up more exhausted than before starting the CPAP. Is this normal? I also woke up this morning with my eyes a little swollen and sleep in my eyes. I can not remember the last time I woke up with sleep in my eyes :shock: . I'm thinking that may be from the air blowing in my eyes. I am using the Mirage Micro nose mask. This is the mask that I used during my titration study so I decided to give it a try first. I may try to change masks this week...not sure if I'm just not giving it enough time. The mask also leaves marks at the bridge of my nose, but when I loosen the straps I can feel leaks. I know I need to be patient, but I'm SO sick of having NO ENERGY! Also, if someone could point me in the right direction on how to put what equipment I am using on here? Is it under the profile link? Thanks so much :-)
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Re: Can CPAP make you more tired?

Postby Daniel » Sun Nov 08, 2009 2:33 pm

sleepyflyer7 wrote:Hi! I just got my CPAP machine on Thursday. I have had 2 sleep studies and was diagnosed with mild sleep apnea, but in REM sleep it was moderate/severe. My pressure is set at 7. The past 3 mornings I have woken up more exhausted than before starting the CPAP. Is this normal? I also woke up this morning with my eyes a little swollen and sleep in my eyes. I can not remember the last time I woke up with sleep in my eyes :shock: . I'm thinking that may be from the air blowing in my eyes. I am using the Mirage Micro nose mask. This is the mask that I used during my titration study so I decided to give it a try first. I may try to change masks this week...not sure if I'm just not giving it enough time. The mask also leaves marks at the bridge of my nose, but when I loosen the straps I can feel leaks. I know I need to be patient, but I'm SO sick of having NO ENERGY! Also, if someone could point me in the right direction on how to put what equipment I am using on here? Is it under the profile link? Thanks so much :-)


Anything is possible, but it is unlikely that CPAP makes you more tired.

I too use the UM Micro mask. It is an excellent mask IMHO.

You should NOT have any marks on your face........your mask is either badly fitted or the straps are too tight.........or a little of both. My initial suspicion is a bad fit. Do you have the fitting booklet that came with the mask ? if not, log onto the ResMed site, go to the products section and then the Micro section. Full fitting instructions are there.

In short the straps should not be 'tight'......inflation of the cushion will look after the seal.

If this doesn't work, post back and we'll try and sort it out. BTW, do you breathe through your nose or your mouth or a little of both ?

Daniel.
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Postby CrohnieToo » Sun Nov 08, 2009 3:59 pm

Hey, Daniel!!! Do you get the feeling I'm stalking you around the forum??? *giggle*

SleepyFlyer, until you get acclimated to CPAP therapy which means finding a comfortable, relatively leak free mask, yeah, you CAN feel more tired using CPAP - but it won't last. Now that they know what pressure you need and have your CPAP set up right, the MASK becomes THE KEY to successful CPAP therapy.

But you have to give it some time. Most newbies do tend to tighten their masks too tight when they feel or hear a leak. As Daniel said these mask cushions need to be filled w/air to form a good seal. Usually when you are getting leaks around your eyes you want the top straps a little looser and the bottom straps a little tighter despite the other way around might sound more logical.

Often just running your fingertip along the seam line between mask cushion and facial skin will eliminate leaks. A Mack's Silicone Ear Plug rolled in the palm of your hands to form a "rope" or "tape" and then placed along the mask cushion where it fits to your face will help form a better seal. It usually only takes 1/2 of one to place in the bridge of the nose area of the mask to pad the nose and prevent eye leaks. Or some Dr Scholl's moleskin over the bridge of the nose is said to help.

Hey, my first 30 nights on CPAP were the worst sleep of my life, but from then on things just got better and better.
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Postby sephiro499 » Sun Nov 08, 2009 5:37 pm

Yeah I've been using cpap for about 5 weeks and I still sleep very poorly. It's going to take a while. My ent set this unrealistic expectation I would feel better 'the next day'.
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Postby CrohnieToo » Sun Nov 08, 2009 6:06 pm

Ha! VERY FEW are ever that lucky! Most of us have to go thru a bit of a struggle finding the right mask, getting used to the pressure, finding the right humidity level, finally figuring out how to sleep on our sides or even tummy as well as our backs, etc. But it is SOOOOOO worth it when we finally find the right combination!!!

I had to go thru a CPAP, an APAP and finally a VPAP (bi-level) plus probably close to a dozen masks before I hit REAL paydirt. Of course, I'm sure having COPD as well didn't make the acclimation any easier. But each change WAS for the better. Ahhh, good sleep is so wonderful!
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Can CPAP make you tired?

Postby sabbyn » Sun Nov 08, 2009 9:21 pm

Re: Chronietoo: Of the 12 masks you tried, did they all reduce your AI & AHI so it was a matter of comfort and fit only to find the best mask for you? I've been using the Resmed Quatrro Mirage for approx 2 weeks for most of each night. I have low leak levels so I would think that my AI/AHI would be going down. But it isn't - it is depressing.
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Postby CrohnieToo » Sun Nov 08, 2009 9:49 pm

The changing masks was due to fit and comfort. Mostly comfort. If your Leak is low and your AHI is high it may be time for a change in pressure. Send a print out of your download to your sleep doctor and ask his opinion plus how you are feeling.

I did find w/two particular masks that it felt like the pressure was higher than at the exact same settings w/my usual mask. My Leak rate was particularly low w/the full face but my AHI jumped outta sight and it felt like I had raised my pressure 2 cms! My Leak rate was w/in the realm I got w/my usual mask w/the nasal cradle cushion but again it felt like the pressure had been upped about 2 cms. I didn't run into that feeling of a pressure change w/any of the other masks I tried. I didn't encounter it w/the Quattro full face, nor w/the Swift LT for Her so go figure why.
ResScan 3.10 - Resmed S8 ResLink & oximeter
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Can CPAP make you more tired?

Postby sleepyflyer7 » Mon Nov 09, 2009 9:11 am

Thanks for the replies! I do have the instruction book and I tried refitting the mask a few times. I still had marks on my face and the mask was way to close to my eyes. I had a VERY restless night. I know I'm doing something wrong. I got the CPAP machine from my sleep doctor so they fitted the mask but I guess me messing around with it messed it up. I'm going to see if they can see me today and maybe try a new mask. I breathe through my nose only. During the titration study the sleep tech said I never opened my mouth, plus he checked the notes on the 1st study to make sure. I think I may try the nasal pillows. I move around a lot at night and everytime I move to a different position I can feel the leaks. Last night I also was having problems breathing?!?...guess I will put that under a new subject. Thanks so much for everyones help!
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Postby CrohnieToo » Mon Nov 09, 2009 1:18 pm

TWO important items: when fitting your mask, you SHOULD be laying down, our facial tissue is subject to the law of gravity as well. AND your CPAP should be turned on at your SET pressure, NOT just the starting Ramp pressure.

As Daniel suggested, you might need a different size of the mask you have, possibly a smaller size.

I found the thin outer cover of the Quattro and the Micro tended to slice into the bridge of my nose and I never was able to overcome that. I think that possibly the V for the bridge of the nose is too deep for my snozz.

I like the old Respironics Simplicity simple nasal cushion. It fits lower on the nose that most masks and it doesn't have that thin outer cover w/the sharp edge. Plus there is no forehead piece and it is flexible at the angle between forehead and bridge of the nose. You can wear glasses, and read or watch TV w/the Simplicity.
ResScan 3.10 - Resmed S8 ResLink & oximeter
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Postby jball1954 » Mon Nov 09, 2009 4:53 pm

The ResMed machine I got a week or so ago has in interesting "mask fit" feature which seems to basically pump more air than you'd normally get for awhile. It reads out "excellent fit" on the little screen if all is ok.
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Postby CrohnieToo » Mon Nov 09, 2009 9:02 pm

The MaskFit feature uses 10 cms pressure or your set pressure, whichever is HIGHER.

All EPR is, is Exhalation Pressure Relief. All the S8 IIs have the new EasyBreathe technology so EPR might not be stressed as much w/the S8 IIs.
ResScan 3.10 - Resmed S8 ResLink & oximeter
ConTec CMS-50D+ oximeter - Philips EverFlo 5L Oxygen Concentrator
PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2.14.0
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