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Why am I more tired with CPAP therapy?

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Why am I more tired with CPAP therapy?

Postby brbrsd » Tue Jun 01, 2010 10:06 pm

I very new at all of this! I just received my cpap machine last week. After a failed attempt the first night (pulled that mask off) and had a Wizard of Oz windstorm in my bed, I finally figured out how to put the mask back together two days later.

I first was diagnosed with SA last year after I quit smoking and couldn't sleep through the night. The PA at my Dr.s office put me on oxygen at night as I have mild to moderate SA. After a recent visit to the Dr.s office, my physician was surprised that I was not on CPAP therapy....so...I thought I'd better pay attention and follow-through on being treated. I have not had many SA symptoms, no headache, sleepyness during the day, however, I have woken my self up with a gasp, I'm sure that I wasn't breathing...

But, now that I have been on CPAP (only 3 nights so far), I feel rested in the am, but I am so tired in the afternoon, I feel like I could fall asleep anywhere. The craziest part of this whole thing, is that when I quit smoking last year, I could not sleep...unfortunately, I did start smoking again and have had no problem sleeping...(or so I thought).not the right forum for that discussion, but will try the quit again!

I am committed to keep the mask on as I do think I am getting better rest - but...what am I supposed to feel like after cpap therapy? Should I be this tired in the afternoon and evening?
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Postby Sleepytime » Tue Jun 01, 2010 11:14 pm

You probably have a lot of sleep debt to make up. Even though you thought you were sleeping, if you woke up gasping, or didn't wake up but still had symptoms, which is probable since you were diagnosed, you're not getting the rest you may have thought.

It's early still, and it may take time for you to not feel sleepy in the afternoon.

Good for you for sticking with it.

Let us know how things go.

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Postby sleepmba » Wed Jun 02, 2010 3:07 am

In the sleep field, we call that rebound sleep. You are staying in deep stages of sleep for longer making up for lost deep sleep. When somebody has sleep apnea, they are unable to stay in deep stages of sleep because sleep apnea is more severe in deep stages of sleep. Stick with the CPAP and this will pass shortly. Good luck!
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CPAP Useage & Nasal Congestion

Postby drivett » Mon Jun 28, 2010 11:20 pm

Having problems with Nasal Congestion
Use Resmed Autopap with heated humidifier & Swift FX Mask.
Have use Nasal mask previously.
Nasal congestion builds after around 2.5 hours & I wake up with mask off.
I've tried Saline solutions, breathe right strips-some help but need to beat this congestion.

Any suggestions about masks, humidity level, or topical nasal solutions?
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Joined: Mon Jun 21, 2010 8:30 am

18 months later and still fatigued

Postby hilltopper » Tue Jul 06, 2010 2:34 pm

I'm middle aged, in menopause, and pursuing a PhD. Just one of these is enough to exhaust anyone! But I'm almost done with coursework and heading into dissertation next year... light at the end of a long tunnel, and don't want to give up now. I am single and family-less, so nobody close to help me out but for a few wonderful but busy friends.

I was diagnosed with OSA in Dec '08, bordering between moderate and severe. After trying on at least 20 different masks & nasal pillows, I found the Opus nasal pillows that create minimal pain and discomfort and holds its seal through the night. 6 months ago, during my 1st annual checkup, my oxygen level was upped one notch, from 8 to 9 (sorry, not hip to the CPAP lingo yet), had add'l sleep study in March, upped 4 more notches to 13. This increased pressure started blowing my mouth open, requiring a chin strap. Chin strap extremely uncomfortable, creating chafing and bruises, terribly hot and uncomfy, adding a new level of misery. I finally sewed myself a new one out of lightweight silk a few weeks ago, now mouth is shut, no chafing, getting some sleep.

18 months later, I'm still extremely fatigued, even when I do nothing but relax and stay calm all day and get a good night's sleep. I made sure I have minimal obligations this summer so I can get more rested and restored, but it's coming at a snail's pace, sometimes I can't tell if I'll ever be normal again, though I am a world better than I was 18 months ago, when I was crippled with chronic pain and fatigue from years of undiagnosed OSA. One poster on this forum talked about 'sleep debt,' interesting way of putting it! Am I just now able to start paying toward my sleep debt, now that I have less stress and more time to devote to healing?

I was told that my OSA was most likely caused by a drop in progesterone as I headed into menopause and that I'd have to use CPAP for the rest of my life. This still feels like a prison sentence. I've gained some weight because of this wretched brew of health problems but nowhere near obese, just at the top end of the spectrum of normal weight for my height. Has anyone on this forum gotten free of the CPAP once out of menopause? If so, how did you do it? Has anyone else taken this long to get their health restored and feel normally rested on a daily basis? I'd appreciate anyone's advice or past experience to help me through this, thanks!
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Postby n8ster » Tue Jul 13, 2010 11:27 am

your pressure may be to low. If you don't get enough oxygen you will feel tired, just like apnea. You can turn it up a little and see if it helps. If it feels like too much it probably is. It should feel comfortable and easy to breath.
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Joined: Tue Jul 13, 2010 1:47 am

Postby DavidNM » Tue Jul 13, 2010 12:19 pm

Did they take you off the oxygen when they put you on the cpap? That could be part of the problem.
Respironics SleepEasy with C-Flex, Respironics Comfort Gel full face mask
Moderate OSA with 27 and 34 AHI (non-rem and rem). O2 sats in low 80%'s.
Cost $12,000 in roof tile damage to hospital during first sleep study due to loud snoring.
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Joined: Fri Jun 18, 2010 12:29 pm

Postby SleepyToo » Tue Jul 13, 2010 12:25 pm

drivett: you say you have a heated humifier - what setting do you have it on? Try turning it up or down from the current setting. Does that make your congestion better or worse? Are you using a neti-pot to rinse your sinuses twice daily? After a few days of that, you should start feeling better. I have also seen that some people use an attachment to a teeth washer (or even a dedicated nasal rinsing machine), but I have no experience with that.

hilltopper: absolutely no experience with menopause, or getting a PhD. Definitely will not have the first, and see no reason to get a PhD, LOL. Chin strap may be the final thing that you needed to start getting the therapy you need, so have you noticed any changes since you started using that? It can take a while to adjust to the CPAP and for your body to get used to that extra O2 floating around.

Don't go changing your pressure without talking with your sleep doc - you probably need to check in fairly soon, rather than leaving it too long. I am beginning to feel better after a year of this thing, but not quite where I would like to be. Must call physician. Now have a number of questions for him. Maybe an increase in pressure is called for in my case, but I want the doc to confirm that.
Philadelphia Area
Diagnosed September 2009, Respironics System One w/ C-flex and humidifier
Aloha nasal pillows
Not a medical professional, just a patient with severe OSA (31) who has done a lot of reading.
Posts: 1066
Joined: Thu Sep 17, 2009 6:36 pm
Location: North of Philadelphia
Machine: PR System One
Mask: Resmed Swift FX
Humidifier: Yes, integral with PRS1
Year Diagnosed: 2009

Re: Why am I more tired with CPAP therapy?

Postby alex99419 » Fri Jul 05, 2013 8:12 am

You indicated your OSA is possibly caused by the drop in progesterone from entering into menopause. I wanted to share that I also have OSA and when I began bioidentical progesterone supplementation, my OSA has disappeared. It took about a month to happen but it has happened. So you may want to look into this yourself to relieve OSA and other menopause symptoms. I stopped my progesterone for 2 days recently and my OSA returned immediately. So I believe it is definitely a factor. Personally, I steer clear of pharmaceuticals wherever possible, especially for hormone replacement, hence the bioidenticals.
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Joined: Fri Jul 05, 2013 7:54 am

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