Can the effects of sleep apnea be reversed?

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Can the effects of sleep apnea be reversed?

Postby Sonee » Mon Jan 02, 2006 7:53 pm

I was diagnosed with sleep apnea 10 months ago and have been using a CPAP (10) since. Two years prior I was observed in a overnight sleep lab and was told I was a candidate for sleep apnea. At that time nothing was done.

When I went in 10 months ago, my symptoms were pretty bad; falling asleep at the wheel driving home, falling asleep in meetings, frequently losing ability to concentrate or remember, and waking up thoroughly exhausted after eight hours of "sleep" to name a few.

After one night with my CPAP I felt a world of difference and am afraid to sleep without it. Even though I feel rested after awakening (average 6-7 hours of sleep), I still have trouble with memory and concentration. However, I continued to experience sleepiness especially in late afternoon. Now I am on 100 mg of Provigil. My brain MRI was normal.

I even started working out with a trainer to keep me honest about exercising and motivated, but my memory and concentration are still pretty bad. My doctor suggested these symptoms may not be reversible. Have any of you been told this? Can depression be an issue? :?:
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Re: Can the effects of sleep apnea be reversed?

Postby Linda » Mon Jan 02, 2006 8:30 pm

Hi Sonee,

I have a hard time believing that symptoms are not reversible, unless there is some other problem going on not related to sleep apnea.
But I wonder if you are getting adequate relief due to any problems with an inadequate mask or prescribed pressures. Memory, concentration problems and depression are symptoms of untreated apnea, and I'm more apt to wonder if the treatment is adequate enough.

Can you tell us more about how you are doing with your cpap and mask? Any more info you can provide might be of some help.


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Re: Can the effects of sleep apnea be reversed?

Postby Daniel » Mon Jan 02, 2006 9:47 pm

Sonee wrote:I was diagnosed with sleep apnea 10 months ago and have been using a CPAP (10) since. Two years prior I was observed in a overnight sleep lab and was told I was a candidate for sleep apnea. At that time nothing was done.

When I went in 10 months ago, my symptoms were pretty bad; falling asleep at the wheel driving home, falling asleep in meetings, frequently losing ability to concentrate or remember, and waking up thoroughly exhausted after eight hours of "sleep" to name a few.

After one night with my CPAP I felt a world of difference and am afraid to sleep without it. Even though I feel rested after awakening (average 6-7 hours of sleep), I still have trouble with memory and concentration. However, I continued to experience sleepiness especially in late afternoon. Now I am on 100 mg of Provigil. My brain MRI was normal.

I even started working out with a trainer to keep me honest about exercising and motivated, but my memory and concentration are still pretty bad. My doctor suggested these symptoms may not be reversible. Have any of you been told this? Can depression be an issue? :?:


Hi,

While everyone is different there are some questions that need answering. How long do your doctors reckon you have had OSA ? What 'other' damage has been done ? Loss of cognitive function and short term memory are usually a result of oxygen starvation to the right front cortex of the brain. The longer the starvation, the greater the damage and the longer recovery time. Also the possibility that too much damage being done over a period of time. Was there any mention, after your sleep test, of seeing a cardiologist or were any chest Xrays or scans carried out. In short have you cardiac problems (CHF or other) ? Do you have renal problems ?

Provigil is usually prescribed on a short term basis, while EDS is sorted out. How long are you taking Provigil ?

There is always a possibility of irreversible damage, the degree of which depends on the individual and the length of time they had undiagnosed apnoea. Unfortunately if things are not going well and recovery does not match up to expectations there is a danger of depression. Depression is not uncommon in OSA sufferers.

I think you need to have a long chat with your sleep doctor ASAP. Discuss your fears and seek full and frank answers, do not be fobbed off. Only then can you sit down and decide on a plan of action to deal with each of these issues.

Please post back.

Daniel.
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