Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Amazing, AHI went down
#1
Amazing, AHI went down
Hi Guys,
 
I used to have AHI at about 10/h since I started therapy. In the last 5 nights I was using Novartis Otrivin (Xylometazoline HCL) nasal spray before bed time as I experienced blocked nose. To my surprise, AHI went down to 4/h, most of them Hypopneas events. Also, I had a great sleep.

What can I learn from this? I’m aware that I cannot continue using the nasal spray for long although the sleep quality is very attractive…
 
Thanks,
Arik
Post Reply Post Reply



Donate to Apnea Board  
#2
RE: Amazing, AHI went down
Using a nasal rinse before bedtime can be beneficial.

Corticosteroid nasal sprays can be used long term. They do have some side effects and need to be used under a doctor’s supervision. It takes a couple of weeks of use for the full benefits to take effect, so they need to be used daily. I’ve been using Nasacort for a couple of years as part of a regime to prevent vertigo.
Useful Links
Download SleepyHead Software
Organize your SleepyHead charts
Attaching images and files to posts


Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies. Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
Post Reply Post Reply
#3
RE: Amazing, AHI went down
The part of us that is involved in apnea events is rather large. So using a nasal spray such as a steroid base would shrink the nasal passages (which can and do go all the way down to the throat) will help keep tissues from "collapsing".

http://www.apneaboard.com/forums/Thread-Throat-Anatomy
PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




Post Reply Post Reply
#4
RE: Amazing, AHI went down
While waiting for my septoplasty and turbinate reduction, I became dependant on nasal decongestants (oxymetazoline or Xylometazoline based) Believe me, you don't want to go down that road.

Here are some things I learned that can help reduce the impacts or even prevent nasal decongestion rebound, and help you get off nasal decongestants should you start suffering from rebound:
  • Use decongestant with a fluticasone based steroid, such as Flonase. See peer reviewed studies below that demonstrate decongestants and fluticasone increase effectiveness of steroid and reduce rebound.
  • only once per day, at night prior to bed.
  • only in one nostril, then switch nostrils after a few days.
  • cut the decongestant with saline solution. The goal is to use as little decongestant as possible tp open the airways.

Peer reviewed studies that demonstrate Fluticasone with Decongestion reduces impacts of rebound and increases effectiveness.
https://www.ncbi.nlm.nih.gov/pubmed/20203244
https://www.jacionline.org/article/S0091...6/fulltext

Having said that, and using the above precautions, I still became dependant. My doctor helped me get off decongestant by prescribing Prednisone and I believe the above precautions lessened the impacts.

But please be careful and routinely give yourself extended breaks from it.
Post Reply Post Reply



Donate to Apnea Board  
#5
RE: Amazing, AHI went down
(01-26-2019, 09:15 AM)Dog Slobber Wrote: While waiting for my septoplasty and turbinate reduction, I became dependant on nasal decongestants (oxymetazoline or Xylometazoline based) Believe me, you don't want to go down that road.

Here are some things I learned that can help reduce the impacts or even prevent nasal decongestion rebound, and help you get off nasal decongestants should you start suffering from rebound:
  • Use decongestant with a fluticasone based steroid, such as Flonase. See peer reviewed studies below that demonstrate decongestants and fluticasone increase effectiveness of steroid and reduce rebound.
  • only once per day, at night prior to bed.
  • only in one nostril, then switch nostrils after a few days.
  • cut the decongestant with saline solution. The goal is to use as little decongestant as possible tp open the airways.

Peer reviewed studies that demonstrate Fluticasone with Decongestion reduces impacts of rebound and increases effectiveness.
https://www.ncbi.nlm.nih.gov/pubmed/20203244
https://www.jacionline.org/article/S0091...6/fulltext

Having said that, and using the above precautions, I still became dependant. My doctor helped me get off decongestant by prescribing Prednisone and I believe the above precautions lessened the impacts.

But please be careful and routinely give yourself extended breaks from it.

Thanks!
Arik
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
Grin Cervical Collar - amazing! zzzZorro 95 6,126 12-07-2017, 08:22 PM
Last Post: Sleeprider
  [Equipment] New Replacement Wisp Mask: New Is Amazing! player 0 590 02-02-2017, 12:09 AM
Last Post: player
  Some mornings AMAZING, some awful SleepyMcGee 20 2,233 10-18-2016, 09:14 AM
Last Post: SleepyMcGee
  Amazing revpappy 13 2,233 01-20-2016, 02:43 PM
Last Post: Sleeprider
  Finally getting good nights - amazing Peter_C 13 3,431 07-10-2014, 07:02 PM
Last Post: DNB128
Thumbsup This board is amazing! Thank you. Still a couple of questions.... biglar831 4 2,484 11-03-2012, 04:34 PM
Last Post: zonk


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.