Post Reply 
Breathing with Provent Combination Therapy
Author Message
PTKen Offline

New Members

Posts: 2
Joined: Jul 2013

Machine: none
Mask Type: Not using mask
Mask Make & Model: none
Humidifier: none
CPAP Pressure: none
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Breathing with Provent Combination Therapy
Hello. I am new to this forum, so I will give a little background about my situation first. I have severe obstructive sleep apnea. My AHI without treatment is 51. I have a CPAP machine, but I just can't use it. I've tried long and hard, but finally gave up.

Recently I went to my doctor to get a prescription and try Provent. It worked beyond my expectation, reducing my AHI to 13!!! While that is a vast improvement, I still have mild sleep apnea when using Provent and I spend about 4% of the night with oxygen saturation below 90%. So my doctor recommended I try combination therapy with Provent and an oral appliance.

I just got fitted for my oral appliance last week and have been trying to use it for the past five nights. This, finally, brings me to my question/problem:

I can't breathe! The trick to falling asleep with the Provent is to breathe through my mouth while falling asleep, then once I fall asleep I naturally close my mouth and breath through my nose. The oral appliance makes that nearly impossible. I tried sleeping with just the oral appliance and the trick seems to be to keep my mouth closed and breathe through my nose as I fall asleep. If I keep my mouth open, there is so much saliva generated that I'm basically swimming, not to mention it's just awkward and uncomfortable.

It doesn't take a genius to see that there is an problem here! Does anyone else use the combination of Provent and oral appliance? How do you manage breathing while falling asleep? Does anyone else have any suggestions? I'm feeling much better since starting with Provent, but I'd like to find a full treatment for my apnea.

Thanks in advance for any suggestions!

Ken
07-30-2013 08:20 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

Posts: 6,452
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #2
RE: Breathing with Provent Combination Therapy
Hi PTKen,
WELCOME! to the forum.!
I'm sorry you had such a rough time with CPAP but unfortunately, that is the best way right now to treat sleep apnea.
From what I've read, mouth guards and such don't have a great track record and Provent is newer but I don't hold out much hope on that either, but mine is not the only opinion, so hang in there for more answers to your questions and best of luck to you.

trish6hundred
07-30-2013 08:42 AM
Find all posts by this user Post Reply Quote this message in a reply
PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #3
RE: Breathing with Provent Combination Therapy
I thought provent had gone out of business?

I think in the long run you will find that Provent is not going to work for you. But I'm glad they did a sleep test with you wearing them. One of the few that exist.

The problem with Provent is there's no way to track its efficiency except via oximeter. That combination doesn't always work because many folks do not have large drops during apnea events.

You didn't come here to ask for advice on how to get used to CPAP so I won't give you any.

Dental devices are iffy at best and damaging at worst. Again, no way to track how well it is or is not working except via sleep study or oximeter.

Without a mouth seal, Provent is not going to work. So unless you can get your mouth closed and keep it that way, the only thing "working" for you is the dental device. You can try a chin strap to see if that helps.

Speaking of oral appliance, have you looked into the oral CPAP mask?

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.
07-30-2013 09:52 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PTKen Offline

New Members

Posts: 2
Joined: Jul 2013

Machine: none
Mask Type: Not using mask
Mask Make & Model: none
Humidifier: none
CPAP Pressure: none
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #4
RE: Breathing with Provent Combination Therapy
Thanks for the replies so far. I need to clarify a little:

Although Provent has gone out of business, I have learned that the company will be sold and the product will continue into the future (at least that's the plan). In the interim, there are enough supplies in stock to last current customers for years. I personally bought a one year supply so I'm okay for now.

As far as Provent working or not working, my sleep study showed that it is working very well for me, so I plan to continue with it. It's easy to put on and comfortable to sleep with.

My question really is only about how to fall asleep with "both" Provent and the oral device at the same time (I can sleep with them separately). Once I figure that out and use them for a few weeks together, my doctor will order another sleep study (and if I can manage that, I'll post my results here if people want to know how it worked out). My problem has been finding a technique to fall asleep with both of them together since it is difficult to breathe with both. If it turns out after the next sleep study that the oral device does not help, I just won't use it.

Thanks,
Ken
07-30-2013 10:29 AM
Find all posts by this user Post Reply Quote this message in a reply
DocWils Offline

Members-b

Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #5
RE: Breathing with Provent Combination Therapy
You face the difficulty that I have heard from other provent patients, which is the difficulty of taking an inbreath through the nose - it takes time to get used to it. Some have solved this by increasing the number of holes in the device, but I cannot recommend it, only suggest that some have had positive results with it.

An AHI of 13, although mild, is still too high for healthy sleeping, and you may not get the desired results form using Provent in any combination.
07-30-2013 06:38 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Need opinions about breathing waveforms - REM sleep? awake? don't know? green wings 9 186 Yesterday 01:52 PM
Last Post: Sleeprider
  Classic example of Sleep-Wake-Junk breathing robysue 4 262 12-06-2016 09:51 PM
Last Post: richb
  Soft cervical collar: a tip for mouth breathing and chin tucking Visitor 44 3,713 12-06-2016 11:43 AM
Last Post: PaytonA
  Bite Guard for Mouth Breathing mcsheltie 11 515 11-29-2016 11:46 AM
Last Post: mcsheltie
  Mouth Breathing mcsheltie 31 1,073 11-15-2016 08:25 PM
Last Post: chill
  Not mouth breathing but air leaking between lips Roy289 20 687 11-11-2016 07:19 PM
Last Post: Sleeprider
  Is there an end to CPAP therapy? SamStamport 10 534 10-29-2016 08:46 AM
Last Post: robysue

Forum Jump:

Who's Online (Complete List)