(04-17-2016, 03:34 PM)Krull Wrote: I would also add that I don't feel as much energy as I had hoped being on BIPAP would bring. My doctor said there are a percentage of people who use CPAP don't. He mentioned some sort of drug as a last resort for that, but my regular doctor doesn't recommend it. Perhaps an oxygen concentrator would add that sort of benefit also?
Hi Krull, You haven't declared your location & things could be different where you live.
I have been on APAP + oxygen for over 16 years so perhaps my experience may be of help.
My symptoms are pretty much the same as yours & sad to say so are the results of my treatment. Over the years I have made the following observations...
1. Supplementary oxygen does not assist in preventing O2 de-saturation in sleep, but it does help mightily in recovering from events & restoring quickly the pre-event O2 level, thus reducing the length of time in hypoxia.
2. Low O2 sat. affects memory and can & does produce ischemia both cranial & cardial.
3. Low O2 sat. causes poor concentration, headaches, daytime sleepiness & fatigue.
4. There are no solutions in drugs, but Modafinil will remove the possibility of "micro sleeps" at the wheel. If I have to drive that day I take half a 200mg tablet in the morning.
5. It is necessary to decide carefully when & when not to drive a motor vehicle.
6. One can do without the concentrator for short periods & even over-night if necessary. That's not life threatening but will none the less take time to recover from.
Summing up - Supplemental oxygen may help you, but doubtful. If I had to guess, I would say you have a restricted upper airway which XPAP may treat (to the extent of saving your life) but not cure. Therapy air pressure will prevent your airway from obstruction, but not from reducing in size (restricting).
So far I have not found a solution, but am still working on it. I would suggest you have a "sleep endoscopy" which is to be my next attempt at a solution.
This examination is done using a tiny fibre optic camera inserted into the upper airway via the nose, after the patient is put into an induced "sleep". Done by an ENT at a hospital - results are said to be "helpful", with the doc. being able to see exactly what is going on.
That all said, I would advise you to try the concentrator and ask your doc. for a Sleep Endoscopy. Keep trying & good luck.