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HELP DIZZY AND FATIGUE SINCE CPAP
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OpalRose Offline

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Machine: PR System One REMstar Auto 560 with A Flex
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Other Comments: Started CPAP Therapy October 23, 2014

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Location: Northeast Ohio, USA

Post: #21
RE: HELP DIZZY AND FATIGUE SINCE CPAP
As I was reading through all your posts about being dizzy, I kept thinking Vertigo; which your last post confirmed. I have suffered with it on and off over the years way before I was diagnosed with sleep apnea, but haven't experienced it for almost a year. I'm certainly not a doctor, but I don't think CPAP therapy has any affect on Vertigo, but stress and anxiety might.
Do I assume that your NHS is the same as DME here in the states? Do you know what pressure you were titrated at during your sleep study? Find out and them ask for an APAP machine (auto)
This way, if it is only a 2 week trial, with an auto machine the pressure can be set similar to what you are using now. Don't know how all that works where you live, but it's woth a try. Best of luck to you.

OpalRose
(This post was last modified: 02-06-2015 11:29 AM by OpalRose.)
02-06-2015 11:27 AM
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DariaVader Offline
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Post: #22
RE: HELP DIZZY AND FATIGUE SINCE CPAP
Be careful upping the pressure - you will want to use the minimum viable for treatment given the ear issues. That makes auto pap nice, since it only raises when necessary to breathe. You should set the EPR also. You also need to know if your apneas are OSA or CA - CPAP is not going to fix CA, and your treated AHI is not as good as it could be. If the remaining apneas are CA you may need a different type of machine to assist breathing when your brain doesnt trigger the impulse.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
02-06-2015 11:44 AM
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dizzy1 Offline

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Machine: PHILIPS RESPIRONICS REMSTAR PRO SYSTEM ONE
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CPAP Pressure: 9.5
CPAP Software: SleepyHead

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Location: CARDIFF WALES UK

Post: #23
RE: HELP DIZZY AND FATIGUE SINCE CPAP
Hi. Thanks for the info. NHS is the free national health service. We do not pay for health services or medication here in UK. What is DME ?
I have no idea what pressure I was titrated at from the sleep study. I am not sure what you mean.
I have and Auto Cpap machine that is what I am using at the moment.

Thanks for your advice. I am using an auto cpap machine. I was diagnosed with OSA AHI 38.2. What is EPR ?
(This post was last modified: 02-06-2015 12:07 PM by dizzy1.)
02-06-2015 12:04 PM
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dizzy1 Offline

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Posts: 27
Joined: Feb 2015

Machine: PHILIPS RESPIRONICS REMSTAR PRO SYSTEM ONE
Mask Type: Full face mask
Mask Make & Model: RESMED QUATTRO FX
Humidifier: HEATED HUMIDIFIER
CPAP Pressure: 9.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: CARDIFF WALES UK

Post: #24
RE: HELP DIZZY AND FATIGUE SINCE CPAP
(02-06-2015 11:27 AM)OpalRose Wrote:  As I was reading through all your posts about being dizzy, I kept thinking Vertigo; which your last post confirmed. I have suffered with it on and off over the years way before I was diagnosed with sleep apnea, but haven't experienced it for almost a year. I'm certainly not a doctor, but I don't think CPAP therapy has any affect on Vertigo, but stress and anxiety might.
Do I assume that your NHS is the same as DME here in the states? Do you know what pressure you were titrated at during your sleep study? Find out and them ask for an APAP machine (auto)
This way, if it is only a 2 week trial, with an auto machine the pressure can be set similar to what you are using now. Don't know how all that works where you live, but it's woth a try. Best of luck to you.

Hi. Thanks for the info. NHS is the free national health service. We do not pay for health services or medication here in UK. What is DME ?
I have no idea what pressure I was titrated at from the sleep study. I am not sure what you mean.
I have and Auto Cpap machine that is what I am using at the moment.

(02-06-2015 11:44 AM)DariaVader Wrote:  Be careful upping the pressure - you will want to use the minimum viable for treatment given the ear issues. That makes auto pap nice, since it only raises when necessary to breathe. You should set the EPR also. You also need to know if your apneas are OSA or CA - CPAP is not going to fix CA, and your treated AHI is not as good as it could be. If the remaining apneas are CA you may need a different type of machine to assist breathing when your brain doesnt trigger the impulse.

Thanks for your advice. I am using an auto cpap machine. I was diagnosed with OSA AHI 38.2. What is EPR ?
(This post was last modified: 02-06-2015 12:09 PM by dizzy1.)
02-06-2015 12:09 PM
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quiescence at last Offline

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CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

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Post: #25
RE: HELP DIZZY AND FATIGUE SINCE CPAP
welcome oh dizzy one.

ok - I think we owe it to you to speak up about your CPAP trial and use of settings and stuff.

first - yes, they can tell if you made settings and then adjusted them back. The data card stores that and so does the machine without the data card. there is no way to do the study and trick them.

second - and I know you won't like this - you should be off CPAP for a couple days, maybe 3 to 4, before strapping up their device. The longer you self-treat, the more likely it is that you'll score well. The object is to prove you score badly. I hope you see the inverted logic.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
02-06-2015 12:25 PM
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dizzy1 Offline

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Posts: 27
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Machine: PHILIPS RESPIRONICS REMSTAR PRO SYSTEM ONE
Mask Type: Full face mask
Mask Make & Model: RESMED QUATTRO FX
Humidifier: HEATED HUMIDIFIER
CPAP Pressure: 9.5
CPAP Software: SleepyHead

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Sex: Male
Location: CARDIFF WALES UK

Post: #26
Wink RE: HELP DIZZY AND FATIGUE SINCE CPAP
(02-06-2015 12:25 PM)quiescence at last Wrote:  welcome oh dizzy one.

ok - I think we owe it to you to speak up about your CPAP trial and use of settings and stuff.

first - yes, they can tell if you made settings and then adjusted them back. The data card stores that and so does the machine without the data card. there is no way to do the study and trick them.

second - and I know you won't like this - you should be off CPAP for a couple days, maybe 3 to 4, before strapping up their device. The longer you self-treat, the more likely it is that you'll score well. The object is to prove you score badly. I hope you see the inverted logic.

QAL

Thanks. I thought they might be able to tell if I alter settings and that did go through my mind too about not using my cpap machine before I get NHS machine.

Thanks again to all you very helpful people for taking the time to help others.
02-06-2015 12:32 PM
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OpalRose Offline

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Posts: 3,168
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #27
RE: HELP DIZZY AND FATIGUE SINCE CPAP
(02-06-2015 12:04 PM)dizzy1 Wrote:  Hi. Thanks for the info. NHS is the free national health service. We do not pay for health services or medication here in UK. What is DME ?
I have no idea what pressure I was titrated at from the sleep study. I am not sure what you mean.
I have and Auto Cpap machine that is what I am using at the moment.

Thanks for your advice. I am using an auto cpap machine. I was diagnosed with OSA AHI 38.2. What is EPR ?

dizzy1
Sorry, DME stands for Durable Medical Equipment. We need to go through them to get our machines or purchase on our own if desired.
You said that you already had a sleep study, right? That is how they know your AHI is 38.2. So, they also know what pressure was necessary to clear those apnea events. They may use the same pressure or they will set up as a range on an Auto machine during your CPAP trial to see how you do.
And yes, they would know if you changed pressure during the test and changed back. The machine itself stores the info and will be on the card. Good luck!

OpalRose
(This post was last modified: 02-06-2015 12:51 PM by OpalRose.)
02-06-2015 12:42 PM
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dizzy1 Offline

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Machine: PHILIPS RESPIRONICS REMSTAR PRO SYSTEM ONE
Mask Type: Full face mask
Mask Make & Model: RESMED QUATTRO FX
Humidifier: HEATED HUMIDIFIER
CPAP Pressure: 9.5
CPAP Software: SleepyHead

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Sex: Male
Location: CARDIFF WALES UK

Post: #28
RE: HELP DIZZY AND FATIGUE SINCE CPAP
(02-06-2015 12:42 PM)OpalRose Wrote:  
(02-06-2015 12:04 PM)dizzy1 Wrote:  Hi. Thanks for the info. NHS is the free national health service. We do not pay for health services or medication here in UK. What is DME ?
I have no idea what pressure I was titrated at from the sleep study. I am not sure what you mean.
I have and Auto Cpap machine that is what I am using at the moment.

Thanks for your advice. I am using an auto cpap machine. I was diagnosed with OSA AHI 38.2. What is EPR ?

dizzy1
Sorry, DME stands for Durable Medical Equipment. We need to go through them to get our machines or purchase on our own if desired.
You said that you already had a sleep study, right? That is how they know your AHI is 38.2. So, they also know what pressure was necessary to clear those apnea events. They may use the same pressure or they will set up as a range on an Auto machine during your CPAP trial to see how you do.
And yes, they would know if you changed pressure during the test and changed back. The machine itself stores the info and will be on the card. Good luck!


Ok thanks again. I purchased my cpap machine myself but needed a letter from the ENT specialist to say that the sleep study showed I had severe sleep apnea and that cpap would benefit me. As I purchased the cpap myself they were not allowed to set the machine even with a copy of my sleep study. That is why they recommend an auto cpap as they said it would adjust itself. I then found this site and have now realised there is a pressure range the machine can be set at and I have not been getting optomised therapy the past 3 months.
02-06-2015 01:12 PM
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dizzy1 Offline

Preferred Members

Posts: 27
Joined: Feb 2015

Machine: PHILIPS RESPIRONICS REMSTAR PRO SYSTEM ONE
Mask Type: Full face mask
Mask Make & Model: RESMED QUATTRO FX
Humidifier: HEATED HUMIDIFIER
CPAP Pressure: 9.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: CARDIFF WALES UK

Post: #29
RE: HELP DIZZY AND FATIGUE SINCE CPAP
Just checked my sleep study report and my Central Apneas were only 0.3 per hour.
There is no mention of any pressure settings for cpap.
02-06-2015 01:20 PM
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DariaVader Offline
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Posts: 1,821
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Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #30
RE: HELP DIZZY AND FATIGUE SINCE CPAP
(02-06-2015 01:20 PM)dizzy1 Wrote:  Just checked my sleep study report and my Central Apneas were only 0.3 per hour.
There is no mention of any pressure settings for cpap.

Good; OSA is easier to treat than CA Smile

EPR is expiratory pressure relief. Resmed uses EPR; Respironics calls it Flex (can't remember aflex or cflex) but in anycase it is a lower pressure when you exhale. Making sure you only swallow after exhale is another ear health tip.

You said you have inner ear issues - getting the pressure high enough to abate your OSA without further damaging the inner ear will be your goal.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
02-06-2015 01:31 PM
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