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

Help needed with CPAP therapy
#1
Hi,

I have been on this forum several times. I have been using CPAP for past 18 months. For last couple of months I am waking up several times during the night. Although my AHI is low (between 1-2 with CPAP), it seems like I am not getting any good sleep.

I wanted to get any information before I see my doctor. I can feel in middle of the night I am waking up due to blocked airway and stopped breathing and CPAP machine is not helping.

I have upped my pressure for last 3-4 weeks from 8 to 10 and now to 12. I also take Remeron 7.5 mg (for sleep) before bedtime and I gained (side effect of remeron) 10lbs in last 6 months (I weigh 150lbs now).

I am not sure what is going on. I am tired all day. I am looking for anything unusual from charts. Please help.

I have my daily chart below:

https://imgur.com/a/QOHXB7T
Post Reply Post Reply



Donate to Apnea Board  
#2
Maybe ask your doc to switch to doxepin instead, theres no weight gain.
Post Reply Post Reply
#3
Thank you Crowtop, yes, I am going to do something about remeron. Wait gain is not good in any case.

I would still need some other advice why am I getting so much fragmented sleep. I should mention that I am very light sleeper and can wake up due to pressure changes or light snores or air leaks on face or any part of skin.
Post Reply Post Reply
#4
ravik were you taking Remeron 7.5 mg in May 2017 when you made your original post? Your pressure is 2cm higher that in the May 2017 time frame. I see that you are not using fixed pressure which worked so well for you May 2017. I notice 16 pressure spikes and I think with your sensitivity to pressure change might be fragmenting your sleep. Any thoughts?
Post Reply Post Reply
#5
Ravic, welcome back. Would you please do a close-up of your Flow Rate graph? The instruction are in the Organizing your Sleepyhead Charts Wiki. I'd like to see why the machine thinks your expiratory time is so short. Last time you were here you made some pretty good progress, but you had some pretty bad flow limits, and eventually used a C-collar and higher pressures. Where are we at on all that.

[Image: No9zuEt.png]
Post Reply Post Reply



Donate to Apnea Board  
#6
Hi gwc2795,

No, I was not taking Remeron in May 2017. My doctor suggested to use pressure 8-15 in June 2017, after that and it was working OK for few months.
Post Reply Post Reply
#7
(06-02-2018, 04:57 PM)sleeprider Wrote: Ravic, welcome back.  Would you please do a close-up of your Flow Rate graph? The instruction are in the Organizing your Sleepyhead Charts Wiki.  I'd like to see why the machine thinks  your expiratory time is so short.  Last time you were here you made some pretty good progress, but you had some pretty bad flow limits, and eventually used a C-collar and higher pressures.  Where are we at on all that.

Hi Sleeprider,
Thanks for getting back. The fixed pressure of 8 worked for few weeks (May-June 2017) and then I started having issues again. I have attached flow rate for last night. I am still using C collar.

https://imgur.com/a/xhPAIFr
Post Reply Post Reply
#8
Results are flow limited as you can see by the flow chart. I would add .5 of minimum pressure. If I could put you on bilevel that would be the preferred approach to dealing with this. Your event rate is very low, but I think pressure support would make your sleep more refreshing. If you ever get the chance to make the move to bilevel, just do it.
Post Reply Post Reply
#9
I didnt mention this but taking a sleep pill makes my therapy fail too, it relaxes me and everything in my mouth to the point a pressure of 20 wasnt working. I then switched to Vauto and that fixed the problem with falling and staying asleep. 

However i now have hundreds of microarousals a night. The base dose for doxepin is 40mg i take 5mg, id try cutting down on mirtazapine(remeron) in your case, its a very strong sleeping pill. Ten times stronger then doxepin. If I take the minimum recommended dose of 40mg I start to choke at night. Maybe theres something similar for you happening there.
Post Reply Post Reply



Donate to Apnea Board  
#10
Hi gwc2795,

No, I was not taking Remeron in May 2017. My doctor suggested to use pressure 8-15 in June 2017, after that and it was working OK for few months.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
Angry Not using your therapy until you purchase equipment cleaning machine odiedoodie 10 374 6 hours ago
Last Post: Homerec130
Question What does the AHI mean during one night therapy? Borreguito 3 118 10-14-2018, 02:09 AM
Last Post: mesenteria
  [Treatment] Waking up on BiPap [adjustment assistance needed] rowanbustaman 12 462 10-07-2018, 11:58 AM
Last Post: rowanbustaman
  [split] Bilevel machine - advice needed LookingForward 76 1,955 10-04-2018, 06:37 PM
Last Post: Kosoku
  Are You in Couple's CPAP Therapy? Sheepish 4 199 09-30-2018, 09:16 AM
Last Post: upsman
  [split] Therapy Questions Sleeprider 2 72 09-24-2018, 08:08 AM
Last Post: Sleeprider
  Can i improve my therapy beyond this point? Madcat207 14 414 09-23-2018, 11:39 AM
Last Post: Madcat207

Forum Jump:

New Posts   Today's Posts




About Apnea Board

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