Post Reply 
Hydrocodone and increased AHI?
Author Message
Dolla Bill Offline

Preferred Members-2

Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Atlanta

Post: #1
Hydrocodone and increased AHI?
Have been diagnosed with a rotator cuff issue, 'big tear' in shoulder. Trying to decide about having arthroscopic surgery. Pain, mostly while lying down/sleeping. Surgeon prescribed hydrocodone - acetaminophen. (Norcor 5/325) one every 6 hours.

Had not been paying much attention to CPAP Readings, but feeling a little funky (age? pain pills? general ups and downs?) So I checked the S9.

AHI 38.23!
Green smiley face

I have Sleepyhead and Rescan, but never really understood the readings. I ran

* 'mask test' = good, green smiley face (on the S9)

sleepyhead says,
* AHI 38.23
* Clear Airway Apnea Index = 26.28 - looks like I stopped breathing a few times - hydrocodone?
* Obstructive Apnea = 4.99
* Hypopnea Index = 5.39

* Average Leak Rate = 7.12
* 90% Leak Rate = 25.20
* % of time above Leak Rate threshold = 10.66% this is up. Day before it was 3.26% and zero % for all times earlier back to when I started using it.

There is a huge amount of data on both Sleepyhead and Rescan. I am sure there are many other factors, but I don't know enough to interpret them. Is there a "Sleepyhead for Dummies?" I tried to use the 'Beginner's Guide', but got lost in the 'paps'. <put on 'brave face' smiley>

Need help. First, hydrocodone or not?
Second, should I take the SD card from the S9 to my sleep doctor? Could he read it and offer advice?


Attached File(s) Thumbnail(s)
   
01-05-2015 08:59 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
justMongo Offline

Monitors

Posts: 3,840
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Hydrocodone and increased AHI?
Hi Bill:

Hydrocodone is a synthetic opioid. Well known to suppress central respiratory drive.
I see your apneas are central, so, I feel fairly sure it's the Norco.

Can you manage without the Norco? I don't know of a pain killer that will work as well, and not have the same effect of respiration.
I guess another alternative is to temporarily switch to an ASV machine which is used to treat people with central apnea.

Kindest regards,

Mongo

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.
01-05-2015 09:25 AM
Find all posts by this user Post Reply Quote this message in a reply
Dolla Bill Offline

Preferred Members-2

Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Atlanta

Post: #3
RE: Hydrocodone and increased AHI?
(01-05-2015 09:25 AM)justMongo Wrote:  Hi Bill:

Hydrocodone is a synthetic opioid. Well known to suppress central respiratory drive.
I see your apneas are central, so, I feel fairly sure it's the Norco.

Can you manage without the Norco? I don't know of a pain killer that will work as well, and not have the same effect of respiration.
I guess another alternative is to temporarily switch to an ASV machine which is used to treat people with central apnea.

Kindest regards,

Mongo

Thank you. Maybe I'll try Ibuprofen. Have a call into my sleep doctor and the surgeon who prescribed Norco. He knows I have apnea, but maybe he missed it. Bill
01-05-2015 09:49 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Clay L Offline

Preferred Members

Posts: 56
Joined: Feb 2012

Machine: PR System One Auto
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View minimum contact full face mask
Humidifier: PR System One Series 60
CPAP Pressure: 11.5
CPAP Software: SleepyHead EncoreViewer

Other Comments: We now live in Palisade CO after living full time in a motor home and following the sun for 12 years

Sex: Male
Location: Palisade CO

Post: #4
RE: Hydrocodone and increased AHI?
I have had a hip replacement and rotator cuff surgery. I used hydrocodone both times. The hip surgeon prescribed Oxycontin at night for 8 days also.
Both times my AHI went pretty high - 8 or over - and dropped back down after I stopped using pain medication.
I didn't worry about it much because I only used the hydrocodone for a couple of days with the shoulder and the hip. As long as I used the Oxycontin - 8 nights - my AHI stayed high so I suspect that many pain killers can affect it.
01-05-2015 01:03 PM
Find all posts by this user Post Reply Quote this message in a reply
DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,819
Joined: Nov 2014

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: #5
RE: Hydrocodone and increased AHI?
(01-05-2015 01:03 PM)Clay L Wrote:  I have had a hip replacement and rotator cuff surgery. I used hydrocodone both times. The hip surgeon prescribed Oxycontin at night for 8 days also.
Both times my AHI went pretty high - 8 or over - and dropped back down after I stopped using pain medication.
I didn't worry about it much because I only used the hydrocodone for a couple of days with the shoulder and the hip. As long as I used the Oxycontin - 8 nights - my AHI stayed high so I suspect that many pain killers can affect it.

any narcotic pain meds can do that. oxy is another synthetic opiate and IMO it's actually worse for you than heroin Angry

I think narcotics can induce apnea in people who normally don't have the slightest issue, let alone those who do. I have also read that they can cause an enduring issue in pain med users... I suspect the risks would rise with dosage and length of use, and individual sensitivity
01-05-2015 01:08 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

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

Sex: Male
Location: US

Post: #6
RE: Hydrocodone and increased AHI?
and are we monitoring your O2 levels during opiate use? even with AHI that high if you get SpO2 meter checked out for home use during pain meds - with an alarm for under 88%, you can sleep easier.

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.
01-05-2015 03:32 PM
Find all posts by this user Post Reply Quote this message in a reply
Dolla Bill Offline

Preferred Members-2

Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Atlanta

Post: #7
RE: Hydrocodone and increased AHI?
I think an SP02 would be a good idea. Any recommendations for a brand?

I talked with the surgeon's nurse (BTW he is Dr Orcutt. Normally would not mention names, but I think his name is hilarious for a surgeon LOL). Nurse said that they have Apnea patients all the time and they take the Norco 5/325 or similar.

What bothers me is that I am having a hard time sleeping with the pain, which mainly manifests at night. Doesn't matter if I sleep on either side, back, front. still hurts. Need some kind of pain med. Gonna try and tough it out with anti inflammatories.

Surgeon also said that I should take the hydrocodone only as really needed as he wanted me to be 'naive' to the medication and it would have greater effect after the surgery when I really need it. He also said that I would be taking it regularly for 'several weeks', and might need to be "weaned' off it later.

He has a lot of work to do on my shoulder even though it is arthroscopic out-patient surgery, and my other, right, shoulder is a bit funky also.

The surgery is on January 13th.
01-05-2015 04:34 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Crimson Nape Offline

Monitors

Posts: 1,325
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #8
RE: Hydrocodone and increased AHI?
(01-05-2015 04:34 PM)Dolla Bill Wrote:  I think an SP02 would be a good idea. Any recommendations for a brand?

Basically, the main recording model numbers are: CMS-50D+, CMS-50F(W), and CMS-50I(W). They all come with PC software to review and create reports form the recorded data. There seem to be several manufacturers that all use the same electronics. The "W" versions have bluetooth capability. The bluetooth allows you to record directly to your computer in real-time. Actually it's faster to connect the USB and forget the bluetooth to download the stored data. The D+ and the F(W) models are sold everywhere. The "I(W) models seem to only be available online from the UK, Australia, and China. I didn't find a supplier in the US when I ordered my "IW" model. The "D" and "F" models only record 1 session. The "I" model will record up to 5 sessions. All of them require that once you start recording, you can't stop it until you're completely finished. They only allow for a continuous session.

(01-05-2015 04:34 PM)Dolla Bill Wrote:  he is Dr Orcutt. Normally would not mention names, but I think his name is hilarious for a surgeon LOL

That is good; It reminds me of the Savannah Law Firm of Dewy, Cheathum and Howe.

Good Luck!

Statistics prove that people who have more birthdays live longer.
01-05-2015 05:23 PM
Find all posts by this user Post Reply Quote this message in a reply
justMongo Offline

Monitors

Posts: 3,840
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #9
RE: Hydrocodone and increased AHI?
(01-05-2015 04:34 PM)Dolla Bill Wrote:  I think an SP02 would be a good idea. Any recommendations for a brand?

I talked with the surgeon's nurse (BTW he is Dr Orcutt. Normally would not mention names, but I think his name is hilarious for a surgeon LOL). Nurse said that they have Apnea patients all the time and they take the Norco 5/325 or similar.

What bothers me is that I am having a hard time sleeping with the pain, which mainly manifests at night. Doesn't matter if I sleep on either side, back, front. still hurts. Need some kind of pain med. Gonna try and tough it out with anti inflammatories.

Surgeon also said that I should take the hydrocodone only as really needed as he wanted me to be 'naive' to the medication and it would have greater effect after the surgery when I really need it. He also said that I would be taking it regularly for 'several weeks', and might need to be "weaned' off it later.

He has a lot of work to do on my shoulder even though it is arthroscopic out-patient surgery, and my other, right, shoulder is a bit funky also.

The surgery is on January 13th.

5/325 really is not a heavy dose of H.C. They make 10/325 tabs.
I was chewing 10's like candy in 2010 when I fractured my T12 vertebra.

The effectiveness of narcotic pain relievers wears off with use; the opioid receptors down regulate. So, use as little as possible.

BTW -- The FDA just moved the mixed opioids (those mixed with Acetaminophen or Ibuprofen) up one rung on the DEA schedule to Schedule II. Now an Rx must be hand written (no faxes) and carry no refills. Since it's in the same schedule as Fentanyl Injectable, might as well ask for the "good stuff."

(01-05-2015 05:23 PM)sgearhart Wrote:  That is good; It reminds me of the Savannah Law Firm of Dewy, Cheathum and Howe.

Someone has watched the three stooges!

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.
01-05-2015 06:32 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Crimson Nape Offline

Monitors

Posts: 1,325
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #10
RE: Hydrocodone and increased AHI?
(01-05-2015 06:32 PM)justMongo Wrote:  Someone has watched the three stooges!

I resemble that remark!

Statistics prove that people who have more birthdays live longer.
01-05-2015 06:35 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Increased AHI somnia16 2 214 10-11-2016 12:04 PM
Last Post: Sleeprider
  snoring has increased what is wrong? irenek2013 7 455 08-15-2016 11:10 PM
Last Post: irenek2013
  Increased Muscle Acidity (Lactatic Acid) and Sleep Apnea Inspire 5 830 05-20-2016 05:42 AM
Last Post: kwhenrykerr
  Airfit P10 -growing ahi numbers and increased congestion? TOLsen 1 504 05-14-2016 03:40 PM
Last Post: trish6hundred
  New face frame, pillows, increased AHI Dagmar1 6 763 12-17-2015 04:13 PM
Last Post: Dagmar1
  Increased Treatment Pressure-No Noticeable Effect stanleydean 7 1,045 09-14-2015 06:10 PM
Last Post: cowboy1970
  Mask seal improved but events per hour increased dramatically johnwrightmichigan 5 2,955 05-30-2015 12:22 PM
Last Post: OpalRose

Forum Jump:

Who's Online (Complete List)