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[Pressure] Adjustment period for increased pressure?
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moigo Offline

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Machine: Fisher&Paykel HC234
Mask Type: Nasal mask
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CPAP Pressure: 9.0
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Post: #1
Adjustment period for increased pressure?
Hi everyone,

I am a newby here. Apnea has changed from mild (2005 sleep study) and mainly positional to upper level of moderate. I feel I must adjust. Pressure was increased from 7.5 to 9.0, last night first night. I woke up as many times as at lower setting although no night sweats. I am disappointed to not see longer blocks of sleep. Is there often an adjustment time when machine pressure is upped or is it possible CFS and anxiety are greater contributors to problem than I thought. Feedback would be most appreciated.
06-08-2013 12:08 PM
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trish6hundred Offline

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Machine: Resmed S9 AutoSet for Her
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Location: Missouri, USA

Post: #2
RE: Adjustment period for increased pressure?
Hi moigo,
WELCOME! to the forum.!
I would think you might need to adjust to the changes but hang in there for more suggestions and best of luck to you.

trish6hundred
06-08-2013 12:44 PM
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Sleepster Offline
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CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

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Location: Houston, Texas

Post: #3
RE: Adjustment period for increased pressure?
It usually takes a few nights before your body responds to a change in pressure.

I don't know if your machine is data-capable, but if it is I would advise you to get some software and monitor your progress.

Sleepster
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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.
06-08-2013 01:21 PM
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moigo Offline

Members

Posts: 8
Joined: Jun 2013

Machine: Fisher&Paykel HC234
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage
Humidifier: Fisher&Paykel HC234
CPAP Pressure: 9.0
CPAP Software: Not using software

Other Comments:

Sex: Female
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Post: #4
RE: Adjustment period for increased pressure?
(06-08-2013 12:44 PM)trish6hundred Wrote:  Hi moigo,
WELCOME! to the forum.!
I would think you might need to adjust to the changes but hang in there for more suggestions and best of luck to you.
:thanks:trish. I will hang in there.
06-08-2013 02:04 PM
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moigo Offline

Members

Posts: 8
Joined: Jun 2013

Machine: Fisher&Paykel HC234
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage
Humidifier: Fisher&Paykel HC234
CPAP Pressure: 9.0
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #5
RE: Adjustment period for increased pressure?
(06-08-2013 01:21 PM)Sleepster Wrote:  It usually takes a few nights before your body responds to a change in pressure.

I don't know if your machine is data-capable, but if it is I would advise you to get some software and monitor your progress.

Your first sentence is encouraging. From what I can see this machine only indicates total run hours and average compliance and otherwise isn't data-capable. I will have to educate myself regarding machines and software. Thx, Sleepster. Smile
06-08-2013 02:13 PM
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PaulaO2 Offline
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Post: #6
RE: Adjustment period for increased pressure?
It can take some time to adjust to a "large" jump such as your doc made. No two nights are the same so it could take several nights for everything to settle down. Keep working at it.

Try sitting up during the day with the mask on and the machine on. This will help you get used to the different sensations.

As for the CFS, anything that effects your sleep should be considered. Just as high blood pressure is taken into consideration with anything that has to do with the heart. Make sure your sleep doc knows about all other conditions you have. You may have to remind them. If you are on medication for the CFS, make sure that doc knows you have sleep apnea.

PaulaO2
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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.
06-08-2013 08:26 PM
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moigo Offline

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Posts: 8
Joined: Jun 2013

Machine: Fisher&Paykel HC234
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage
Humidifier: Fisher&Paykel HC234
CPAP Pressure: 9.0
CPAP Software: Not using software

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Sex: Female
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Post: #7
RE: Adjustment period for increased pressure?
(06-08-2013 08:26 PM)PaulaO2 Wrote:  It can take some time to adjust to a "large" jump such as your doc made. No two nights are the same so it could take several nights for everything to settle down. Keep working at it.

Try sitting up during the day with the mask on and the machine on. This will help you get used to the different sensations.

As for the CFS, anything that effects your sleep should be considered. Just as high blood pressure is taken into consideration with anything that has to do with the heart. Make sure your sleep doc knows about all other conditions you have. You may have to remind them. If you are on medication for the CFS, make sure that doc knows you have sleep apnea.

I should say ME (Myalgic Encephalomyelitis). "CFS" is such a trivializing name but many are unfamiliar with the former term. Yes, I mentioned the illness to the sleep doc as well as anxiety. I'm feeling somewhat more optimistic. Thanks for your encouragement and good advice.
06-08-2013 09:04 PM
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iSnooze Offline
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Post: #8
RE: Adjustment period for increased pressure?
Having ME and anxiety will affect your sleep. I would bet that the change in pressure has caused you more anxiety and which results in less sleep and then more anxiety and thus the cycle continues. It's easy to say relax and don't fret about it, but I know that is hard to do. Instead allow yourself some time to adjust. Everyone is different. You might need more or less time to adjust to the change than others.

If your sleep at the new pressure is not worse than it was at the old pressure, consider that a good thing. Since your machine isn't data capable, you'll just have to go on how well you feel after several nights, even a week. Are you less tired during the day? Do you nap longer/shorter or more/less often than before the pressure change? If necessary keep a log and then share that with your doctor. Keep us posted on how you're doing.
06-09-2013 10:59 AM
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moigo Offline

Members

Posts: 8
Joined: Jun 2013

Machine: Fisher&Paykel HC234
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage
Humidifier: Fisher&Paykel HC234
CPAP Pressure: 9.0
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #9
RE: Adjustment period for increased pressure?
(06-09-2013 10:59 AM)iSnooze Wrote:  Having ME and anxiety will affect your sleep. I would bet that the change in pressure has caused you more anxiety and which results in less sleep and then more anxiety and thus the cycle continues. It's easy to say relax and don't fret about it, but I know that is hard to do. Instead allow yourself some time to adjust. Everyone is different. You might need more or less time to adjust to the change than others.

If your sleep at the new pressure is not worse than it was at the old pressure, consider that a good thing. Since your machine isn't data capable, you'll just have to go on how well you feel after several nights, even a week. Are you less tired during the day? Do you nap longer/shorter or more/less often than before the pressure change? If necessary keep a log and then share that with your doctor. Keep us posted on how you're doing.

Will do. I did have some anxiety initially about the change in pressure. I'm cool with it now. The nights are about the same. Yes, I need to be patient. Thx for your comments iSnooze.
06-09-2013 02:37 PM
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PaulaO2 Offline
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Posts: 8,065
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Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
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CPAP Pressure: 14-20
CPAP Software: SleepyHead

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

Sex: Undisclosed
Location: western NC, USA

Post: #10
RE: Adjustment period for increased pressure?
What you could do, if you are past the compliance crap and your doc doesn't look at the data (most do not), is drop your pressure down a point for a week or two then go back up. This will help you get used to the difference over a larger period of time.

PaulaO2
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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.
06-09-2013 06:02 PM
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