Poll: Should a prescription be required for CPAP?
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Should a prescription be required for CPAP?
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CHanlon Offline

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Posts: 292
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa LT
Humidifier: ResMed Hi5
CPAP Pressure: 12 -20
CPAP Software: ResScan SleepyHead

Other Comments: Mirage Activa LT nasal mask

Sex: Male
Location: Ontario, Canada

Post: #11
RE: Should a prescription be required for CPAP?
(03-14-2012 10:00 AM)Gazby Wrote:  
(03-14-2012 09:54 AM)CHanlon Wrote:  I agree that there should be at least an initial prescription. One thing I *don't* think should be part of it, is a restriction on CPAP vs APAP - and issue I had. I had weeks of data from a loaner APAP machine that APAP was more effective for me then CPAP... yet my 2 hour, fitful sleep during my titration study didn't "qualify" me for one. I had to argue for it, and in the end, buy it outright because my Dr. wouldn't submit that I needed one.

In the UK we have the choice, I ask for an APAP as I thought it felt better so I swapped over but I believe in the states this is not possible as it depends on a person called a DME?

I'm in Canada, actually... Ontario healthcare apparently wants your doctor to provide a reason that you need APAP over CPAP before they will cover 75% of the machine cost. That said, before I got my machine, my stepfather was diagnosed, given a titration of 14 cm, couldn't tolerate it to keep the mask on more then a couple hours, complained to his Resperatory Therapist (our version of a DME, I think) who then said, "no problem, we'll get you set up on an APAP..." One call to his doctor, and it was done. Total time from initial sleep study to APAP machine, 2 weeks. I took from August 23rd (sleep study) to Dec. 21st. Titration was Nov. 21st. For the first 2 months after the sleep study, I had a loaner APAP, and the first night I used it, I was on it for 9 hours. Slept well for the first time in 5 years. They put me on APAP because the lab recommended it, since they didn't do a split study. That showed that I was varying between 14 cm and 19+. The next couple of months they had me on fixed CPAP, on a couple different machines, at 16cm (eventually) which I *hated.* I had constant issues from the first day, it kept waking me up, blowing the mask off my face, etc. But "we can't justify..." So I just said that this was what I wanted, write the prescription, and don't bother trying to justify, I'll buy it myself... and I did. And I'm happy with it. And compliance is 100%...
03-14-2012 10:25 AM
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CHanlon Offline

Advisory Members

Posts: 292
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa LT
Humidifier: ResMed Hi5
CPAP Pressure: 12 -20
CPAP Software: ResScan SleepyHead

Other Comments: Mirage Activa LT nasal mask

Sex: Male
Location: Ontario, Canada

Post: #12
RE: Should a prescription be required for CPAP?
Oh, and, during the last month of all this, my stepsister went in for a study (at the same clinic my stepfather used, I went where my GP sent me, silly me...) and was diagnosed, titrated to 10 cm, prescribed a CPAP, said "my dad and step brother said APAP machines are easier to adjust to, could I have one instead?" and got it...

My theory on it is...I went to the wrong sleep doctor.
03-14-2012 10:29 AM
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mummerse Offline

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Posts: 10
Joined: Mar 2012

Machine: PR System one
Mask Type: Full face mask
Mask Make & Model:
Humidifier: System One Heated
CPAP Pressure: 10 cm H2O
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Ohio

Post: #13
RE: Should a prescription be required for CPAP?
(03-14-2012 09:54 AM)CHanlon Wrote:  I agree that there should be at least an initial prescription. One thing I *don't* think should be part of it, is a restriction on CPAP vs APAP - and issue I had. I had weeks of data from a loaner APAP machine that APAP was more effective for me then CPAP... yet my 2 hour, fitful sleep during my titration study didn't "qualify" me for one. I had to argue for it, and in the end, buy it outright because my Dr. wouldn't submit that I needed one.

I insisted on the xPAP when getting the machine, but they set it up as a straight CPAP. That is why I wanted the Clinician's manual to change to the APAP Flex on the System One. Didn't understand the problem when getting the machine. They couldn't set it up with a pressure range using the script value as the top limit. It I can get by with less pressure, why not do it?
03-14-2012 10:38 AM
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CHanlon Offline

Advisory Members

Posts: 292
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa LT
Humidifier: ResMed Hi5
CPAP Pressure: 12 -20
CPAP Software: ResScan SleepyHead

Other Comments: Mirage Activa LT nasal mask

Sex: Male
Location: Ontario, Canada

Post: #14
RE: Should a prescription be required for CPAP?
(03-14-2012 10:38 AM)mummerse Wrote:  
(03-14-2012 09:54 AM)CHanlon Wrote:  I agree that there should be at least an initial prescription. One thing I *don't* think should be part of it, is a restriction on CPAP vs APAP - and issue I had. I had weeks of data from a loaner APAP machine that APAP was more effective for me then CPAP... yet my 2 hour, fitful sleep during my titration study didn't "qualify" me for one. I had to argue for it, and in the end, buy it outright because my Dr. wouldn't submit that I needed one.

I insisted on the xPAP when getting the machine, but they set it up as a straight CPAP. That is why I wanted the Clinician's manual to change to the APAP Flex on the System One. Didn't understand the problem when getting the machine. They couldn't set it up with a pressure range using the script value as the top limit. It I can get by with less pressure, why not do it?

I agree. And... if you need more, again, why not? They have these machines that are capable of adjusting, second by second, to the needs of the user. Why stunt that, by fixing on an arbitrary number, gained by a titration study, during what it most likely the most uncomfortable nights
sleep that most of us have had?
03-14-2012 10:50 AM
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Schnauzers 5 Offline

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Posts: 184
Joined: Mar 2012

Machine: Respironics Rem Star A Flex
Mask Type: Nasal pillows
Mask Make & Model: LT swift for her
Humidifier: Respironics, I guess
CPAP Pressure: 9-14
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #15
RE: Should a prescription be required for CPAP?
(03-13-2012 08:21 PM)mummerse Wrote:  Rx should be required especially if we want the insurance companies to pick up at least part of the tab. That being said, I don't think a script should be required for mask parts, new masks, filters, hoses etc.

I agree, once we have the c-pap it should not be so hard to get replacement parts such as nasal pillows exactly like the ones that wore out. The machine and its' settings are a different story. But ya know, Insurance and Medicare have to get into it. My basal pillows seem to wear out before I am qualified to replace it. I also like to keep up on the headgear and feel 3 mos can be too long for a new one.
03-14-2012 08:16 PM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #16
RE: Should a prescription be required for CPAP?
Okay Understand now it,s to do with insurance.
I don,t have insurance so voted NO.
03-14-2012 08:35 PM
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PollCat Offline
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Posts: 1,576
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i Cleanable with ClimateLine
CPAP Pressure: 10 - 18
CPAP Software: SleepyHead

Other Comments: CPAP-ing since 1995; Type 2 Diabetes; Chronic Asthma; Gout

Sex: Male
Location: Westfield, IN

Post: #17
RE: Should a prescription be required for CPAP?
I agree that a prescription is needed for the _PAP machines, but do not believe it's necessary for the consumable supplies. I'm reasonably certain that I did not need scripts for masks, filters, etc. during the late 90's and early 00's It was recently that my online DME started requiring scripts for the supplies.

Besides, what is someone going to do with the masks other than use them for the purpose intended or possibly create Halloween masks!


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03-14-2012 11:19 PM
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priti36 Offline

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Posts: 5
Joined: Feb 2012

Machine: res med s9 escape
Mask Type: Full face mask
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Humidifier: ResMed H5i with Climate Line tubing
CPAP Pressure: 7
CPAP Software: SleepyHead

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Sex: Female
Location: boston

Post: #18
RE: Should a prescription be required for CPAP?
lol. that makes me smile to think about me trick or treating wearing my full face mask with hose attached. That is funny.
03-15-2012 03:16 PM
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greatunclebill Offline

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Posts: 549
Joined: Feb 2012

Machine: Respironics System one Auto A-Flex
Mask Type: Full face mask
Mask Make & Model:
Humidifier: System one
CPAP Pressure: 8-12
CPAP Software: SleepyHead EncoreViewer

Other Comments: quattro fx full face

Sex: Male
Location: L.A. (Lower Alabama)

Post: #19
RE: Should a prescription be required for CPAP?
(03-14-2012 11:19 PM)bobg1946 Wrote:  Besides, what is someone going to do with the masks other than use them for the purpose intended or possibly create Halloween masks!

my mind immediately wanders back to the '60's and woodstock era when....... (you know the rest).
03-15-2012 03:24 PM
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priti36 Offline

Members

Posts: 5
Joined: Feb 2012

Machine: res med s9 escape
Mask Type: Full face mask
Mask Make & Model:
Humidifier: ResMed H5i with Climate Line tubing
CPAP Pressure: 7
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: boston

Post: #20
RE: Should a prescription be required for CPAP?
*gasp* oh my. I hadn't thought of that.
03-15-2012 04:12 PM
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