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Taking mask off at night while sleeping doctor perscribed Nuvigil
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nap80 Offline

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Posts: 2
Joined: Mar 2016

Machine: REMstar Plus
Mask Type: Full face mask
Mask Make & Model: ResMed, Quattro Air
Humidifier: don't use
CPAP Pressure: 8.5
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #1
Taking mask off at night while sleeping doctor perscribed Nuvigil
So I have had a Cpap for 4 years and every night without fail I take off the mask while sleeping and don't find out until I wake up in the morning. This has caused me to still have to take naps and if I don't I ten to fall asleep in classes. I went to my sleep specialist and they prescribed Nuvigil for me to take to promote wakefulness. Has anyone else used this medication before? How long do I need to keep an eye out for symptoms? Does your body build up an immunity to it quickly?

This post is in no way promoting the sale of Nuvigil just a student kind of scared and frustrated.
03-09-2016 06:32 PM
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Rob S Offline

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Posts: 44
Joined: May 2015

Machine: ResMed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: ResMed AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: min EPAP 6, 90% IPAP16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New England. USA

Post: #2
RE: Taking mask off at night while sleeping doctor perscribed Nuvigil
i know nothing about that medication but i would try finding out why you're taking the mask off. most insurance allow for a new machine every 5 years, when you can, get a fully data capable machine and use the sleepyhead software to help figure out whats going on. until then i'm not sure what i would do, but i'm sure someone else will chime in with some better advice.
03-09-2016 07:41 PM
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OpalRose Offline

Monitors

Posts: 3,155
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: #3
RE: Taking mask off at night while sleeping doctor perscribed Nuvigil
(03-09-2016 06:32 PM)nap80 Wrote:  So I have had a Cpap for 4 years and every night without fail I take off the mask while sleeping and don't find out until I wake up in the morning. This has caused me to still have to take naps and if I don't I ten to fall asleep in classes. I went to my sleep specialist and they prescribed Nuvigil for me to take to promote wakefulness. Has anyone else used this medication before? How long do I need to keep an eye out for symptoms? Does your body build up an immunity to it quickly?

This post is in no way promoting the sale of Nuvigil just a student kind of scared and frustrated.


Welcome to the forum, nap80

4 years is a long time to be fighting with a mask every night. Mabye your sleep doctor should have suggested a different mask. There are a lot of masks out there. Have you tried a nasal pillow mask?

How is your therapy? What is your AHI reading?

I understand, a lot of folk here have reported pulling off their mask at night, but what that tells me is that something isn't comfortable enough, either your mask is ill fitting, or pressure is not optimal for you.

I would look at all aspects of your therapy before taking a drug that may cause you
more problems. Dont-know

OpalRose
(This post was last modified: 03-09-2016 07:59 PM by OpalRose.)
03-09-2016 07:58 PM
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trish6hundred Offline

Advisory Members

Posts: 6,424
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #4
RE: Taking mask off at night while sleeping doctor perscribed Nuvigil
Hi nap80,
WELCOME! to the forum.!
Is your mask uncomfortable for you? There are so many of them out there, don't be shy about asking to try a different one if it isn't comfortable.
Hang in there for more suggestions and answers to your questions and much success to you as you continue your CPAP therapy.
I don't know a lot about the medication you mentioned, I have heard there are some unplesant side affects to it, though, good luck to you.

trish6hundred
03-09-2016 09:46 PM
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,815
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: Taking mask off at night while sleeping doctor perscribed Nuvigil
(03-09-2016 07:58 PM)OpalRose Wrote:  Welcome to the forum, nap80

4 years is a long time to be fighting with a mask every night. Mabye your sleep doctor should have suggested a different mask. There are a lot of masks out there. Have you tried a nasal pillow mask?

How is your therapy? What is your AHI reading?

I understand, a lot of folk here have reported pulling off their mask at night, but what that tells me is that something isn't comfortable enough, either your mask is ill fitting, or pressure is not optimal for you.

I would look at all aspects of your therapy before taking a drug that may cause you
more problems. Dont-know

what she said!

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
03-12-2016 07:50 PM
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woozie38 Offline

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Posts: 248
Joined: Jan 2013

Machine: Fisher & Paykel Icon + Auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Integral
CPAP Pressure: 8 to 14
CPAP Software: SleepyHead Other Software

Other Comments: 17 years of CPAP + supp. oxygen @ 3 L/min

Sex: Male
Location: Toowoomba, Queensland Australia

Post: #6
RE: Taking mask off at night while sleeping doctor perscribed Nuvigil
(03-09-2016 06:32 PM)nap80 Wrote:  I went to my sleep specialist and they prescribed Nuvigil for me to take to promote wakefulness. Has anyone else used this medication before? How long do I need to keep an eye out for symptoms? Does your body build up an immunity to it quickly?
Hi Nap80,
I agree with what has been said previously. Definitely your best course is to find the reason you remove your mask & that could be any or all of the possibilities suggested. However to answer your question about Provigil. You haven't given your location, so I'll assume your are in the US. If this is true, then the cost of the med is so prohibitive it would be difficult (unless you own oil wells) to afford. it's something like $13-$14 per tablet. That said the med has some benefits. I've been taking it on a trial basis for just over three weeks & find that whilst it doesn't give you any extra powers, it does prevent mico sleeps. Can't notice any other benefit other than it allows one to better focus on the task at hand & it does keep you awake.
There is an affliction called "Narcolepsy" for which "Modafinil" (the same med.) is prescribed. In AU if diagnosed with Narcolepsy, one has to hand in their drivers license. The med is not on the PBS so I import my requirements at about 70c per tab. There appears to be no perceivable tolerance (getting used to it), but too high dosage has produced some side effects in some patients. PM me if you would like any details.

[Image: signature.png]Keep on breathin'
03-12-2016 09:34 PM
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Ghost1958 Offline

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Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #7
RE: Taking mask off at night while sleeping doctor perscribed Nuvigil
My wife nor I can tolerate a pressure as low as yours without feeling smothered. You might try bumping up to 9.5
03-13-2016 01:51 AM
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