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Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
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Darlie Offline

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Post: #41
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
I have been having problems also with my CPAP machine since I upgraded to Resmed Autoset S9 .I had an attack of dizziness five months ago DR said its a virus...then intermittently I get light headed but about a week ago I have this dizzy thing when I lie down in bed and turn over and when I'm up if I look down or stretch up or look right up its really horrile....Dr says I have to live with it but i went to sleep study unit yesterday he said to try the machine on fixed pressure and see how I go well I went bad i think I cant cope with pressure that high because Im going back to see the Professor dr sleep on 5th Aug to try it out and see if it stops the dizziness Im thinking i will turn pressure down for tonight see how I go....I had been on CPAP for 13 years with a fixed pressure of 9 then had a sleep study and it was put up to 12 i just couldnt stand it so back to 9 i went.I have the S9 set start 6 then top pressure to 14 and it was averaging 12.4 but i really dont know what to do ...Im thinking of asking for a referal to a ENT specialist I dont want to destroy my hearing...Has anyone noticed that everyone on here seems to be using the same machine S9?????
07-24-2013 09:20 PM
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vsheline Offline

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Post: #42
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
Hi Darlie, welcome to the forum!

Other things which can cause permanent vertigo/dizziness are some types of prescription drugs. Antibiotics are often "ototoxic", poisonous to the ears, and can cause deafness or permanent vertigo.

If for the next week (until your doctor appointment) you operate your machine in CPAP mode with your pressure back to 9, I suppose this would enable you to report to your doctor whether the dizziness went away or not.

However, perhaps better still, would be to make sure you stay off your back while asleep. I wear a tennis ball in a pocket sewn on the back of a moderately snug teeshirt, right between the shoulder blades, to make sure I do not roll on my back while asleep. (Teeshirt needs to be fairly snug so the tennis ball will not droop out of place and cause discomfort by managing to touch the bed when you are on your side.)

Our pressure needs are usually MUCH higher when sleeping on our back, so if we can make sure we will stay off our back, the AutoSet pressure may naturally stay much lower, maybe even lower than 9.

Take care,
--- Vaughn

(07-24-2013 09:20 PM)Darlie Wrote:  I have been having problems also with my CPAP machine since I upgraded to Resmed Autoset S9 .I had an attack of dizziness five months ago DR said its a virus...then intermittently I get light headed but about a week ago I have this dizzy thing when I lie down in bed and turn over and when I'm up if I look down or stretch up or look right up its really horrile....Dr says I have to live with it but i went to sleep study unit yesterday he said to try the machine on fixed pressure and see how I go well I went bad i think I cant cope with pressure that high because Im going back to see the Professor dr sleep on 5th Aug to try it out and see if it stops the dizziness Im thinking i will turn pressure down for tonight see how I go....I had been on CPAP for 13 years with a fixed pressure of 9 then had a sleep study and it was put up to 12 i just couldnt stand it so back to 9 i went.I have the S9 set start 6 then top pressure to 14 and it was averaging 12.4 but i really dont know what to do ...Im thinking of asking for a referal to a ENT specialist I dont want to destroy my hearing...Has anyone noticed that everyone on here seems to be using the same machine S9?????

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 07-28-2013 02:10 AM by vsheline.)
07-28-2013 02:08 AM
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Darlie Offline

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Machine: Autoset S9 Resmed
Mask Type: Nasal mask
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CPAP Pressure: 6-14
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Sex: Female
Location: Sydney Australia

Post: #43
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
(07-28-2013 02:08 AM)vsheline Wrote:  Hi Darlie, welcome to the forum!

Other things which can cause permanent vertigo/dizziness are some types of prescription drugs. Antibiotics are often "ototoxic", poisonous to the ears, and can cause deafness or permanent vertigo.

If for the next week (until your doctor appointment) you operate your machine in CPAP mode with your pressure back to 9, I suppose this would enable you to report to your doctor whether the dizziness went away or not.

However, perhaps better still, would be to make sure you stay off your back while asleep. I wear a tennis ball in a pocket sewn on the back of a moderately snug teeshirt, right between the shoulder blades, to make sure I do not roll on my back while asleep. (Teeshirt needs to be fairly snug so the tennis ball will not droop out of place and cause discomfort by managing to touch the bed when you are on your side.)

Our pressure needs are usually MUCH higher when sleeping on our back, so if we can make sure we will stay off our back, the AutoSet pressure may naturally stay much lower, maybe even lower than 9.

Take care,
--- Vaughn

(07-24-2013 09:20 PM)Darlie Wrote:  I have been having problems also with my CPAP machine since I upgraded to Resmed Autoset S9 .I had an attack of dizziness five months ago DR said its a virus...then intermittently I get light headed but about a week ago I have this dizzy thing when I lie down in bed and turn over and when I'm up if I look down or stretch up or look right up its really horrile....Dr says I have to live with it but i went to sleep study unit yesterday he said to try the machine on fixed pressure and see how I go well I went bad i think I cant cope with pressure that high because Im going back to see the Professor dr sleep on 5th Aug to try it out and see if it stops the dizziness Im thinking i will turn pressure down for tonight see how I go....I had been on CPAP for 13 years with a fixed pressure of 9 then had a sleep study and it was put up to 12 i just couldnt stand it so back to 9 i went.I have the S9 set start 6 then top pressure to 14 and it was averaging 12.4 but i really dont know what to do ...Im thinking of asking for a referal to a ENT specialist I dont want to destroy my hearing...Has anyone noticed that everyone on here seems to be using the same machine S9?????

Thanks for replying Vaughn I have made an appointment with a ENT specialist and a Neurologist so Im checking it as best I can gee thats scary about the antibiotics I actually had some in January two lots of Keflex as i had cellulitus and its hard to stop sometimes..I reset my machine on 10.4 and so far so good I'm going to try to print it out myself with rescan software as I go to see sleep Professor on 5th Aug Thanks You take care Darleen.....
07-29-2013 03:53 AM
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vsheline Offline

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Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
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Post: #44
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
(07-29-2013 03:53 AM)Darlie Wrote:  gee thats scary about the antibiotics I actually had some in January two lots of Keflex as i had cellulitus and its hard to stop sometimes..

Hi Darlie,

I looked up Keflex in Ototoxic Drugs Exposed, 3rd Edition by Neil Bauman, PhD.

The author places the ototoxic drugs discussed in his book into 5 risk classes, with Class 1 having the lowest risk and Class 5 having the highest risk. Understand, even the Class 1 risk ototoxic drugs have reported ototoxic effects, although usually mild or temporary.

The author has placed Keflex in Class 2. And, unfortunately, perhaps having two courses of the drug may have increased the risk.

I don't mean to scare people or anything. I would just like for the risks to be more widely known by everyone, including doctors who often have no idea of the ototoxic risks and so do not warn their patients to report immediately any hearing loss or dizziness (so that an alternate drug can be prescribed). My own hearing has been severely damaged by ototoxic drugs, and I wish I had been warned to be on the look out for these types of side effects.

What follows below is what is reported in the book.

Take care,
--- Vaughn


Cephalexin

Brand names: Keflex

Drug classification: Cephalosporins

Cochlear ototoxic effects:
Hearing loss
Tinnitus

Vestibular ototoxic effects:
Dizziness
Vertigo

Risk assessment: Class 2

Notes:

Young children have ended up with hearing loss, tinnitus and/or vertigo after taking Cephalexin.

I have an anecdotal report in my files of a man who had a drop in his hearing when he began taking Cephalexin. His hearing returned when he stopped taking it.

I have another anecdotal report in my files of a woman who suffered total permanent hearing loss after taking a ten-day course of Cephalexin. She now has a cochlear implant. From her symptoms it appears she may have had an allergic reaction to this drug. As a result its ototoxic side effects were particularly severe on her hearing.

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 07-29-2013 05:03 PM by vsheline.)
07-29-2013 04:23 PM
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Darlie Offline

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Post: #45
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
Hi Vaughn ,
Thanks for your info I will be aware now when given antibiotics considering I seem to get Cellulitus almost every year I will be asking for something else when I do get it...Its just disgraceful no-one informs us of the dangers of these drugs....Ill let you know how I go with my specialists...'
Cheers Darleen
07-30-2013 01:30 AM
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vsheline Offline

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Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
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CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

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Post: #46
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
(07-30-2013 01:30 AM)Darlie Wrote:  I will be aware now when given antibiotics considering I seem to get Cellulitus almost every year I will be asking for something else when I do get it...Its just disgraceful no-one informs us of the dangers of these drugs....Ill let you know how I go with my specialists...'

Understand there are lots of Class 3 and Class 4 and Class 5 antibiotics (having higher risk), so we need to research each prescription before getting it filled.

There used to be an eBook edition of Dr. Baumans's book, which I don't see on sale right now, but the paperback 3rd edition is $36.80 at Amazon. If we bring the paperback with us to the doctor's office, we would be able to ask for an alternate antibiotic before we leave the doctor's office.

Take care,
--- Vaughn

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
07-30-2013 02:53 AM
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Not quite deaf Offline

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Post: #47
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems [copied from old forum]
(02-25-2012 10:22 AM)SuperSleeper Wrote:  
xragman Wrote:I have been on cpap for almost 20 years with no issues whatever. Then I had my cpap machine replaced for the 2nd time last January. In may, i woke in in the middle of the night with a full blown bout of vertigo. I had no idea what it was, thought I was having a heart attack. I even started having ear noise in my left ear only which at times was very loud. To shorten this down, I have been to several doctors, every specialist twice, spent a fortune in medical testing, and nobody could tell me the root cause of my problems. I am having spells every day, and they can come on by the turn of the head at any time. I even had another sleep study done to make sure my machine was working ok and the settings were accurate. Finally, I took a piece of tape and almost closed the opening of my mask fitting. My issues stopped. After about 3 weeks, no ear noise, no problems, and feeling really good, I stupidly again used the cpap as I should. I was down for 2 straight weeks. I wanted to die. I quit using it altogether and finally after a week, things are getting back to normal. Is it My machine? I don't know. Is it a medical condition? The doctors say no. Will I use cpap again? No. I would rather die than go through that again.

Thanks Thanks for sharing your story. I have been using a cpap for three months without much fuss. However, last week I woke in the night with extreme syncope. I couldn't get my bearings. I thought I had a new type of flu, since I was also vomiting. It is now a week and I still awake with the dizziness. It gets slightly better as the day wears on, but it doesn't disappear altogether. I thought maybe I had developed sudden onset something or other like diabetes. I have yet to be checked out. One point: I had increase the humidity because I believed the drier air was adding to my allergic reactions - red burning eyes, sneezing. I will go through some trial and error.
12-15-2013 02:50 PM
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Ray173 Offline

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Post: #48
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
hello,

I been on my cpap now for just about 2 years. 2 weeks ago I noticed when I would swallow my right ear would feel pressurized a lot more than normal. one night I swallowed and herd a pop it was painful but I ignored it and fell asleep. When I woke up I felt ill and had a sudden shooting pain on the left side if my head, it felt like I been hit with a bat. I sat up and got so dizzy it made me want to vomit. I grabbed the side of the bed and waited hopping it would stop. It did almost but now if i move to fast or lay down I get Dizzy, so much that I could lose my balance if I was standing.

My right ear feels pressurized all the time and now I have pain left side of my head from my ear. I can still hear .but no pops to equalize the pressure and now I have a head ache and ear pain all the time. I was told the cpap would not do this to me
when I first used it my left ear would always feel different than my right, it seemed like my right ear felt more pressure when I swallowed with the cpap on. I was told that it was nothing to fear and my sleep doc increased pressure to my cpap to 12 psi.
tonight is the worst yet head ache and tired I have not slept yet cuz of fear what my cpap may do. so here i am at 6:30 am no sleep typing this out to share my story.
by the way I cant lower my cpap below 12 psi, other wise the therapy would not work. so i am really stuck right now.

cheers hope things work out soon.......
03-06-2014 07:43 AM
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justMongo Offline

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Post: #49
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
(03-06-2014 07:43 AM)Ray173 Wrote:  hello,

I been on my cpap now for just about 2 years. 2 weeks ago I noticed when I would swallow my right ear would feel pressurized a lot more than normal. one night I swallowed and herd a pop it was painful but I ignored it and fell asleep. When I woke up I felt ill and had a sudden shooting pain on the left side if my head, it felt like I been hit with a bat. I sat up and got so dizzy it made me want to vomit. I grabbed the side of the bed and waited hopping it would stop. It did almost but now if i move to fast or lay down I get Dizzy, so much that I could lose my balance if I was standing.

My right ear feels pressurized all the time and now I have pain left side of my head from my ear. I can still hear .but no pops to equalize the pressure and now I have a head ache and ear pain all the time. I was told the cpap would not do this to me
when I first used it my left ear would always feel different than my right, it seemed like my right ear felt more pressure when I swallowed with the cpap on. I was told that it was nothing to fear and my sleep doc increased pressure to my cpap to 12 psi.
tonight is the worst yet head ache and tired I have not slept yet cuz of fear what my cpap may do. so here i am at 6:30 am no sleep typing this out to share my story.
by the way I cant lower my cpap below 12 psi, other wise the therapy would not work. so i am really stuck right now.

cheers hope things work out soon.......

Oh I hope you mean 12 cm-H2O as 12 psi would blow your head off!

To be serious, CPAP pressures are in units of centimeters of water.
12 psi would be approx 12/15 = 0.8 atmospheres which would hold up a column of water 30x0.8 = 24 feet high. 24 feet is 731 cm. So, 12 psi would be about 731 cm of water.

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.
(This post was last modified: 03-06-2014 08:01 PM by justMongo.)
03-06-2014 07:56 PM
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Ray173 Offline

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Post: #50
RE: Vertigo/CPAP Pressure Update- CPAP causing inner ear problems
(03-06-2014 07:56 PM)justMongo Wrote:  
(03-06-2014 07:43 AM)Ray173 Wrote:  hello,

I been on my cpap now for just about 2 years. 2 weeks ago I noticed when I would swallow my right ear would feel pressurized a lot more than normal. one night I swallowed and herd a pop it was painful but I ignored it and fell asleep. When I woke up I felt ill and had a sudden shooting pain on the left side if my head, it felt like I been hit with a bat. I sat up and got so dizzy it made me want to vomit. I grabbed the side of the bed and waited hopping it would stop. It did almost but now if i move to fast or lay down I get Dizzy, so much that I could lose my balance if I was standing.

My right ear feels pressurized all the time and now I have pain left side of my head from my ear. I can still hear .but no pops to equalize the pressure and now I have a head ache and ear pain all the time. I was told the cpap would not do this to me
when I first used it my left ear would always feel different than my right, it seemed like my right ear felt more pressure when I swallowed with the cpap on. I was told that it was nothing to fear and my sleep doc increased pressure to my cpap to 12 psi.
tonight is the worst yet head ache and tired I have not slept yet cuz of fear what my cpap may do. so here i am at 6:30 am no sleep typing this out to share my story.
by the way I cant lower my cpap below 12 psi, other wise the therapy would not work. so i am really stuck right now.

cheers hope things work out soon.......

Oh I hope you mean 12 cm-H2O as 12 psi would blow your head off!

To be serious, CPAP pressures are in units of centimeters of water.
12 psi would be approx 12/15 = 0.8 atmospheres which would hold up a column of water 30x0.8 = 24 feet high. 24 feet is 731 cm. So, 12 psi would be about 731 cm of water.

At the time of this post my head was not very clear but than anyone who is sleep deprived with a headache that feels like you been hit by a bat with an sour ear probably would miss a few things don't you think?
but to be honest don't really care the idea of my post was to share what I was going through not to show off my skills as a millwright!
btw it would be 0.17068012001150573 PSI for my setting which equals to 12 cmH20 to be exact.

Personally my fist thought on someone typing this kind of post would have been
to give encouragement and let them know they're not alone. But than thats what kind of person I am.
Not that I am above being corrected but really this is what you comment on? my dial setting? I bet you read this stuff just to correct grammar and spelling too don't you,,,lol cheers
Sleep-well

I know I won't I have another 5 days to put up with this before I can see a Doc.
03-07-2014 03:16 AM
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