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drugs and cpap
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readyforsleep Offline

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Machine: Resmed S9 AutoSet for her
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Sex: Female
Location: Lawrenceburg, Indiana

Post: #1
drugs and cpap
Hey guys, I have been doing great ahi below 3 most nights. Small hiccup though. I am on percoset for a recent procedure and of course my ahi is sky high. Tonight I am going to raise my max pressure and see if it helps. Any other suggestions?

2010 sleep study 63 AHI, 2014 3.0
07-01-2015 06:15 PM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
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Post: #2
RE: drugs and cpap
Sedative drugs tends to lower the brain's central ventilator drive causing central (open airway) apneas. Increasing pressure is unlikely to help; and may actually make CAs worse.

What does sleepyhead say about your type of apnea?

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: 07-01-2015 06:24 PM by justMongo.)
07-01-2015 06:23 PM
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Mosquitobait Online

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Machine: Resmed AirSense 10 For Her
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Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #3
RE: drugs and cpap
(07-01-2015 06:15 PM)readyforsleep Wrote:  Hey guys, I have been doing great ahi below 3 most nights. Small hiccup though. I am on percoset for a recent procedure and of course my ahi is sky high. Tonight I am going to raise my max pressure and see if it helps. Any other suggestions?

I periodically take codeine, and the PA told me that if I'm only on them for a week, there is no need to change pressures. If I was going to be on them longer, they would want to hear from me. Now, in my case, it's because they can't get my oxygen level above 91%.

In my opinion, no reason that I can see why you couldn't raise the max one night and see if there is any difference. But then, I'm a newbie and have done some stupid things. Smile
(This post was last modified: 07-01-2015 06:30 PM by Mosquitobait.)
07-01-2015 06:30 PM
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zonk Offline

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Location: Australia

Post: #4
RE: drugs and cpap
Percoset is narcotic pain reliever, opiad meds known to cause central sleep apnea
Increasing pressure may not help lowering AHI, if centrals predominates

Talk with your doc, decreasing the dose or moving to other types of pain relief

As for pressure increase, I recall you had the maximum pressure at 20 at some point or maybe that was someone else oldman
07-01-2015 06:41 PM
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PaulaO2 Offline
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Machine: S9 Autoset
Mask Type: Full face mask
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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: #5
RE: drugs and cpap
Nah, leave it. Unless you are feeling like crap during the day due to lack of adequate sleep, leave it.

In the meantime, ensure you are sleeping on your side.

Check your data to see what the increased events are. If they are obstructive, then sleeping on your side and, if you are maxing out the pressure every night, a slight increase in pressure might be warranted.

If the events are central, then a pressure increase may actually make them worse. You never gave specific numbers other than to say the AHI was "sky high". If the central events are, say, higher than 15, you may want to ask your doctor to prescribe a different pain medication. Perhaps your body just reacts strongly to the one you have now.

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.
07-02-2015 12:26 AM
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readyforsleep Offline

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Posts: 233
Joined: Mar 2014

Machine: Resmed S9 AutoSet for her
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for her
Humidifier: attached
CPAP Pressure: 14.6-17.4
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Lawrenceburg, Indiana

Post: #6
RE: drugs and cpap
Half oa/half central. Looks like I am breathing thru my mouth big time.

2010 sleep study 63 AHI, 2014 3.0
07-02-2015 06:16 AM
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zonk Offline

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Sex: Male
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Post: #7
RE: drugs and cpap
(07-02-2015 06:16 AM)readyforsleep Wrote:  Looks like I am breathing thru my mouth big time.
Some use tape, but I have not tried or recommend this method

Chinstrap or full face mask
I like the Ruby chinstrap
07-02-2015 07:12 AM
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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
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

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

Sex: Undisclosed
Location: western NC, USA

Post: #8
RE: drugs and cpap
Yeah, the medication is knocking you out and you are sleeping deep. Leave the pressure alone and try a chin strap to see how it works. If you have leaks that bad, the numbers are invalid anyway. You can make your own chin strap out of an ACE bandage. You want it tight enough it holds your mouth shut firmly but not so tight you cannot chew with effort.

Lip taping is dangerous and not recommended, like Zonk says.

PaulaO2
Apnea Board Moderator
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.
07-02-2015 12:29 PM
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readyforsleep Offline

Preferred Members-2

Posts: 233
Joined: Mar 2014

Machine: Resmed S9 AutoSet for her
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for her
Humidifier: attached
CPAP Pressure: 14.6-17.4
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Lawrenceburg, Indiana

Post: #9
RE: drugs and cpap
I am using a chin strap. Might have to dust off my ff mask. Are there any pain killers that work with cpap?

2010 sleep study 63 AHI, 2014 3.0
(This post was last modified: 07-02-2015 01:56 PM by readyforsleep.)
07-02-2015 01:55 PM
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PaulaO2 Offline
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Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
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: drugs and cpap
You can ask the doc about it. I regularly take Vicodin and don't see a big jump in numbers except for when I take it more than 3 nights in a row. I get higher AHI when I take benedryl, actually.

Ask for another one, one of a different "family" of pain medications.

PaulaO2
Apnea Board Moderator
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.
07-02-2015 08:14 PM
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