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androgel and sleep apnea? - orel - 04-08-2013

I'm 20 years old and have been on a bipap for some months now. I've recently been prescribed Androgel 1.62% for my very low testosterone. I've been experiencing sexual dysfunction for months and I was hoping this would help. It also wouldn't go amiss if it helped my mood and helped me achieve my weight loss goals. I've just taken my first dose not one hour ago, and I'm a bit scared. I've researched androgel online and it supposedly exacerbates sleep apnea. During the long wait to get a bipap the idea of sleeping scared me shitless. I'd stay up for days not because of sleep apnea, but because of the fear I'd die in my sleep. But months into use of my bipap, that's much better. Now though, here's this worry in my mind. The prescribing doctor knows of my sleep apnea and my bipap use, but he didn't mention anything to me about the possible breathing side effect of the androgel.

Anyone have experience with this? What do you think I should do? Should I just stop my worrying and take my medicine or should I just abstain from it completely until I can get a doctor to sign a legal document in his own blood that I'll be fine? Advice very appreciated, thanks guys.


RE: androgel and sleep apnea? - PaulaO2 - 04-08-2013

You are using a CPAP machine that treats your sleep apnea. That's different than not using a machine at all.

What machine do you have? Are you reading the data from it? If you are (or are not, start doing so), then just keep an eye on the data. It may take several days for any changes to be seen, if any happen at all.


RE: androgel and sleep apnea? - trish6hundred - 04-08-2013

Hi orel,
WELCOME! to the forum.!
What Paula said.
Hang in there for more responses to your post and best of luck.


RE: androgel and sleep apnea? - DocWils - 04-08-2013

Weeelllll.... Androgel is unlikely to affect the efficacy of the CPAP in any real way - if you are overly sensitive to it it may have a knock on effect, but I don't think you should worry just yet. What Androgel can do is make you more awake at night, due to the increase in testosterone, but it can't worsen OSA, since it doesn't have any real effect on the tensile strength or flexibility of the soft tissue of the throat. It may have an effect on CSA, but I haven't seen any literature to support that solidly. Most likely it only affects the sleep centres a little, and you probably won't see a major change in your compliance numbers. If you do, let your doc know and he will adjust your box accordingly to compensate for the effect. Take your meds and stay on the machine, and don't be so scared. Your doc isn't so blithe as to give you a drug that could harm you in any way.

Of course, with the upped testosterone, there is a chance your hair may start to fall out, but other than that..... :-)


RE: androgel and sleep apnea? - Ugly - 04-08-2013

(04-08-2013, 11:33 AM)orel Wrote: I'm 20 years old and have been on a bipap for some months now.

{yadda yadda}

The prescribing doctor knows of my sleep apnea and my bipap use, but he didn't mention anything to me about the possible breathing side effect of the androgel.

Anyone have experience with this? What do you think I should do? Should I just stop my worrying and take my medicine or should I just abstain from it completely until I can get a doctor to sign a legal document in his own blood that I'll be fine?
[/quote]

I guess I took it for granted there'd be no interactions.
I take my testosterone in pill form. Side effects? I'm really not sure.
I attribute any troubles with the mismatch between me and my old CPAP.

THIS IS NOT LEGAL OR MEDICAL ADVICE - JUST OPINION

In that situation I'd probably take medication as prescribed and get in to see the doctor ASAP for the final word. If you don't feel comfortable with that, it's OK. I think. I'm not telling you what to do; I'm saying what I would probably do in that situation.




RE: androgel and sleep apnea? - Shastzi - 04-09-2013

Testosterone hmm? Have any irresistible urges to crush beer cans on your forehead or bend steel bars with your teeth?

Big Grin


RE: androgel and sleep apnea? - Labrat0116 - 04-09-2013

(04-08-2013, 11:33 AM)orel Wrote: I've recently been prescribed Androgel 1.62% for my very low testosterone.

I just started a script of Androgel 1.62% myself last week.

orel Wrote:I've researched androgel online and it supposedly exacerbates sleep apnea.

Very interesting. My Endocrinologist ordered a Sleep Study on me because of my Low Testosterone. That's how I found out about my complex sleep apnea.

I was under the impression that low testosterone was a caused by sleep apnea. ??? I need to research this more.

orel Wrote:Should I just stop my worrying and take my medicine or should I just abstain from it completely until I can get a doctor to sign a legal document in his own blood that I'll be fine?

Take your medicine as prescribed by your doctor. A prescription is a legal document that legally bounds your doctor's orders.



RE: androgel and sleep apnea? - JJJ - 04-09-2013

(04-09-2013, 10:58 AM)Labrat0116 Wrote: Very interesting. My Endocrinologist ordered a Sleep Study on me because of my Low Testosterone. That's how I found out about my complex sleep apnea.
I was under the impression that low testosterone was a caused by sleep apnea. ??? I need to research this more.

Several years ago my testosterone level was checked and it was in the cellar. I'd be very interested in connections between testosterone levels and sleep apnea. Ideally I'd like to find a controlled study where they found a bunch of men who had both sleep apnea and low testosterone, put them on CPAP and, after several months of successful CPAP therapy re-tested their testosterone levels. I'm curious whether getting the sleep apnea under control actually makes a difference in testosterone levels, and how much.

Please post back with anything you find about the relationship between sleep apnea and testosterone. Or any other hormone, for that matter.


RE: androgel and sleep apnea? - DocWils - 04-09-2013

I suspect that the same things that create the sleep apnoea also create the lowered progesterone levels when the two show up together, rather than one cause the other. Obesity, for instance certainly causes both, and can contribute to a feedback loop that once broken, could see a resolution of both problems. At any rate, testosterone levels are dropping strongly in the West, for reasons that are not yet fully understood. Stress, diet, pollution, you name it....