Side effects from wearing a CPAP can often cause discomfort. Here’s how to handle common CPAP-related complaints:

Adjust Your Expiratory Pressure: Some CPAP machines feature expiratory pressure relief, which can be used to reduce the air pressure while you are exhaling, making it easier to breathe out.

Power socket needed – CPAPs require a nearby power socket, as well as a secure surface to sit on, whereas an EPAP simply sits in the user’s nostrils without being attached to a machine. 

Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis.

A large body of literature, including higher level evidence in the form of meta-analyses and randomized controlled trials, describes the benefits of CPAP in terms of both symptomatic improvement and long term outcomes (15). By preventing airway collapse and vibration, CPAP eliminates snoring and improves sleep quality for the partner along with nocturnal symptoms such as choking, awakenings and nocturia. Furthermore, daytime somnolence is improved both subjectively and objectively with a resultant improvement in concentration.

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Medications to treat contributing conditions such as rhinitis or hypothyroidism can also be of use. Simpler modifications to the CPAP system such as implementation of a chin strap may also be beneficial (34). In addition, patients with nasal congestion may benefit from the use of the full face mask system. Humidification of the CPAP system may also be beneficial although research has been conflicting in this regard, with more recent reports suggesting no positive impact on compliance but an improvement in the overall side effect profile, particularly nasal symptoms (35,36).

Both CPAP therapy and Inspire are used to treat obstructive sleep apnea, but CPAP is the standard treatment option.

These clinical factors highlight the need to address nasal patency and obstruction. A recent computational fluid dynamics analysis has highlighted this effect of nasal obstruction on CPAP treatment, with a particular correlation between inspiratory pressures and maximal airflow velocity (42).

According to most health experts, Continuous Positive Airway Pressure (CPAP) therapy is considered the most effective way to minimize the effects and reduce health risks associated with sleep apnea.

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The most common side effects from the implant procedures are minor sore throat, pain at the incision sites, and aching muscles.

Despite the less than optimal adherence to CPAP therapy, most studies evaluating methods to improve CPAP adherence have been focused on patients that are newly initiated to CPAP therapy. There have been relatively few studies evaluating interventions to improve CPAP compliance in patients who are having difficulty with, or are intolerant to, CPAP therapy. Clinical experience and data from clinical trials demonstrate that clinicians should address common problems such as poor mask fit, excessive leak, adjustments in humidification, and assuring proper treatment settings prior to discontinuing CPAP therapy.

Commercial insurance companies and Medicare typically reimburse for oral appliance therapy, though commercial reimbursement varies by click here region. Oral appliances should be fit and titrated by dentists that are trained in the management of OSA.