Continuous Positive Airway Pressure (CPAP) therapy is a highly effective treatment for sleep apnea, helping millions breathe easier and sleep better. However, like any medical treatment, CPAP therapy can come with side effects that may make adjustment challenging. At the Sleep Center in Dhaka, under the expertise of Dr. M. Muinul Hafiz, we guide patients through CPAP therapy to ensure comfort and success. Below, we explore common CPAP side effects and offer practical solutions to manage them.
Feeling Uncomfortable with the CPAP Mask
One of the most common complaints is discomfort from the CPAP mask. A poorly fitted mask can feel bulky, tight, or awkward, making it hard to relax. To address this, work with your sleep specialist to find the right mask style—nasal, nasal pillow, or full-face—that suits your face shape and breathing preferences. Regular adjustments and trying different sizes or brands can improve comfort. Using mask liners or padding can also reduce irritation and enhance the fit.
Dry Nose, Mouth, or Throat After Use
CPAP therapy can dry out your nasal passages, mouth, or throat, especially if you breathe through your mouth. This is often due to the constant airflow from the machine. Using a CPAP machine with a built-in humidifier can significantly alleviate dryness by adding moisture to the air. Adjusting the humidifier settings or using a heated tube can further optimize comfort. Nasal saline sprays or gels may also help keep nasal passages moist.
Skin Redness or Marks from the Mask
Prolonged pressure from the CPAP mask can cause red marks, irritation, or even sores on the face, particularly around the nose or cheeks. To prevent this, ensure your mask fits properly—neither too tight nor too loose. Silicone or cloth mask liners can reduce friction, and alternating between mask types may help. Cleanse your face before bed and keep the mask clean to avoid skin irritation. If sores persist, consult your doctor to rule out skin infections.
Stuffy or Runny Nose at Night
A stuffy or runny nose during CPAP use can result from dry air, allergies, or irritation from the mask. Using a humidifier, as mentioned earlier, can help, but you may also need to address allergies with antihistamines or nasal sprays (consult your doctor first). Ensure your bedroom is free of dust and allergens by washing bedding regularly and using an air purifier. If symptoms persist, a sleep specialist may adjust your CPAP pressure to reduce nasal irritation.
Bloating or Gas from Swallowed Air
Some CPAP users experience bloating, burping, or gas due to aerophagia, where air is inadvertently swallowed into the stomach. This can occur if the CPAP pressure is too high or if you’re using a full-face mask while breathing through your mouth. Adjusting the pressure settings with your doctor’s guidance can help. Additionally, sleeping at a slight incline or using a chinstrap to keep your mouth closed may reduce air swallowing. Avoid eating large meals before bed to minimize discomfort.
Feeling Anxious or Trapped Wearing the Mask
Claustrophobia or anxiety when wearing a CPAP mask is common, especially for new users who feel confined or trapped. Gradual desensitization can help—try wearing the mask during the day while awake to get used to it. Relaxation techniques, such as deep breathing or meditation, can ease anxiety. Choosing a less intrusive mask, like a nasal pillow, may also help. If anxiety persists, discuss it with your sleep specialist, who may recommend behavioral therapy.
Trouble Falling Asleep with CPAP
The sensation of air pressure or the presence of the mask can make falling asleep difficult. To adjust, use the “ramp” feature on your CPAP machine, which starts with lower pressure and gradually increases to the prescribed level. Practice good sleep hygiene, such as maintaining a consistent bedtime routine, dimming lights, and avoiding screens before bed. If sleep remains elusive, your doctor may evaluate whether the pressure settings or mask type need adjustment.
Noise from the Machine or Air Leaks
Older CPAP machines or poorly fitted masks can produce noise from air leaks or the device itself, disrupting sleep for you or your partner. Modern CPAP machines are quieter, so consider upgrading if your device is outdated. Check for air leaks by ensuring the mask seals properly and replacing worn-out cushions or straps. Positioning the machine away from the bed or using a hose cover can further reduce noise. Regular maintenance checks can prevent leaks and ensure optimal performance.
Getting Sick from a Dirty CPAP Machine
A dirty CPAP machine, mask, or tubing can harbor bacteria, mold, or allergens, increasing the risk of respiratory infections or sinus issues. Clean your CPAP equipment regularly—daily for the mask and tubing, weekly for the humidifier chamber—using mild soap and water. Use distilled water in the humidifier to prevent mineral buildup. Replace filters, tubing, and masks as recommended by the manufacturer. If you notice persistent infections, consult your sleep specialist immediately.
Finding It Hard to Use CPAP Every Night
Consistency is key to CPAP success, but sticking to it nightly can be challenging due to discomfort or lifestyle factors. Set a routine by using the CPAP at the same time each night and tracking your progress with the machine’s data (many devices monitor usage). Joining a support group or discussing challenges with your sleep specialist can provide motivation. Small rewards for consistent use, like treating yourself after a week of compliance, can also help build the habit.
Get Support from the Sleep Center in Dhaka
Adapting to CPAP therapy takes time, but you don’t have to navigate it alone. At the Sleep Center in Dhaka, our team, led by Dr. M. Muinul Hafiz, offers personalized guidance to optimize your CPAP experience and minimize side effects. Contact us at sleepcenterbd@gmail.com or call +88 01955533859 or +88 01955533869 to schedule a consultation. Visit us at ENT Care Center, SANMAR TOWER-2, 13th Floor, House-38/A, Road-35, Gulshan-2, Dhaka-1212, Bangladesh, open Saturday to Thursday, 10 AM to 5 PM. With the right support, CPAP therapy can transform your sleep and health.