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Frequently Asked Questions

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CPAP and Sleep Apnea Basics
    What is Obstructive Sleep Apnea?
    What is CPAP therapy
    I suspect I have Sleep Apnea, what should I do?
    I have been diagnosed with Sleep Apnea, what should I do?
Machines
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CPAP and Sleep Apnea Definitions
Product Specific Questions and Answers
 


What is Obstructive Sleep Apnea?

Obstructive Sleep Apnea (OSA) is a condition in which a patients breathing passage seals during sleep, causing the patient to stop breathing. Apnea is Greek for “without breath”. The body responds to this lack of oxygen by arousing, or waking from sleep. This cycle leads to the patient being unable to get the needed quantity of restful sleep and results in:

  • Constant Fatigue
  • Difficulty Focusing
  • Irritability

Untreated Sleep Apnea is potentially fatal and frequently results in the following serious health problems:

  • Heart Attacks
  • Strokes
  • High Blood Pressure
  • Diabetes


Pictured Right: An unhealthy, obstructed upper airway

 


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What is CPAP therapy

CPAP stands for Continuous Positive Airway Pressure. CPAP therapy provides a constant airflow which holds the airway open so that uninterrupted breathing is maintained during sleep. This eliminates Sleep Apneas and allows the patient to get a restful sleep.

CPAP therapy is traditionally provided through a nasal mask that seals around the nose. However, more innovative, comfortable and better sealing options are beginning to emerge.

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I suspect I have Sleep Apnea, what should I do?

Sleep Apnea is a serious and potentially fatal medical condition. If you or a love one suspect you have it, you should be tested as soon as possible.

  • Sleep Questionaire This is a simple test you can fill out and bring with you to a physicians visit that evaluates you for the most common symptoms of sleep apnea.

    Sleep Apnea Screening Questionaire

  • Sleep Study A Polysomnogram, or Sleep Study, measures many key metrics while you sleep. These metrics are used to determine if you have Sleep Apnea or a number of other sleep related conditions such as central sleep apnea or restless leg syndrome.

    To find a Sleep Physician or Sleep Lab in your area simply enter your address into our sleep services locator.

    Local Sleep Services Locator

    CPAPtalk.com has created an "Introduction To The Sleep Lab" video that explains the process of verifying, diagnosing and treating Sleep Apnea. If you are curious about the process or would like to know what to expect during your sleep study you can view the video below now, or download it and watch it later.



    Download "Introduction To The Sleep Lab" Video

    If you have tested positive for Sleep Apnea, you will need to treat it. CPAP is the most popular and proven way to treat Sleep Apnea. Here is our advice on navigating the tricky process of getting effective equipment:

  • Get The Best Equipment. Watch Out! There is a significant difference between basic and high end CPAP equipment. High end equipment is generally smaller, lighter, quieter, less prone to leaks, easier to breathe against, better humidified and easier to travel with than basic CPAP Equipment. The key to CPAP treatment is comfort, choose wisely!

    Many traditional, brick and mortar CPAP providers will set you up on a CPAP and bill your insurance company. If this approach to getting your equipment is used, you will most likely be given basic equipment. This is because there is only one billing code for all CPAP Machines and very few unique codes for CPAP Masks. Due to this, the insurance company will pay your CPAP Provider the same amount if you get a high end or basic machine. Usually, the amount paid to traditional CPAP Providers by insurance companies is not enough to cover the cost of high end CPAP equipment and the patient is left to make due with basic equipment.

    If you would like high end equipment, there are a variety of ways to obtain it online for equal or lesser cost than dealing with traditional CPAP dealers.

    • CPAP.com (CPAP Retailer)
      CPAP.com sells high end CPAP Supplies and Equipment direct to consumers. Many times buying with cash is less expensive than the copay and deductible charged through insurance. If you want a way around the hassle and low end equipment provided by insurance companies and local providers, this is a good choice.


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    I have been diagnosed with Sleep Apnea, what should I do?

    • Get The Best Equipment. For effective treatment, you must wear your CPAP nightly. Due to this, it is a good idea to get the most comfortable equipment possible. Our company provides a low cost, hassle free alternative to the stress and risk of dealing with private insurance and traditional providers to obtain CPAP equipment and supplies.

    • Get Support and Information From Other CPAP Users. The prospect of adjusting to CPAP Therapy can be daunting. You are not alone. The online CPAP Community cpaptalk.com is a free, no registration required resource where CPAP users from all over the world gather to ask questions, provide encouragement, review CPAP Equipment and stay up to date on the latest treatment techniques and options.

      cpaptalk.com Online Sleep Community

    • Replace Disposable Equipment Regularly. CPAP Filters should be replaced every 2-3 months. CPAP Masks should be replaced every six months. Sinus infections and nasal congestion often result from the failure to replace disposable equipment regularly.

      Staying up to date on your equipment replacement is easy with our reminders. After placing orders with our company, you will be given the option to have email reminders sent to you at the period time after your order has shipped that you specify. This allows our customers to "order it and forget about it" without putting themselves at risk of using out of date equipment.

    • Stay Informed. The market for CPAP goods and services is competitive and dynamic. Manufacturers are frequently coming to market with products that make CPAP therapy more comfortable and effective. You do not want to be stuck using an inferior product! Subscribe to our CPAP newsletter and get the product and industry news that affects your therapy.

      CPAP Newsletter Archive

      CPAP Newsletter Sign Up


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    How do I choose the machine that is right for me?

    We provide our customers with many tools to make informed decisions about their machine purchases. Options include:


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    Are prescriptions required for machine purchases?

    Yes. Federal law requires we have a valid prescription on file before we ship your machine. We provide many easy ways to fax us your prescription and also have created a section of this FAQ that lists what phrases are required for each machine type.

    www.cpap.com FAQ, Machine Prescription Section

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    What maintenance is required on machines?

    The only care the machines require is that you clean or change the filters in the back of the machines to keep the internal parts from accumulating dust.

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    What comes with my machine?

    Machines come with a six foot hose, manuals and a carrying case. They do not come with a CPAP Mask. CPAP Masks must be purchased separately.

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    Which CPAP Masks work on which machines?

    You can safely mix and match nearly all machines and CPAP Masks.

    Be aware that there are known issues with APAP Machines and certain styles of CPAP Masks as well as with sensor tubes and some CPAP masks. If you are purchasing a new style mask for use with APAP for sensor tubes, check with us first!

    Please see the CPAP Mask section of our FAQ for more details:

    www.cpap.com FAQ, CPAP Mask Section

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    What is C-Flex?

    C-Flex is a feature that makes breathing back against CPAP pressure easier to do. Independent studies conducted by leading universities indicate that patient comfort, and therefore, patient CPAP compliance, is higher with machines that use C-Flex. C-Flex is a technology invented by Respironics, is proprietary, and is not available on other brands of CPAP Machines.

    C-Flex vs. Traditional CPAP: Brown University Study

    cpaptalk.com Interview, C-Flex in the Remstar Pro and Remstar Auto

    www.cpap.com Video Collection, Respironics C-Flex Videos

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    How do I change the pressure setting of my machine?

    When a physician orders a pressure change, or a patient moves to an area with a very different altitude and does not have an altitude compensating machine, there are a number of ways to ensure you are receiving CPAP therapy at the correct pressure.

    Most sleep laboratories and sleep disorder centers are very willing to make this change at no cost. This is routine in most facilities. Just call a big local hospital or ask you physician for sleep lab phone numbers. Be sure to bring your prescription.

    A second way is to do it yourself. We sell manometers that are very portable, accurate, and simple to use. All the machines we sell come with instructions on how to set pressure to physician orders. Most patients have little trouble doing this themselves. If they need help we can talk them through the procedure.

    Tiara Water Column Manometer

    Fisher and Paykel Water Column CPAP Manometer with HC325 Chamber

    A third option is to ship the machine to us with the new prescription. We will set it and ship it back.

    It is the law and good common sense to run all sleep disorder devices at the prescribed pressure. If you think your prescribed pressure is wrong, talk to your physician.

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    What is a CPAP Machine?

    A CPAP machine blows one constant pressure. Your ideal pressure was determined during your sleep study. However, many factors can affect your ideal pressure over time, like weight fluctuations and even sleeping positions.

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    What does CPAP stand for?

    CPAP stands for Continuous Positive Airway Pressure.

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    What does CPAP therapy do?

    CPAP therapy provides a constant airflow which holds the airway open so that uninterrupted breathing is maintained during sleep. It is traditionally provided through a nasal mask that seals around the nose to maintain the pressure level.

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    Is there a CPAP that runs on batteries? How long do they last?

    Many CPAPs operate from 12 volt DC power. If your CPAP has a DC jack, a round, single hole in the back or side of the unit, then you should be able to operate it from a 12 volt DC power source with only the use of a DC power cord; an inverter is not necessary. Typically, the DC power cords plugs into the CPAP and end in a cigarette lighter plug. To connect a CPAP directly to a battery, you would need a DC adapter cable that fits over the cigarette lighter plug on the DC power cord and ends in alligator clips.

    For the longest usage time, we suggest you use a deep-cycle marine type battery. It will operate most CPAPs at most pressures for about three nights before needing to be recharged. We sell a smaller, portable, rechargeable Battery Pack on our site that will operate most CPAPs and most pressures for one night.

    Heated Humidifiers will not operate on DC power without an inverter.

    The AEIOmed Aura is newly released and is the worlds first CPAP with integrated battery system. The Aura's optional battery attachment that will run the CPAP and its integrated heated humidifier for one night before needing to be recharged. The AEIOmed Aura CPAP is pictured below.





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    What does APAP stand for?

    APAP stands for Automatic Positive Airway Pressure.

    This definition is less than stellar and due to this, many variants of the definition have sprung up including:

    • Auto Adjusting CPAP
    • Auto Titrating CPAP
    • Self Adjusting CPAP
    • Auto PAP
    • Automatic CPAP
    • Auto


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    What is an APAP Machine?

    An APAP machine automatically adjusts on a breath by breath basis to blow the minimum pressure needed to keep your airway open during sleep. This allows your machine to provide you with your ideal pressure nightly.

    APAPs tend to be more advanced, more feature rich and more expensive than CPAP machines.

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    What is the difference BiPAP and BiPAP ST?

    A BiPAP alternates blowing two set pressures, a higher pressure for inhalation and a lower pressure for exhalation.

    A BiPAP ST Machine is a non-invasive ventilator. ST stands for Spontaneous Timed.

    A BiPAP has two set pressures but some patients require a back up timed response in which the BiPAP will initiate a breath if a breath is not taken within the set timed parameters.

    For example, a BiPAP ST might be set with an inhale pressure of 10 and an exhale pressure of 5 with a BPM (BPM=Breath Per Minute) of 12. A BiPAP ST will not breathe for you but will initiate a breath if you do not inhale 12 times a minute.

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    What size mask should I use?

    We have created the only CPAP Mask Sizing Guide on the internet. Just take a few measurements of your nose, enter them in and you will receive a list of masks in the sizes that will fit you best.

    CPAP Mask Sizing Guide

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    What is a nasal mask?

    A nasal masks seals around the entire nose and is held in place with straps, or headgear. This is a good device for first-time CPAP users.



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    What is a full face mask?

    A full face mask seals around both the nose and mouth and is held in place with straps, or headgear.

    Full face masks are good alternative for 'mouth breathers'. For some people the mouth tends to drop open unknowingly during sleep. This allows the treatment pressure blowing through the nose via a traditional nasal mask to escape. If this happens, it renders CPAP therapy ineffective as the pressure intended to hold a patient's airway open instead flows out of the patient's mouth. The full face mask equalizes pressure between the nose and mouth allowing the patient to receive the proper treatment pressure at all times.

    Sometimes nasal blockages like a common cold or those who have nasal congestion due to illness or allergies might also need a full face for consistent treatment.



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    What is a nose cushion mask?

    A nose cushion mask seals over both nostrils, similar to a nasal mask, but it fits under the nose instead of around the entire nose. The cushion does not fit over the tip of the nose or rest on the bridge. These devices include different sized cushions for ease of fit.



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    What are nasal prong devices?

    A nasal prong device is inserted into each nostril and seals inside rather than around the outside edge as a nasal pillow device does. Sizing of such devices is best accomplished in person with the actual product.



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    What is an oral mask?

    An oral mask fits into the mouth to deliver the CPAP pressure. One size is intended to fit any user. Since the CPAP air will not be conditioned by the mucous membranes in the nose, an oral mask tends to dry out the mouth and should be used only with a heated humidifier.

    Currently, the only oral mask on the market is the The Oracle from Fisher and Paykel.



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    What is a nasal pillow device?

    A nasal pillow device seals against the outside edge of each nostril rather than around the entire nose. The pillows open into the nostril but are not inserted inside to seal. This device is helpful for people who sleep on their side or stomach, or for those with facial hair. It is sold with different pillow sizes for ease of fit.

     


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    What is a total face mask?

    A total face mask seals over the entire face, at the forehead, down the sides and under the chin. It can only be used when sleeping on the back and is somewhat of a last resort.

    There are special circumstances or needs for this mask, like patients who leak air out of the corner of their eyes. This mask is like a Full Face mask in that it equalizes pressures for an even treatment, but this mask encompasses every opening on the face where air might escape like the eyes.

     


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    How often should I replace my mask?

    Medicare allows for mask cushion replacement every three (3) months and complete mask system replacement every six (6) months. CPAP manufacturers and vendors suggest these replacement schedules as well.

    In our experience, most mask cushions begin to deteriorate after about six months of use. The silicone eventually becomes too soft to hold a seal and headgear straps must be tightened more and more to get the same quality seal.

    We strongly suggest replacing cushions and pillows as soon as they start to soften. Air leaks may reduce the effectiveness of CPAP therapy and headgear that is too tight may cause facial sores at pressure points.

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    How do I care for my mask?

    Masks should be washed daily in warm water with baby shampoo and left to air dry.

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    What is Humidification?

    Humidification adds moisture to the CPAP air, reducing irritation to the nasal passages caused by the increased airflow.

    CPAP air is an irritant - to one degree or another - to everyone. In some cases the irritation dries out the nasal passages and may cause bleeding. It may also cause swelling, excess mucous, congestion or sneezing. The irritation also creates a very fertile ground for infections to begin. The irritation may be cumulative, building up over time. The only way to reduce the irritation is to add moisture.

    Humidification is therefore a critical part of CPAP Therapy.

    CPAP Humidification Guide

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    What is a heated humidifier?

    A heated humidifier uses heat to produce moisture. The heat is adjustable for more or less moisture, and the chamber is much smaller than a passover humidifier.

    It is our experience from over ten years of specializing in CPAP equipment, that patients who use heated humidifiers have a much higher rate of therapy effectiveness to CPAP therapy.

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    What is a passover humidifier?

    A passover humidifier is a chamber of water added to the CPAP to help moisten the airflow and reduce irritation to the nasal passages.

    Air flows from the CPAP, through a short hose to the humidifier, then into the six foot hose to the mask. The air picks up whatever moisture it can as it "passes over" the water in the chamber.

    Passover humidifiers may provide suffcient moisture with CPAPs set at lower-end pressures, but if not, there is no way to increase the amount of moisture produced. Furthermore, in cold climates, the water temperature in the chamber will drop, causing the CPAP air to become very cold and reduce the amount of moisture.

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    What is an integrated humidifier?

    An integrated humidifier is a component to a specific CPAP that fits directly to the CPAP, eliminating the need for a second hose and in some heated humidifiers, a second power cord.

    The advantage of an integrated humidifier is a more compact unit that uses fewer parts.

    A disadvantage is that they may produce less moisture if used as passover humidifiers because the surface area is typically smaller. Also, most integrated humidifiers will function only with the CPAP for which they were designed.

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    What is a built in humidifier?

    A “built in” humidifier is designed so that it is part of the CPAP machine and cannot be removed or separated from the CPAP machine. This is similar to an all-in-one unit eliminating the need for a second hose or second power cord. Usually the water chamber can be removed for cleaning or replacement purposes.

    The advantage of a “built in” humidifier is a more compact unit that uses fewer parts. This design also helps to ensure therapy effectiveness by including the heated humidifier which may provide comfort to the CPAP user they may not have received otherwise.

    A disadvantage is that they may produce less moisture if used as passover humidifiers because the surface area is typically smaller. Also, since the humidifier is “built in” to the machine, the ability to detach the humidifier is not an option. This can be an issue for frequent travelers. Lastly, if the machine or humidifier stops working, the entire unit must be sent in for repair or replaced, not just the component that failed.

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    What is a stand alone humidifier?

    A stand-alone humidifier is a component that will work with any CPAP and does not attach directly to the CPAP. It uses its own power cord and typically a short hose is used to connect it to the CPAP. Usually it would sit next to the CPAP machine and is slightly larger than a integrated humidifier.

    The advantage of an stand-alone humidifier is superior humidity and control and often a larger water capacity with the chamber. Also, the fact they may be used with any CPAP machine can be useful.

    The main disadvantage is that the size is often larger than the a “built in” or integrated humidifier and the short hose is needed to connect it to the CPAP machine.

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    What type of power does my CPAP need?

    Most CPAP and bilevel machines today are designed to operate on both AC current as well as DC / battery current. In the United States, the AC current from wall outlets is 110 volt and most batteries produce 12 volt DC current. Overseas, the AC current is usually 220 or 240 volt.

    We include information about the power needs and capacities in the description of our products.



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    Will my CPAP operate overseas?

    Most CPAPs and bilevels, and all the models we sell, contain internal converters that enable the machine to operate on any AC current from 100 to 240 volts without any adjustment or addition to the machine.

    An adapter may be required to plug a US power cord into a wall outlet in a foreign country. We suggest that these be purchased from an electronics or travel store.



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    Will my CPAP operate on DC / battery power?

    All CPAPs will operate on DC power with the use of an inverter to change the current from DC to AC before it reaches the machine.

    Many will operate on DC power without the need for an inverter, just a power cord that plugs into the CPAP and ends in a cigarette lighter plug.

    To determine if your CPAP will operate without an inverter, look for a DC outlet on the machine, either at the back or on the side, with a single opening directly in the center. It should be labeled "DC Power" or similar term.



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    How do I use a battery to operate my CPAP?

    If your CPAP is configured to operate directly from a DC power source without the need of an inverter, you first must use the DC power cord that plugs into your CPAP and ends in a cigarette lighter plug.

    Then, to connect directly to a battery, you need an adapter cable that fits over the cigarette lighter plug and ends in alligator clips.



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    What type of battery should I use?

    For longer battery use, we suggest a deep-cycle marine battery. A CPAP set at 10cm will usually run for about three nights before having to recharge a deep cycle marine battery. A car battery will usually run a machine for 8 hours and still start the car.

    There are small, portable battery packs that will operate a CPAP set at 10cm for at least one night, or about eight hours.

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    Overview

    CPAP machines use filters to remove dust and other impurities from the air that can collect inside the CPAP and cause damage, especially to the motor/fan assembly.



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    Do all CPAPs use filters?

    Yes, all CPAPs use at least one filter that is usually a type of foam material and washable. Some CPAPs offer finer filtration with the addition of a disposable paper filter.

    The filters are located at the back of the machine at the air intake.

    Cleaning and changing filters is the only maintenance required for a CPAP machine.



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    How often should I clean my filters?

    Washable foam filters should be cleaned as soon as they become discolored. Depending on your environment, that may mean weekly cleaning.

    Paper filters should not be cleaned, just disposed of.



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    How often should I replace my filters?

    Reusable foam filters should be replaced when they deteriorate and begin to fall apart, much as a sponge does.

    Disposable paper filters should be discarded as soon as they become discolored, or at least every 30 days.



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    In what order do I insert the filters?

    If both the foam and paper filters are used, the paper filter is inserted first with the smooth side against the machine and the soft, fuzzy side facing out. The tab is folded out for easy removal. The foam filter is placed on the outside to remove the larger dirt particles first.

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    What are reusable foam filters?

    Foam filters are designed to collect larger dirt particles and animal fur. If two filters are used in a machine, the foam filter should be on the outside.

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    What are disposable fine filters

    Ultra fine filters collect much smaller particles and are useful for those with allergies or sinus issues. These filters are not meant to be cleaned, but discarded when dirty.

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    What is a In-line Outlet Bacteria Filter for CPAP/BiPAP?

    Bacteria filters are fine enough to remove some bacteria and are clinically indicated when a CPAP machine is used by more than one person. However, many CPAP users find them helpful in reducing the occurrence of sinus infections and other nasal issues.

    Bacteria filters are housed in a plastic frame and are placed at the CPAP air outlet, rather than the air inlet. They may be used with humidifiers, but should be removed and allowed to air dry during the day.

    The entire housing is disposable and should be discarded as soon as matter becomes visible. A clogged Bacteria filter may effect the amount of air delivered by the CPAP.



      


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    What does CPAP software do?

    CPAP software allows the downloading of information from certain CPAP machines. Information on breathing, pressure levels delivered, apneas, etc. is available to help determine the effectiveness of CPAP therapy. Software is not required to operate a CPAP machine.

    Each CPAP manufacturer maintains a proprietary software package that is only compatible with their machines.

    Here is a list of each manufacturer and the name of its related software:

    • Respironics: Encoreviewer 1.0 Software
    • Puritan Bennett: SilverLining 3.10 Software
    • Resmed: ResScan 3.2 Software


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    What is MyEncore?

    MyEncore is a supplement to Respironics Encore Pro software that allows users to view their nightly sleep metrics (AHI, RDI, Mask Leaks, etc.) in a clearer, user-friendlier format.

    MyEncore does not replace the Encore Pro software. Encore Pro software must be installed and operating before MyEncore will function. Support for MyEncore is provided solely by the cpaptalk.com community.

    MyEncore was created by and is maintained by cpaptalk.com user Derek.

    cpaptalk.com proudly hosts Derek's MyEncore software. More information and free downloads are available here:

    cpaptalk.com/myencore.php

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    Are there user supplements for other software packages?

    We hope other supplements will be available in the future, but at this time only a supplement to Encore Pro has been created.

    We are interested in hosting and supporting supplements for other software manufacturers should a user of our online sleep community wish to create them.

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    What is a smart card and reader?

    A smart card is used to store data. A reader downloads the data from the smart card into a computer. The alternative is to bring the CPAP to the computer and download data directly using a cable.

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    What is CPAP tubing/CPAP hose?

    CPAP tubing and CPAP hose can be interchangable terms, however, we usually refer to the larger diameter connection that delivers the CPAP air to a mask or humidifier as a Hose, and any other similar item as a Tube or Tubing.

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    Are all CPAP hoses the same?

    All CPAPs use basically the same hose, but there may be additions that are necessary to operate certain machines.

    A standard CPAP hose is six feet long. The ports on all CPAPs, humidifiers and masks are a standard size and so a standard CPAP hose will fit on all. The best hoses are smooth-bored for less noise.

    Many auto-titrating CPAPs and bilevels require a pressure line senor to detect breathing patterns and presssure needs. The sensor may be in the form of an adapter with narrow tubing attached, or narrow tubing threaded inside the six foot hose. In both cases, one end of the narrow tubing is plugged into the machine. Those machines will not operate without the pressure line sensor.

    There are certain delivery devices, such as the Comfort Curve, which require a special CPAP hose, too.



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    How often should I replace my CPAP hose?

    CPAP hoses can last a long time, sometimes up to a year if taken care of properly.

    Signs of wear are dry, cracked places on the inside lining or on the rubber ends; "stretch marks" near the rubber ends; and minieral deposits or mold from water left inside the hose.

    Your CPAP hose will last longer if you detach it every morning and hang it to air dry. It should be removed by grasping it on the rubber ends, rather than on the hose itself. A "Hose Quick Connect" is available to help remove and replace the hose more easily.

    Drying the hose each morning will also prevent bacteria from growing in the damp interior and help reduce the possibility of colds and other health issues.

    If you are not drying the hose daily, then be sure to replace the hose very frequently as negative health issues will result!

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    Why is an insulated CPAP hose necessary?

    Cool air holds less moisture than warm air. If warm air from a heated humidifier cools while moving through CPAP hose, water will accumulate inside the hose rather than travel to the user. The condensation that occurs inside the CPAP hose is referred to as "rainout."

    Insulating the CPAP hose will help maintain the moisture in the airflow all the way to the nasal membranes.



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    What is cloth tubing insulation?

    The simplest and most cost effective way to insulate a CPAP hose is to wrap it in an insulating fabric. This enables the hose to remain flexible and adds little weight.

    Companies such as Snugglehose provide cost effective tubing insulation available in several colors and styles. Not only will the covers reduce or eliminate rainout, they also provide a more personal and less institutionalized appearance.



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    What is a heated CPAP hose?

    A heated CPAP hose contains copper coils embedded in or wrapped around it. These coils conduct a constant temperature through the hose.

    Heated hoses are more expensive alternatives to cloth tubing insultation, but they prevent rainout in nearly all cases.



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    What is the purpose of a chinstrap?

    Nasal delivery devices are the preferred mode of delivering CPAP air. They are smaller, lighter and usually more comfortable, with many styles and sizes to choose from.

    When using a nasal device with a CPAP, it is imperative that the mouth remain closed for the pressure to be maintained and the therapy to be effective. Most people will automatically keep their mouth closed while on CPAP, but some are unable to do so, at least in the beginning of the therapy.

    Use of a chinstrap is the first response to opening the mouth during sleep. It is worn in addition to the CPAP mask to hold the jaw up and help keep the mouth closed.

    Even with the use of a chinstrap, some people are still able to breathe through their teeth and lips. If so, a full face mask is an option worth considering.



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    What styles of chinstrap are there?

    A basic chinstrap cups the chin and has narrow straps that connect at the top of the head, usually with velcro. It works best for those who sleep on their side and who do not open their mouth very much. The straps may fall forward or backward on the head if not held in place by the mask headgear.

    For greater strength, a wider chinstrap is available. The width of the strap is sufficient to cup the chin, and narrow straps are available to attach across the forehead to keep the chinstrap from falling back, as well as across the back of the head to keep it from falling forward. This style of chinstrap is more stable, but it will cover the ears.

    Another style of chinstap is a series of straps that cup the chin at a lower angle for greater support, and include the stabilizing straps in the design.



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    I'm a new user, what do I need to buy?

    A basic CPAP setup consists of a power cord, filters, CPAP machine, hose (tubing), and a CPAP Mask. More advanced and comfortable setups also include humidifiers, machine software, CPAP Mask pads and chinstraps.

    Browse All Categories

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    How can I compare different products?

    Yes! We work very hard to allow our customers to compare products in many different ways. Here are product guides we have created and maintain:

    • CPAP Machine Comparison Guide. This guide stacks up every popular CPAP machine we sell, feature by feature. If you don't know the meaning of a feature, click its name for a definition. The most popular CPAPs are shown by default, but you can also "Choose CPAPs to Compare" or "Compare All CPAPs".

      CPAP Comparision Chart

    • Auto Adjusting Machine (APAP) Comparison Guide. This guide stacks up nearly every APAP machine we sell, feature by feature. If you don't know the meaning of a feature, click its name for a definition. The most popular APAPs are shown by default, but you can also "Choose Self Adjusting Machines to Compare" or "Compare All Self Adjusting Machines".

      Self Adjusting CPAP (APAP) Comparision Chart

    • BiPAP, VPAP and BiLevel Comparison Guide. This guide stacks up nearly every BiPAP machine we sell, feature by feature. If you don't know the meaning of a feature, click its name for a definition. The most popular BiPAPs are shown by default, but you can also "Choose BiPAPs to Compare" or "Compare All BiPAP Machines".

      BiPAP Comparision Chart

    • CPAP Mask Measurement Sizing Guide. Input facial measurements into this guide (we show you how to take the measurements) and you'll get a listing of each mask that will fit you.

      CPAP Mask Sizing Guide

    • CPAP Mask Equivalence Guide. Do you find yourself wanting to trade in your old mask that fits just right for a newer model CPAP Mask? Tell this guide which mask you have now and it will list other masks that are equivalent to your current mask.

      CPAP Mask Equivalence Guide


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    How can I get help from a CPAP Expert?

    • Ask A Question. Question Submission Form.
    • Email Us. cpap@cpap.com.
    • By Phone. 1-800-356-5221 (9 AM – 10 PM CST Mon-Sat)
    • By Fax. 1-866-353-2727


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    How can I place my order with your company?

    We make it easy to order from us! You can place your order online, call your order in, fax your order to us, or mail your order to us. For phone numbers, fax numbers and mailing addresses, please visit our contact us page:

    Contact Us


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Is my order secure?

Yes.

We use proprietary, custom built MadCow software to protect your billing information. Secure Sockets Layer (SSL) encrypts information and keeps the data private and confidential between your machine and www.cpap.com. This technology makes it safe to transmit your credit card number over the Internet. Look for two security icons, the "s" after "http" in the address line and the lock in the top menu bar and bottom status bar of your browser in Firefox, Opera and Netscape or in the bottom status bar only in Internet Explorer.

We host our website on dedicated servers guarded by Rackspace, one of the oldest, largest and most trusted names in webhosting. Our security certification is issued and maintained by Thawte, a world leader in SSL technology.

Thawte Security Certificate Information

www.cpap.com Privacy Policy

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Is my personal and order information private?

Yes.

We adhere strictly to our companies privacy policy. We will not sell or distribute your contact information to third parties.

www.cpap.com Privacy Policy

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I have placed my order, what will happen next?

  • Look For An Order Shipped Email. Please expect to receive an Order Shipped confirmation email from us the evening after your order has shipped. To ensure that you receive this email, please add our email address, cpap@cpap.com, to your address book. Our email will contain your order number and any tracking numbers associated with the package.

  • Track Order Status Online. You can track the status of your order from our warehouse to your door.

    Track Order Status


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What are common reasons for shipping delays?

Nearly all order delays are caused by the need for additional patient information or documentation.

  • CPAP Mask Sizing. If you requested "Contact Me For Sizing" assistance instead of selecting a CPAP Mask size when placing your order, please check your email for our fitting guide. Before we can determine the proper mask size for you we need to know your facial measurements. We certainly do not want to send you a mask that will not fit.

    Alternately, you may also take your measurements and determine your correct size online:

    CPAP Mask Sizing Guide

  • Machine Prescriptions. Federal law requires that we have your prescription on file before we ship your machine. We adhere strictly to this policy and will not ship unless we have a valid prescription on file. Once we have a prescription on file it does not expire.

    For more on prescriptions, please visit the Prescription section of this FAQ:

    www.cpap.com FAQ: Prescription Section


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Will you accept my old prescription or do I need a new one?

Yes we will take your old prescription. Prescriptions do not expire.

Be aware that many insurance companies place limits on how old a prescription can be before allowing reimbursement. This is why companies who accept insurance as payment for CPAP equipment sometimes require a new prescription or letter of medical necessity from your doctor before providing you with equipment.

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Do I need a prescription to purchase non-machine products?

No. You only need prescriptions to purchase machines from our website. You can purchase masks, tubing, humidifiers, filters, etc without a prescription.

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CPAP

  • Contains one of the following words or phrases "CPAP" or "Continuous Positive Airway Pressure"
  • Contains your physicians contact information
  • Contains your physicians signature
  • Contains your specific pressure.

    • Example: 9 CM/H2O
    • Example: 9
    • Example 14 CM/H2O
    • Example 14


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    APAP

    • Contains one of the following words or phrases "APAP", "AutoPAP", "AutoSet", "Auto CPAP", "Auto Adjusting CPAP", "Self Adjusting CPAP", "CPAP" or "Continuous Positive Airway Pressure" or similar term.
    • Contains your physicians contact information
    • Contains your physicians signature
    • Contains your pressure range (Optional, Not Required)

      • Example: 4-20 CM/H20
      • Example: 4-20
      • Example: 6-18 CM/H2O
      • Example: 6-18

      CPAP prescriptions are accepted for Auto Adjusting (APAP) Machines.

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      BiPAP

      • Contains one of the following words or phrases "BiPAP", "BiLevel", "VPAP"
      • Contains your physicians contact information
      • Contains your physicians signature
      • Contains your inspiration pressure (Also called IPAP Pressure or Breathing In pressure)

        • Example: IPAP 13 CM/H20
        • Example: IPAP 13
        • Example: IPAP 4 CM/H20
        • Example: IPAP 4

        Contains your expiration pressure (Also called EPAP Pressure or Breathing Out pressure)

        • Example: EPAP 13 CM/H20
        • Example: EPAP 13
        • Example: EPAP 18 CM/H2O
        • Example: EPAP 18


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        BiPAP Auto

        • Contains one of the following words or phrases "BiPAP", "BiLevel", "VPAP", "BiPAP Auto"
        • Contains your physicians contact information
        • Contains your physicians signature


        Inspiration pressure (IPAP) and expiration pressure (EPAP) are NOT required for the BiPAP Auto.

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        BiPAP ST

        • Contains one of the following words or phrases "BiPAP ST", "Synchrony ST", "VPAP ST"
        • Contains your physicians contact information
        • Contains your physicians signature
        • Contains a backup rate or BPM setting.
        • Contains your inspiration pressure (Also called IPAP Pressure or Breathing In pressure)

          • Example: IPAP 13 CM/H20
          • Example: IPAP 13
          • Example: IPAP 4 CM/H20
          • Example: IPAP 4

          Contains your expiration pressure (Also called EPAP Pressure or Breathing Out pressure)

          • Example: EPAP 13 CM/H20
          • Example: EPAP 13
          • Example: EPAP 18 CM/H2O
          • Example: EPAP 18


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          Will you accept a prescription from a doctor in my country?

          Yes. If you and your doctor are residents of the same country and the prescription given to you meets the guidelines set down by your country, we will accept your prescription.

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          Does my prescription have to be in English?

          No. We accept prescriptions written in any language.

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          How quickly can you ship my order?

          We usually have stock on all items and can ship the same day the order is placed if all information is received by 4:00 p.m. Central Standard Time (CST).

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          How do you ship and what does it cost?

          We ship UPS, FedEx and US Mail.

          Any order of $100.00 or more is shipped free via UPS Ground or US Mail within the contiguous United States. We reserve the right to decide which carrier will ship orders qualifying for free shipping.

          Here are the shipping costs for the contiguous United States:

          • $35.00 - Next Business day by the end of the day (Saturday)
          • $25.00 - Next Business day by the end of the day (Mon - Fri)
          • $18.00 – Second Business day by the end of the day
          • $12.00 – Third Business day by the end of the day
          • $ 7.00 – Ground shipping on orders under $100.00
          • $ Free – Ground shipping on orders over $100.00

          If your order includes a machine, the extra weight will add $10.00 to your shipping charges.

          We only ship to Alaska, Hawaii, and Puerto Rico via Next Day Air, 2nd Day Air, and Ground. 3rd Day to Alaska, Hawaii, and Puerto Rico is not available.

          If you choose Next Day shipping for an order placed on Friday, it will be delivered on Monday unless you specify Saturday delivery in the Comments section of your order.

          If you wish an order placed on Friday to be delivered on Saturday, the charge increases by $10.00. For example, if you order a mask on Friday for Saturday delivery, the cost will be $35.00. If your order includes a machine for Saturday delivery, the cost will be $45.00.

          Delivery by 10:30 a.m. the next morning will require an additional charge and must be quoted.

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          How long does Ground shipping take?

          Ground shipping times vary depending on the distance from our warehouse in Houston, Texas, but the longest distances usually take only five business days.

            


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          Will you ship to an APO address?

          Yes, we will do so at the same rates for ground shipping in the contiguous US.

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          Will you ship to a post office box?

          Yes. Orders to PO Boxes are shipped via US Mail, include standard tracking services and qualify for our standard same day shipping policies.

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          How do you ship to Canada?

          Yes, we offer shipping to Canada via Landmark Direct Mail Canada. Orders ship out of our Houston warehouse 1 to 3 days after being received. The shipment will be delivered in 2 to 8 business days after pickup. All Canada orders are tracked, insured and tax exempt.

          If you have a UPS or FedEx account, we can ship via those carriers and have the charges applied to your account. Also, we ship via UPS in the United States if you have a broker who could handle it from that point.

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          How much are the taxes and duties of shipping to Canada? Who pays?

          Packages shipped through our Canada shipping partner, Landmark, are tax exempt and marked prominently as medical supplies.

          If you choose to ship on your account to Canada, you are responsible for determining, managing and paying all taxes and duties associated with our transaction. We will not pay and can not quote taxes and duties for non-Landmark orders. However, we can work with you to package and properly label international shipments as medical supplies.

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          Do you ship internationally?

          Yes. We will ship to any country in the world with the exception of the following countries:

          • Cuba
          • Iran
          • Syria
          • North Korea
          • Spain (Customs Restrictions)

          International shipping costs will be quoted upon the receipt of an order with a complete address.

          We ship with UPS International. International packages arrive within two weeks.

          Spain does not allow the direct import of medical equipment to patients. Portugal does permit such shipments.

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          Why are your prices so low?

          We do not accept insurance and pass that cost savings onto our customers.

          Additionally, we are a high volume business positioned in a very competitive online CPAP market.

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          Is your equipment new?

          Every product sold on CPAP.com is new and has never been used.

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          Will you match the competitions price?

          Yes, we will match our competitions documented price in most cases. Please send us a link to the website you found the lower price on, the name of the product, and its price.

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          Do you accept private insurance?

          No. www.cpap.com is a self pay website that does not deal directly with insurance companies. We do provide insurance compliant invoices that allow you to seek reimbursement from your insurance company.

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          Will my insurance company reimburse my online cash purchase?

          Yes, in most cases. However, reimbursement is an agreement between you and your insurance company. If you are planning on attempting to collect reimbursement, be sure to check with your insurance company first!

          www.cpap.com is a cash based, high volume, direct to patient business model. We avoid dealing directly with insurance companies and pass the resulting savings to our customers.

          However, we do provide our customers with an insurance compliant, itemized invoice that contains applicable insurance billing code(s) for each item purchased.

          Additionally, cpaptalk.com is a good resource for those with questions about reimbursement as many cpaptalk.com users regularly purchase from cpap.com and obtain reimbursement from their private insurance companies.

          cpaptalk.com

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          Do you accept Medicare?

          No, we do not accept Medicare assignment and have no relationship with them.

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          Do you accept Medicaid?

          No, we do not accept Medicaid and have no relationship with them.

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          What are the CPAP, BiPAP and Sleep Apnea related billing codes?

          • EO601 RR is CPAP rental.
          • E0601 NU is CPAP purchase.
          • A7034 is CPAP nasal mask, including all nasal masks, Nasal Aire, Breeze, Spiritus.
          • A7032 is CPAP nasal mask cushion.
          • A7030 is CPAP Full Face mask.
          • A7031 is CPAP Full Face mask cushion.
          • A7044 is CPAP Full Oral Interface.
          • A7046 is CPAP Humidifier Chamber.
          • A7037 is CPAP tubing, long and short hoses.
          • A7038 is CPAP disposable filter.
          • A7039 is CPAP gross particle (foam) filter.
          • A7035 is CPAP headgear.
          • A7033 is CPAP nasal pillows.
          • A7036 is CPAP chinstrap.
          • E0561 NU is CPAP Passover Humidifier
          • E0562 NU is CPAP Heated Humidifier
          • E0470 RR is BiPAP rental.
          • E0470 NU is BiPAP purchase.
          • E0471 RR is BiPAP-ST rental.
          • E0471 NU is BiPAP-ST purchase.

          Other CPAP items are listed under E1399, which is miscellaneous.

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          Why is air leaking from my mouth?

          Air leaks from the mouth whenever the mouth is opened during CPAP therapy. This occurs for many reasons, but a very common one is due to nasal irritation from the CPAP airflow.

          The correlation to a lack of humidification and mouth leaks is a topic being heavily researched. Studies are now being conducted on the hypothesis that a large amount of mouth leakage is caused by the following cycle:

          1. CPAP therapy is used with ineffective or no humidification.
          2. The nasal membranes are unable to adequately condition the increased airflow and after a few minutes the airway and nasal passages become dry.
          3. To remedy the dryness and obtain moisture, the body uses the mouth to breathe.
          4. CPAP air follows the path of least resistance and leaks out of the open mouth.
          5. The air leaking through the mouth causes more dryness.
          6. Patient wakes up feeling tired with significant dryness in mouth and dry, swollen nasal passages.

          The answer to this cycle is humidification. If the mouth continues to open during sleep, a chinstrap may be needed to hold the jaw up so that the mouth can close. If mouth breathing continues, a full face mask that covers the nose and mouth is indicated.



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          Why am I congested from CPAP use?

          The primary reason why congestion sometimes develops from CPAP use is lack of adequate humidification.

          CPAP air is an irritant - to one degree or another - to everyone. The irritation may cause the nasal passages to dry out and bleed, or the mucous membranes may try to protect the nasal passages by producing excess mucous and so congestion results. And the irritation can be cumulative; the problem may develop over time.

          Add a heated humidifier to add moisture to the CPAP air and reduce or eliminate the irritation. A passover humidifier may not offer enough moisture. If you are already using a heated humidifier, try turning it up to a higher setting. If that produces condensation in the six foot hose, you should try an insulating cover for the hose.

          www.cpap.com FAQ: Humidifiers

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          Why do I wake up with dry eyes?

          Air leaking from the mask at the bridge of the nose and over the eyes during sleep will cause the eyes to dry out. The most common reason for air leaking at the nose bridge is that the mask is too big or too long for the nose.

          We would suggest you try our measurements for sizing your mask to be sure you have the best size. A mask that has an adjustment at the bridge may also be helpful in getting a good fit. Nasal pillow or nose cushion devices which do not rest on the nose are also an option.

          It is not advisable to tighten the headgear to eliminate the air leak. Pressure from a mask that is too tight will cause bruises and even open sores if applied long enough.



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          Why is my face breaking out around my nose?

          An allergic reaction to the mask usually appears as redness or a rash all around the nose and on the forehead.

          Most masks are made of silicone, which is an inert substance. But silicone is manufactured in chemicals to which some people are allergic. The chemicals normally degrade and disperse over time, but may cause a reaction when first used. The solution is to remove the chemicals and gasses before using the mask.

          Washing the mask will reduce or eliminate the problem. This process can be accelerated by long soaks in warm soapy water. This is true with all masks and other types of nasal prongs and cushions.

          Replacement items should be bought well before they are needed, washed and soaked at once and stored. This process may reduce the life of the silicone.

          Allergic reactions are often confused with the pressure bruises, bumps and open sores that can result from tightening headgear straps too tightly. If the problems are only at the bridge of the nose or beneath the nose, it is probably a pressure issue and a new size or new mask is needed.



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          Why is the bridge of my nose sore?

          Sores at the bridge of the nose or below the nose are usually due to tightening the headgear straps too much. The pressure will create soreness, then a bruise, and may eventually create an open sore if left untreated.

          Headgear is usually tightened too much to reduce or eliminate air leaks. A small degree of this may be necessary, but too much is an indication that the mask is too large, too old or just the wrong style.

          To see if you have the best size mask, please visit our mask sizing guide:

          Mask Sizing Guide

          If your mask is six to nine months old and the silicone is becoming too soft to hold a seal, try replacing it.

          It is usually necessary to stop wearing a mask to allow these sores to heal. Nasal pillows are an option in the meantime.



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          Why is air leaking from my mask?

          Air leaks are caused by masks that are too big or too old or just the wrong style.

          Air leaking into the eyes is usually an indication that the mask is too big (long) as are leaks at the base of the nose.

          Leaks may also occur under the nose due to facial hair. As the silicone in the mask cushion ages, it deteriorates and becomes too soft to hold a seal. You may be able to tighten it enough to stop the leaking when you go to sleep, but during the night it will loosen and leak.



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          Why do I have a headache when I wake up?

          CPAP is does not normally cause headaches unless there is a sinus related problem or some pressure from the machine acting where it should not be.

          Sinus systems are extensive, even going behind your ears. When a CPAP is used and part of the sinus cavities are blocked, a situation is created where there is a pressure differential between the sinus cavities affected. These pressure differences can sometimes be felt as sinus headaches or just plain headaches, even though they are caused by sinus blockages. These can be treated using over the counter medications to open the sinus. CPAP heated humidifiers can also open and maintain sinus systems. If you do not use a heated humidifier, we strongly suggest to use one. If this does not correct the problem, visit your ENT.

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          Why do I wake up to find my mask is off?

          People remove their mask during sleep because they are not getting enough air.

          The CPAP pressure may be reduced if your mask is leaking. Your mask may be too big or too old. Take our mask sizing measurements to see if you have the best size. If your mask fits you but is six to nine months old, it should be replaced. In time, the silicone cushion deteriorates and becomes too soft to hold a seal.

          If the CPAP air is being delivered effectively, it may be that it is set too low. Pressure settings may require change due to weight gain or loss. The type of sleep study you had and the duration of sleep may indicate that your pressure could be adjusted. You should speak to your doctor if you think your pressure may need to be adjusted.



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          Why is my mouth dry in the morning?

          Dry mouth is a sign that you are opening your mouth while you sleep. If you use nasal mask, breathing through your mouth bypasses any humidification you may be using so increasing the heat will not be effective. Breathing through your mouth while using a nasal mask also reduces the benefit of the CPAP therapy.

          First be sure the mask is not leaking. If it is six to nine months old and leaking, try replacing it. If it is new and leaking, we can help you get a better size.

          If your mask is new and NOT leaking, try a chinstrap to keep your jaw up and mouth closed. If a chinstrap doesn't solve the problem, try a full face mask that covers your nose and mouth.

          If you use a full face mask and have a dry mouth, try adding a heated humidifier to add moisture.



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