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Bongo RX EPAP Review: A Promising Alternative to CPAP

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As much as we love CPAP therapy around here, we understand that it can have some unpleasant side effects and it isn’t necessarily for everyone. Recently, a new generation of sleep apnea devices has been making waves, and one particular treatment has proven to be a solid CPAP alternative in recent years: The Bongo RX EPAP from AirAvant Medical.

First introduced in 2019, the Bongo RX has steadily gained a devoted following. In fact, one of our own team members tried it out when it was first released and was very impressed. Since those early days, a lot more information has come out. Between customer reviews and some exciting research, we think that the Bongo RX is not only here to stay, but it’s shaping up to be a promising treatment option for mild to moderate sleep apnea, too!

Key Takeaways

  • What Is It? Bongo RX is an FDA-approved EPAP device that is a less invasive alternative to CPAP therapy. Like a CPAP machine, Bongo RX requires a prescription.
  • How Much Does It Cost? The 90-Day Bongo RX Fit Pack (with four nasal insert sizes) costs $199. The Annual Bongo RX Pack is available for $299.
  • What Does It Treat? It is used to treat mild and moderate cases of Obstructive Sleep Apnea (OSA). It does not treat Severe OSA or Central Sleep Apnea (CSA).
  • Who Does It Work For? This device only works if you require lower-pressure CPAP therapy, can breathe through your nose, and are able to keep your mouth closed while you are sleeping. Generally, Bongo RX doesn’t work for those with an average AHI greater than 30.
  • What Is Our Verdict? Many reviewers love this device, and it is highly suggested to people who cannot tolerate CPAP therapy or need a portable sleep apnea device. If Bongo RX is right for you, and you are looking for a CPAP alternative, we highly recommend consulting your healthcare provider about getting a prescription. 

What Is the Bongo RX?

The Bongo RX from AirAvant Medical is a type of Expiratory Positive Airway Pressure (EPAP) device used for treating mild to moderate cases of Obstructive Sleep  Apnea. This small, lightweight device is FDA-approved and requires a prescription. It is branded as a non-invasive alternative to CPAP therapy and creates expiratory pressure that is similar to lower-pressure CPAP.

Unlike a CPAP machine, Bongo does not actually create a flow of pressurized air and does not require a power source. Instead, it works by using the air released from your lungs to create a gentle pressure in the airway during exhalation, helping to keep the airway open and reducing the number of sleep apnea events that occur during sleep.

Who Can Use Bongo RX?

Who Can't Use Bongo RX?

Quick Overview

AirAvant Medical Bongo Rx EPAP Starter Kit

Airavant Bongo RX EPAP and Case
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Key Benefits:


Customer Highlights

I really had my doubts about Bongo RX, but I think I have finally found my solution. I didn’t do well with CPAP, and I also struggled with a mouthpiece made by my dentist. I think the big thing is to use the correct size in the starter pack. I was certain I would need the SMALL, but to my dismay, it definitely did not work. I used a recorder on my phone, and I snored all night. After a few nights, I tried the MEDIUM. It looked big to me, but I gave it a try. The first night my recorder showed 3 short snores of 8 seconds. The next night was the same….. I had two 8-second snores and one 14-second. Also, since I tend to sleep with my lips parted, I use mouth tape to seal my mouth (purchased on AMAZON). I believe the Bongo RX and the mouth tape together are a success.

Bongo RX Video Review

Key Features

  • Utilizes Expiratory Positive Airway Pressure: With Bongo RX, your body does all the work! Meaning no CPAP mask or uncomfortable side effects from pressurized airflow.
  • FDA-Approved: After multiple successful clinical trials, AirAvant’s Bongo RX has been FDA-approved to treat mild to moderate Obstructive Sleep Apnea.
  • Four Sizes Available: The Bongo RX is available in four sizes, ranging from small to extra large. You can find your perfect fit by purchasing the 90-Day Fit Pack.
  • Perfect for Traveling: These EPAP devices do not produce pressurized air and, therefore, do not require a power source, meaning no clunky CPAP machine!
  • Latex-Free: This product features soft silicone nasal pillows, so it’s safe to use if you have a latex allergy.
  • Life Span: Each Bongo device lasts 90 uses, which means it can last longer than 90 days if you only use it intermittently, such as during power outages or when traveling.
  • Nasal Dilator: The Bongo RX uses nasal pillow inserts to keep the nostrils from collapsing or closing up when the air pressure changes in your sinuses.
  • Detachable Head Strap: Bongo RX comes with a thin wrap-around head strap that easily attaches to the device. It isn’t necessary to use, but some people like the added support. 

What Is Included In Your Bongo RX Order?

The Bongo RX is offered in two packages– the 90-Day Fit Pack ($199) and the Annual Kit ($299).

The Fit Pack includes all four nasal insert sizes so that you can find the perfect fit before investing in the Annual Kit. After trying the Bongo RX for your first 90 days, you can then purchase the 360-day kit, which includes a set of four EPAP devices available in the size of your choosing. Both kits include a compact carrying case, a drying stand, and a detachable head strap.

Our Review of the Bongo RX

Despite being the main form of sleep apnea treatment, at least one-third of people stop using their CPAP machine within the first few months of starting CPAP therapy. Given the risks associated with untreated sleep apnea, it is very important to have a CPAP alternative that works well, which is where the Bongo RX comes into play.

Does the Bongo RX EPAP Work?

In short, yes! According to customers and reviewers alike, the Bongo RX does a great job of treating mild to moderate Obstructive Sleep Apnea when used correctly. AirAvant Medical states that these insights are backed by clinical trials, which show that this device significantly reduces the number of sleep apnea events that you experience per night.

Should You Try the Bongo RX?

There are some factors that you need to keep in mind when deciding whether this EPAP device will be a good option for you. While CPAP machines produce and deliver pressurized air to your airway, Bongo RX uses the air that you breathe out to create pressure in your sinuses and upper airway.

When it works, this mechanism prevents airway obstruction. But there are a few things that can interfere with the expiratory positive airway pressure process. Specifically, Bongo will not work if you cannot solely breathe through your nose while using the device. Additionally, sleeping with your mouth open will cause any built-up pressure to release before you can actually begin inhaling, which defeats the purpose of using an EPAP.

Is the Bongo RX Comfortable?

Wearing the Bongo RX is a lot like wearing a soft silicone nasal pillow mask without it actually being attached to your CPAP machine. If you have a silicone allergy or really sensitive nostrils, the Bongo may be uncomfortable for you. However, much of this discomfort can be managed by simply trying a new nasal pillow size.

Between the mask and the airflow, CPAP therapy can cause a lot of irritation and discomfort. With the Bongo RX, a lot of the common causes of CPAP side effects are no longer a problem. So you are less likely to experience things like nasal irritation, dry mouth, or swallowing air.

Is the Bongo RX Easy to Use?

Compared to using and maintaining a CPAP machine, the Bongo RX has a simple design and is very easy to use. Simply insert the EPAP nasal pillows into your nostrils and go to sleep! A handful of customers have reported difficulty keeping the device in place, but those issues can usually be resolved after trying a new nasal pillow size or using the detachable head strap.

Like a nasal pillow CPAP mask, this device does need to be cleaned after each use. However, it doesn’t need to be disassembled, and because it does not use air hoses or humidification it’s a lot easier to clean and maintain compared to standard CPAP equipment. To clean the Bongo RX, simply wash it in mild soap and warm water, then set it on the drying stand. It’s that easy!

Tips for Using the Bongo RX

  • Try Different Sizes: When first trying out the Bongo RX, don’t assume your nasal pillow size. Take time to try out each size so that you find your most comfortable fit. Then order the annual pack in that size.
  • It Shouldn’t Be Uncomfortable: Make sure the nasal seals are not too deep and that they seal comfortably. If it’s causing irritation or leaking, try a different size.
  • Practice Breathing: When you exhale, you should feel a bit of resistance when breathing out. This may take some getting used to, so it may be helpful to practice breathing before going to bed or even during the day.
  • Try With and Without Headgear: The Bongo RX is all about finding a comfortable but strong seal. Some people are able to wear it without headgear, while others prefer to wear the head strap for added stability.
  • Keep Your Mouth Closed: If you find that you keep opening your mouth while sleeping, try a chinstrap or use mouth tape to keep your mouth closed.
  • Clean It Regularly: To minimize your risk for unpleasant side effects, be sure to clean your Bongo RX after each use.
  • Give Yourself Time to Adjust: Wearing anything to bed can take some getting used to. If you’re having difficulty sleeping while wearing the device, it’s okay to take it off and try again the next day.

Alternatives to the Bongo RX EPAP Device

  • ULTepap by BRYGGS Medical: Like the Bongo, ULTepap is a reusable EPAP device that requires a prescription. It creates a higher expiratory pressure compared to the Bongo RX but features thicker headgear straps and a slightly bulkier design. It is FDA-cleared to treat mild to moderate sleep apnea.
  • Optipillow EPAP Mask by CPAPNEA Medical Supply: Optipillow uses similar technology as Bongo RX, but it is more intended to alleviate snoring. This product utilizes slightly bulkier headgear for stability and does not require a prescription.

Our Final Verdict

In the past, these alternative devices have been pretty hit or miss, but the Bongo RX genuinely works to treat mild to moderate Obstructive Sleep Apnea! When used correctly, it seems the majority of people love this device.

However, it isn’t a good fit for everyone. If you cannot solely breathe through your nose at night, struggle with chronic sinus pressure or congestion, or cannot keep your mouth closed while you are sleeping, this EPAP device isn’t a good option for you.

Frequently Asked Questions

You may be able to reverse mild Obstructive Sleep Apnea with lifestyle changes, Positional Therapy, and sleep apnea exercises. Moderate to severe sleep apnea may still require CPAP treatment, but other CPAP alternatives include Oral Appliance Therapy or surgery.

Like a CPAP machine, the Bongo RX does require a prescription. If you have not yet been diagnosed with sleep apnea, you will most likely be required to undergo a sleep study to confirm the type and severity of your sleep apnea.

The Bongo RX is designed to treat mild to moderate Obstructive Sleep Apnea, but it is also often used to alleviate snoring. Customer reviewers often state that the Bongo RX significantly reduced their snoring.

Final Thoughts

Bottom line, we think the Bongo RX is a great option for anyone looking for a CPAP alternative to treat mild to moderate Obstructive Sleep Apnea. This little EPAP device is much more cost-effective compared to a CPAP machine. Plus, it’s incredibly easy to use, doesn’t require a power source, and is generally more comfortable than CPAP therapy.

If you are looking to try out the Bongo RX for yourself, keep in mind that it is only suitable for those who require lower-pressure CPAP settings and who breathe through their nose with their mouth closed during sleep. If you have any questions about CPAP therapy or alternative sleep apnea treatments, contact your doctor or our customer service team!

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