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]]>If this doesn't help, have your doctor or CPAP supplier check the device to ensure it's working properly. If the device is working correctly and the noise still bothers you, try wearing earplugs or using a white noise sound machine to mask the noise. Placing the machine as far away from the bed as possible also may help make any machine noise less noticeable. Ask your doctor or CPAP supplier if extra tubing is available and right for your machine.
Using a CPAP device can be frustrating as you try to get used to it, but it's important you stick with it. The treatment is essential to avoiding complications of obstructive sleep apnea, such as heart problems and excessive daytime sleepiness.
Work with your doctor and CPAP supplier to ensure the best fit and device for you. Regular visits to your sleep doctor are important and can help troubleshoot any problems and adjust settings, if needed. It can take a while to find the correct settings and get used to the mask.
With time and patience, CPAP can positively affect your quality of life and health.
]]>You may be pulling off the mask because your nose is congested. If so, ensuring a good mask fit and adding a CPAP-heated humidifier may help. A chin strap also may help keep the device on your face.
If this is a consistent problem, consider setting an alarm for sometime in the night, to check whether the device is still on. You could progressively set the alarm for later in the night if you find you're keeping the device on longer.
]]>A full-face-mask-style device that covers your mouth and nose also may work well for you. A CPAP-heated humidifier that attaches to the air pressure machine also may help.
]]>Machines with the ramp feature that slowly and gradually increase the air pressure to your prescribed pressure setting as you fall asleep may make you more comfortable at bedtime.
Following good general sleep habits also are helpful. Exercise regularly and avoid caffeine and alcohol before bedtime. Try to relax. For example, take a warm bath before you go to bed. Don't go to bed until you're tired.
]]>Try adjusting pads and straps to get a better fit. If the device fits over your nose, make sure it doesn't sit too high on the bridge of your nose, which can direct air into your eyes.
You may need to ask your supplier to help you find a different size mask, particularly if your weight has changed a lot. Or try a different style device such as a nasal pillow. If you develop skin deterioration or sores, such as on your nose, tell your doctor promptly.
]]>Next, try holding the mask with the attached hose on your face, without using the straps. Turn on the CPAP machine, perhaps with the ramp feature turned on. Next, do this using the straps too. Finally, try sleeping with the mask and machine on.
Relaxation exercises, such as progressive muscle relaxation, may help reduce anxiety related to CPAP use.
If you're still feeling claustrophobic, talk to your doctor or CPAP supplier. It may help to get a different size mask or try a different style, such as one that uses nasal pillows.
]]>A CPAP device that features a heated humidifier, which attaches to the air pressure machine, can help. You can adjust the level of humidification. Using a nasal saline spray at bedtime also can help ease a dry, stuffy nose.
]]>If this feature doesn't help, talk with your doctor about changing to a device that automatically and constantly adjusts the pressure while you're sleeping. An example is a bi-level positive airway pressure (BPAP) machine that delivers more pressure when you breathe in (inhale) and less when you breathe out (exhale).
]]>Once you get used to how that feels, start using the CPAP device every time you sleep — including naps. Just wearing the CPAP device every now and then may delay getting used to it. Stick with it for several weeks or more to see if your mask and pressure are right for you.
]]>Try a different mask. A range of CPAP masks are available. For example, some feature full face masks that cover your mouth and nose, with straps that stretch across your forehead and cheeks. These may make some people feel claustrophobic, but they work well if you prefer to breathe through your mouth during sleep. They also provide a stable fit if you move around a lot in your sleep.
Other masks feature nasal pillows that fit under your nose and straps that cover less of your face. These can feel less cumbersome.
Nasal pillows may work well if you wear glasses or read with the mask on, because some don't block your eyes as much as full face masks do. However, this may not be an option if you move around a lot in your sleep or sleep on your side.
Pay attention to size. Most masks come in different sizes. Just because you're a certain size in one mask doesn't mean you'll be the same size in another. CPAP masks are usually adjustable.
Ask your doctor or CPAP supplier to show you how to adjust your mask to get the best fit. Manufacturer product instructions also can help show you how to do this. A properly fitting mask shouldn’t be uncomfortable or cause pain.