No respite Despite using CPAP for 20 days

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Julie
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Re: No respite Despite using CPAP for 20 days

Post by Julie » Mon Oct 12, 2015 5:15 am

I think KT was referring to movement in bed, not during exercise, but in any case you answered the question later on. I wonder if you've tried Pugsy's idea of changing your machine to Cpap mode for a few nights to see if it helps... it's a valid point that pressure changes wake some people who sleep lightly.

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ChicagoGranny
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Re: No respite Despite using CPAP for 20 days

Post by ChicagoGranny » Mon Oct 12, 2015 7:29 am

Rajeev wrote: Its Rivotril 0.5mg
That is clonazepam. Are you taking it for RLS? What time of day do you take it?

That's considered a small dose, but still it could be causing you to feel less than energetic during the day.

Clonazepam is not usually the first choice for RLS. Can you see a sleep doctor who is familiar with the drugs used to treat RLS? I would discuss with her the possibility of discontinuing Rivotril and experimenting with some drugs better targeted to RLS.

I also agree with others that your exercise sessions are too long. Anything more than moderate exercise may trigger RLS to be much worse.

Rajeev
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Re: No respite Despite using CPAP for 20 days

Post by Rajeev » Mon Oct 12, 2015 8:18 am

ChicagoGranny wrote:
Rajeev wrote: Its Rivotril 0.5mg
That is clonazepam. Are you taking it for RLS? What time of day do you take it?

That's considered a small dose, but still it could be causing you to feel less than energetic during the day.

Clonazepam is not usually the first choice for RLS. Can you see a sleep doctor who is familiar with the drugs used to treat RLS? I would discuss with her the possibility of discontinuing Rivotril and experimenting with some drugs better targeted to RLS.

I also agree with others that your exercise sessions are too long. Anything more than moderate exercise may trigger RLS to be much worse.
I take half tablet before sleep. This has been prescribed by a sleep specialist. As far as excercise is concerned I Have been able to build a good physique just by following this schedule for lat one and half year's. Will try to hire a professional trainer to see the difference and opinion. Thank you for your help and guidance.

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Julie
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Re: No respite Despite using CPAP for 20 days

Post by Julie » Mon Oct 12, 2015 9:00 am

You seem more focused on your exercise than on sleep... you may have to sort out the first to fit in with the second. This forum isn't about gym habits. But I also think you need to find out if your problems are 'restless legs' (RLS) or PLMD, an entirely different problem.

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Whale Road
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Re: No respite Despite using CPAP for 20 days

Post by Whale Road » Mon Oct 12, 2015 11:24 am

Julie wrote:find out if your problems are 'restless legs' (RLS) or PLMD, an entirely different problem.
Oh really?
RLS / PLMD
Restless Legs Syndrome (RLS) and Periodic Limb Movement (PLMD) are two disorders that are very similar in their signs and symptoms as well as their treatment. It is very likely, but not always true, if you suffer from one, you may suffer with the other as well. The primary difference is that RLS occurs while awake and PLMD occurs while sleeping.

http://www.sleepmanagement.md/sleepdiso ... -PLMD.aspx
Rajeev wrote:I Have been able to build a good physique just by following this schedule for lat one and half year's. Will try to hire a professional trainer to see the difference and opinion.
I've used trainers before, and none of them had any clue about RLS/PLMD.

It's fairly well established that moderate exercise is good for helping to relieve the symptoms of RLS/PLMD, while a high amount of exercise will worsen the condition. Best to have a moderate exercise program and do not exercise within three hours of bedtime.
I Have been able to build a good physique
Note that the thick necks many bodybuilders achieve can mean trouble for the airway and may cause or worsen obstructive sleep apnea.

Also, have your serum ferritin level checked. Opinion varies among doctors, but for people with RLS/PLMD, the level should be in the range of 100 to 275.

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kteague
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Re: No respite Despite using CPAP for 20 days

Post by kteague » Mon Oct 12, 2015 12:52 pm

I had posted a reply before I realized there were more posts on page 1 that I hadn't read, so in a matter of a minute I deleted it. I apologize for any confusion if someone read it and now it's gone.

In view of being given the med for limb movements, I think it would be wise to rule out the limb movements as a possible contributor to your poor sleep. Do you have the means to video yourself sleeping or have somebody who could film your legs while asleep? It wouldn't be definitive but could give you an idea if your feet or legs move a lot. If so, we'll probably be talking again. If you lay quietly in place, it's not as likely to be your issue. Good luck going forward.

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Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
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Rajeev
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Re: No respite Despite using CPAP for 20 days

Post by Rajeev » Mon Oct 12, 2015 9:02 pm

kteague wrote: Do you have the means to video yourself sleeping or have somebody who could film your legs while asleep?.
I think that's a good idea. Technology is not a problem now a days. Thanks for the suggestion.

Rajeev
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Re: No respite Despite using CPAP for 20 days

Post by Rajeev » Mon Oct 12, 2015 11:14 pm

Whale Road wrote:
Julie wrote:find out if your problems are 'restless legs' (RLS) or PLMD, an entirely different problem.
Also, have your serum ferritin level checked. Opinion varies among doctors, but for people with RLS/PLMD, the level should be in the range of 100 to 275.
Thanks for the advise. I have got serum cortisol test done. Hope this is the same which you are referring to. Results were Ok & well within range. I will also look into the exercise schedule as indicated by you. Many thanks.

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kteague
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Re: No respite Despite using CPAP for 20 days

Post by kteague » Mon Oct 12, 2015 11:23 pm

Rajeev wrote:
Whale Road wrote:
Julie wrote:find out if your problems are 'restless legs' (RLS) or PLMD, an entirely different problem.
Also, have your serum ferritin level checked. Opinion varies among doctors, but for people with RLS/PLMD, the level should be in the range of 100 to 275.
Thanks for the advise. I have got serum cortisol test done. Hope this is the same which you are referring to. Results were Ok & well within range. I will also look into the exercise schedule as indicated by you. Many thanks.
Not the same test.

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Whale Road
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Re: No respite Despite using CPAP for 20 days

Post by Whale Road » Thu Oct 15, 2015 1:23 pm

Rajeev wrote:I have got serum cortisol test done. Hope this is the same which you are referring to.
No, the serum ferritin level is a completely different test. It is the so-called blood-iron level. It is very important for people with RLS/PLMD to maintain the appropriate level.

Rajeev
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Re: No respite Despite using CPAP for 20 days

Post by Rajeev » Thu Oct 15, 2015 11:16 pm

Whale Road wrote:
Rajeev wrote:I have got serum cortisol test done. Hope this is the same which you are referring to.
No, the serum ferritin level is a completely different test. It is the so-called blood-iron level. It is very important for people with RLS/PLMD to maintain the appropriate level.
Iron should not be a problem as I have Hemoglobin levels which are +16.During the course I am observing sound sleep has some good connection with Vitamin D & B12 levels. trying to so some search on that.

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The Choker
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Re: No respite Despite using CPAP for 20 days

Post by The Choker » Fri Oct 16, 2015 8:00 am

Rajeev wrote:Iron should not be a problem as I have Hemoglobin levels which are +16.
If you have RLS and/or PLMD, you really need to follow the advice to have your serum ferritin level checked. To give one example, I had normal hemoglobin levels and low serum ferritin. I now supplement with iron (under doctor's instructions) and try to keep my iron level in range 175 - 225.
Iron deficiency without anemia can occur when a person has a normal hemoglobin, but below normal serum ferritin and/or transferrin saturation.

http://www.irondisorders.org/iron-deficiency-anemia
Whale Road wrote:No, the serum ferritin level is a completely different test. It is the so-called blood-iron level. It is very important for people with RLS/PLMD to maintain the appropriate level.
+1
T.C.

Rajeev 18

Re: No respite Despite using CPAP for 3 Months Now

Post by Rajeev 18 » Thu Nov 26, 2015 5:03 am

Its been almost 3 months using Auto CPAP (S9 Auto) now. Tried various pressure settings like 4-20 , 5-20, 6-20, 7-20, 8-20 & 9-20 but results are not encouraging. Although AHI fluctuates between 0.5 to 2.2. Pressure is also around 10 to 11. On certain days it feels little better but other days are as usual the dull. My Stomach has also been bloating since usage of this CPAP. I wonder there is any cure. Have no patience left in me now.