What could the sleep doc possibly do now?

I was first dx and put on CPAP at 10cm a year ago. I felt really good up until 4-5mos ago. I went for another titration and didn't sleep well but they said I was still snoring at 10cm so they were able to stop that at 14cm. The theory was that the snoring was fragmenting my sleep. I haven't gotten the report yet--request will be mailed tomorrow. I just now have a fully data capable CPAP, the first one I was given was compliance only.

I've been at 14cm nearly 3 weeks and feeling just the same. I am also having 5 events an hour pretty much every night which I know is not that bad but my overall avg at my study w/o cpap was 12 events an hour (REM was 33 events an hour). I would think I should be doing better, and also I am still very tired.

I called the sleep doc, because in the midst of this I started Zoloft-been on it 3 weeks, the last time on it I was adjusted within a week and had no more tiredness... I didn't know if the zoloft could be the issue or what. So, the sleep doc wants me to come in and had the DME ask for a d/l from my machine.

What now? What steps should be taken next? I plan to ask if there were centrals at my recent titration which placed me at 14, also I want to know the leak rate then as I tried a different mask out and it leaked really horribly. At home my leak rate avg is 0.02 so it's REALLY good.

I guess I'd love advice and love hearing things I should think of and ask her about so I am prepared. When I get the last titration I'll post that info too.

Is it possible that the zoloft is relaxing you more, thus causing you to have events now that you weren't having at the last study?

Is your machine an "auto"? If so, perhaps the doc can set it at 14-20 instead of straight 14 and see if the machine increases pressure.

Those are the only two thoughts I can add.

I just did a very small research on the subject of Zoloft (also known as sertraline) , since I know a friend that had sleeping problems too while taking it.
And just as ractar28 said, I found that in every medical article about Zoloft speak about sleep patterns being altered, and causes quite often insomnia, a condition in which you have trouble falling or staying asleep.
Some people with insomnia may fall asleep easily but wake up too soon.
Other people may have the opposite problem, or they have trouble with both falling asleep and staying asleep.
The end result is poor-quality sleep that doesn't leave you feeling refreshed when you wake up.
Some of the problems that can cause secondary insomnia include:

- Certain illnesses, such as some heart and lung diseases
- Pain, anxiety, and depression
Medicines that delay or disrupt sleep as a side-effect
- Caffeine, tobacco, alcohol, and other substances that affect sleep
- Another sleep disorder, such as restless legs syndrome; a poor sleep environment; or a change in sleep routine

for more information, see http://www.medicinenet.com/sertraline/article.htm

Hope this information may help you !
D.

I really don't know re: the zoloft causing more events. I was on it at my titration last year and they found a good pressure for me and that did work even while on the Zoloft for about 6 months. I have no trouble falling asleep and sleep all night (wake to adjust mask or roll over bc I'm stiff--I have arthritis). I am just so tired. AHI was a tad better last night but I woke with a headache. Ugh.