"Resistance" to CPAP therapy over time?

[Armando]

Hi guys.
You know how sometimes the body gets used to a substance after a while so that you need more of the same medicine to get the same result than when you started treatment?
Im wondering if the same happens with CPAP therapy so that the preassure originally prescribed can become ineffective after a while.
That is, not counting other factors like weight gain.

[archangle]

The "standard" answer is "no."

However, it's hard to tell because your pressure needs may change over time even if you don't do CPAP. Many users find their pressure need increases over time. Was it the CPAP that did it, or just the aging process?

As you become more used to CPAP, you may find yourself adjusting the pressure upwards a bit because you find you can now stand a higher pressure than you did before, and your condition improves with the higher pressure. i.e. You really needed 14, but couldn't stand 14, so you set it at 9. After a while you adjust your pressure up to 14 because you're used to it now.

In 7 years, I went from 10 to 14, but of course, I'm 7 years older now. I think If I did another in-lab titration, they'd probably set me at 12, but I find I feel better at 14.

[Goofproof]

The only "Resistance" to XPAP therapy, is from persons that don't have the will to make it work. Mind over matter, convince yourself it will work for you and it will. No longer will you paddle in De-Nile. Jim

"Go With The Flow", make yourself healthy.

[Breathe Jimbo]

My pressure is a little lower after a year of CPAP due to weight loss, so, no, your pressure will not necessarily increase over time and, yes, weight gain may require a higher pressure.

[Goofproof]

My pressure and treatment are the same 14.5 C.M. after 5 years. AHI under control at under 3, even with a weight gain of 80 LBs. Jim

[kaiya2465]

The only "Resistance" to XPAP therapy, is from persons that don't have the will to make it work. Mind over matter, convince yourself it will work for you and it will. No longer will you paddle in De-Nile. Jim

"Go With The Flow", make yourself healthy.

I take that as an insult Goofproof, Because I AM willing & trying so I think you are not right with that statement!!!! I am sure there are others like me trying & is wanting to make the therapy work too.

Thank you

[ameriken]

Hi guys.
You know how sometimes the body gets used to a substance after a while so that you need more of the same medicine to get the same result than when you started treatment?
Im wondering if the same happens with CPAP therapy so that the preassure originally prescribed can become ineffective after a while.
That is, not counting other factors like weight gain.

I've been wondering this myself. When I first started, my AHI's ran between 2 and 8. Now, in the past month it's been increasing, and in 2 weeks I haven't had a day under 5. I've had several in the teens, and last night for the first time on therapy, I had an AHI of 20. Nothing else has changed, I wear the same mask, have no leaks, and I can't figure out why my AHI has consisently increased over the past month and I cannot figure out why.

[Goofproof]

The only "Resistance" to XPAP therapy, is from persons that don't have the will to make it work. Mind over matter, convince yourself it will work for you and it will. No longer will you paddle in De-Nile. Jim

"Go With The Flow", make yourself healthy.

I take that as an insult Goofproof, Because I AM willing & trying so I think you are not right with that statement!!!! I am sure there are others like me trying & is wanting to make the therapy work too.

Thank you

Many say they want the therapy to work, that's the easy part. Really making up one's mind that you will "Get Ur Done", at any cost is what allows success in anything. If I had wallowed in De-Nile, I would long be dead by now. To get the results we need, we must find the resolve to meet our end needs.

When we allow even a little of "I can't do this in" It becomes a self set blockage to what we want to do. I found this out in H.S., I decided I couldn't memorize something for class, it was required. I spent three week in detention over it, then I made up my mind I could, and I did it. That lesson is locked forever.

The job of a good teacher isn't to just have you read the lessons, but to show you how to learn on your own. Jim

[kaiya2465]

Well in my situation "I WILL" figure it out..trial and error. Don't care how long it takes. Found the pressure which after I found it should have left it alone & now working on a chin strap to finish the job.
Sorry for hijacking this thread.

Thanks

[Sleepy Taz]

I can say after 22 years that my pressure is the same only the machine improvements make it seem different. At 17 it feels like it is now blowing as had as it used to but my AHI is under 2 on average. As far as making it work, we all have our own methods.
kaiya2465, Goofproof uses a tough love approach to helping others as that is what worked for him and his intention I do not believe is bad. He is trying to motivate a person who seems like they are looking for an excuse to quit. You are doing what is right for you and will most likely succeed as long as you continue to look for ways to make your therapy tolerable for you. There are many viable reasons why people struggle and it has nothing to do with attitude. We are trying to sleep with a machine blowing air up our nose and annoying things like leaks, mask induced sores, dry and burning nostrils, and in some cases irritable bed partners. An over tired person struggling with therapy may find their only solace is stopping the therapy. That is where places like this forum provide the encouragement and support to help new people succeed.

[kaiya2465]

Understood SleepyTaz, Maybe I am just to sensitive at the moment, but I guess it took me getting mad at myself to push even harder...Sorry Jim I have actually learned alot on here, through Pugsy & a few others, I just need to leave things alone once they are good.

[ameriken]

I can say after 22 years that my pressure is the same only the machine improvements make it seem different. At 17 it feels like it is now blowing as had as it used to but my AHI is under 2 on average. As far as making it work, we all have our own methods.
kaiya2465, Goofproof uses a tough love approach to helping others as that is what worked for him and his intention I do not believe is bad. He is trying to motivate a person who seems like they are looking for an excuse to quit. You are doing what is right for you and will most likely succeed as long as you continue to look for ways to make your therapy tolerable for you. There are many viable reasons why people struggle and it has nothing to do with attitude. We are trying to sleep with a machine blowing air up our nose and annoying things like leaks, mask induced sores, dry and burning nostrils, and in some cases irritable bed partners. An over tired person struggling with therapy may find their only solace is stopping the therapy. That is where places like this forum provide the encouragement and support to help new people succeed.

The problem is this thread doesn't have anything to do with motivation or 'mental' resistance. It is a technical question having to do with building up a phsyical resistance or tolerance, and the OP clarified it by giving an example of certain drugs that build up a tolerance in the body requiring higher dose to achieve the same results a lower dose used to achieve.

Archangle understood the question and gave an appropriate answer. I'd like to hear more as well because I am dealing with similar difficulties as it seems like my therapy is not doing what it did when I first started, and nothing else has changed. Same mask, no leaks, same diet, same bed, same sleep times, etc. Makes me wonder if I need a different pressure and has absolutely nothing to do with wanting to continue or resisting therapy.

[Goofproof]

Understood SleepyTaz, Maybe I am just to sensitive at the moment, but I guess it took me getting mad at myself to push even harder...Sorry Jim I have actually learned alot on here, through Pugsy & a few others, I just need to leave things alone once they are good.

After 6 month of successful treatment, bought a APAP try, and while playing with the different settings got lead into changing my treatment for the worst. Makes you think sometimes about what works, it wasn't the APAP that was the problem it was me by making changes too fast. Jim

[kaiya2465]

Yep, I figured that out..it was me ...I am making head way now though so am starting to LEAVE things alone. I wonder how many others do that to themselves. Hmmmm

[Sleepy Taz]

I can say after 22 years that my pressure is the same only the machine improvements make it seem different. At 17 it feels like it is now blowing as had as it used to but my AHI is under 2 on average. As far as making it work, we all have our own methods.
kaiya2465, Goofproof uses a tough love approach to helping others as that is what worked for him and his intention I do not believe is bad. He is trying to motivate a person who seems like they are looking for an excuse to quit. You are doing what is right for you and will most likely succeed as long as you continue to look for ways to make your therapy tolerable for you. There are many viable reasons why people struggle and it has nothing to do with attitude. We are trying to sleep with a machine blowing air up our nose and annoying things like leaks, mask induced sores, dry and burning nostrils, and in some cases irritable bed partners. An over tired person struggling with therapy may find their only solace is stopping the therapy. That is where places like this forum provide the encouragement and support to help new people succeed.

The problem is this thread doesn't have anything to do with motivation or 'mental' resistance. It is a technical question having to do with building up a phsyical resistance or tolerance, and the OP clarified it by giving an example of certain drugs that build up a tolerance in the body requiring higher dose to achieve the same results a lower dose used to achieve.

Archangle understood the question and gave an appropriate answer. I'd like to hear more as well because I am dealing with similar difficulties as it seems like my therapy is not doing what it did when I first started, and nothing else has changed. Same mask, no leaks, same diet, same bed, same sleep times, etc. Makes me wonder if I need a different pressure and has absolutely nothing to do with wanting to continue or resisting therapy.

Ameriken,

Actually I was not addressing the OP. My comments were directed to kaiya2465 concerning her reaction to Goofproofs post. Answering the OP, If pressure change is needed it has more to do with each individuals physical changes more than resistance to therapy. The Cpap doesn’t cause the changes, age does or an illness. In your case maybe you are developing allergies and your nose incurs a blockage affecting the flow of air. There are many variables that will need to be eliminated in order to maximize the value you get from you C-pap