At-home study

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Pugsy
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Re: At-home study

Post by Pugsy » Fri Jul 10, 2020 6:40 pm

The only thing I can see that might be a factor in the wake ups are maybe the leaks.
Next time you have the wake ups...reach over and turn the machine off and then right back on again that way you can see a break in that therapy line and see if maybe you had a big leak just prior to the wake up. You need to be able to mark the pressure line in some way when you know you were awake and trying to look at the clock and remember isn't a good option.

Otherwise my next question .....are you taking any medications of any kind (even OTC) and if you are what?
Often medication side effects mess with sleep quality.

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OnTheCouch
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Re: At-home study

Post by OnTheCouch » Fri Jul 10, 2020 6:53 pm

LOTS of meds.

I've been taking these all for 10 years or more; no dosage changes, etc.

Valsartan
Hydrochlorothiazide
Amlodipine
Pravastatin
Vitamin D
Fish oil aspirin

I've been taking daily Zyrtec for about 9 months.
I've been taking daily Meloxicam for about 4 months.
I've been taking daily Claritin for only 10 days or so.

The wakefulness has been an issue for about 6 weeks.

I did check the Zyrtec, Meloxicam and Claritin for side effects and didn't see anything that might cause this problem.

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Pugsy
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Re: At-home study

Post by Pugsy » Fri Jul 10, 2020 7:32 pm

Zyrtec is an antihistamine of course and normally it just causes drowsiness kind of thing but there is a small percentage of people who it actually can work the opposite and cause insomnia, and wakefulness.
Very small percentage of people but I found the documentation. That didn't surprise me. I react to some antihistamines like that..

Claritin as well...less common but listed
Difficulty Sleeping
https://www.webmd.com/drugs/2/drug-5346 ... ideeffects
Even without the "D" additive.

Meloxicam....they say it can actually cause insomnia
https://www.drugs.com/medical-answers/m ... he-670272/
the side effects for meloxicam don't mention drowsiness (actually meloxicam can cause insomnia) but does mention dizziness. But headache is a common, less serious side effect of meloxicam.
Valsartan....see number 7 here
https://www.goodrx.com/blog/could-your- ... -insomnia/
or number 6 here
https://www.aarp.org/health/drugs-suppl ... omnia.html

Amlodipine...can cause fatigue and insomnia,,,,and it's a beta blocker
https://www.aarp.org/health/drugs-suppl ... omnia.html

pravastatin
See number 10
https://www.aarp.org/health/drugs-suppl ... omnia.html


I didn't bother checking the HCTZ... Now...I know you have been taking these meds longer than you have been having the problems with the sleep maintenance insomnia (that's when we wake up during the night too often or have trouble going back to sleep) but it wouldn't be impossible for your body's metabolism to have changed somewhat and they now are maybe a factor or maybe the combination of all of them caused something to change.

It is also very possible that it's something simple like your leaks (even the low level ones) are disturbing your sleep.

Obviously you have legitimate reasons for taking the medications and we don't want to go messing with them but what I would do is the marking system of turning the machine off so you can more closely check the flow rate and leak rate right before the wake up to see if something shows up in either of those lines that might be a potential cause for the disturbed sleep....like a flow reduction or leak spike or something. That's where I would start looking first.

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Pugsy
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Re: At-home study

Post by Pugsy » Fri Jul 10, 2020 7:35 pm

If you need help in learning how to zoom in on the flow rate or leak rate...watch the videos here.
You have to zoom in pretty close sometimes.
http://freecpapadvice.com/sleepyhead-free-software

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khauser
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Re: At-home study

Post by khauser » Sat Jul 11, 2020 8:12 am

OnTheCouch wrote:
Fri Jul 10, 2020 6:53 pm
I've been taking daily Zyrtec for about 9 months.
I've been taking daily Claritin for only 10 days or so.
Zyrtec and Claritin are very similar medications. Unless a doctor has approved this i recommend not taking them together. I remember reading that overdosing on this class of antihistamine can cause heart rhythm disturbances.

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OnTheCouch
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Re: At-home study

Post by OnTheCouch » Sat Jul 11, 2020 6:12 pm

[/quote]
Zyrtec and Claritin are very similar medications. Unless a doctor has approved this i recommend not taking them together. I remember reading that overdosing on this class of antihistamine can cause heart rhythm disturbances.
[/quote]

It was prescribed by my doctor. My allergies are insanely out of control, and he actually thought the terrible allergy symptoms might be contributing to my problems sleeping. So far it hasn't helped the sleep, unfortunately, but at least the allergies are improved.

Central Texas is insane.

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Pugsy
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Re: At-home study

Post by Pugsy » Sat Jul 11, 2020 6:34 pm

You know it isn't impossible that the allergies are indeed playing a part in the wake ups.
I know when I have the least little bit of congestion I simply don't sleep so well. Even minor congestion will mean I can't sleep.
I know I can mouth breathe in my head but my brain isn't okay with it. I still wake up.
Fortunately those allergy shots I took some 35 or 40 years ago seem to have done a good job. I had horrible allergies back then.
Every now and then something will cause congestion but it's rare...a little Flonase usually takes care of it.
Or heck...maybe a combination of a lot of little triggers are causing the wake ups.

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OnTheCouch
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Re: At-home study

Post by OnTheCouch » Sun Jul 19, 2020 1:37 pm

Here's a screenshot of a miserable hour or so from a recent miserable night. I got up after about 3 hours asleep (which seems to be pretty common for me) to use the restroom, and this hour is after I wend back to bed until I woke up again for some other unknown reason. Admittedly, it's rather extreme and perhaps I'm wrong to focus on the extreme, but I also don't think that the "better" segments paint a wholly accurate picture, either, since I'm spending so much of that time awake, and presumably not having any troubles during the extended awake times (other than not being asleep, that is!).

If anybody can offer me any help I'd truly appreciate it. As I mentioned above, I'm miserable. Also desperate.
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Pugsy
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Re: At-home study

Post by Pugsy » Sun Jul 19, 2020 1:42 pm

I am confused....this one hour segment above...how much of it were you awake?

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OnTheCouch
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Re: At-home study

Post by OnTheCouch » Sun Jul 19, 2020 1:45 pm

Pugsy wrote:
Sun Jul 19, 2020 1:42 pm
I am confused....this one hour segment above...how much of it were you awake?
Just the first 10 minutes or so - however long it took me to fall back to sleep after getting up to use the restroom.

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Dog Slobber
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Re: At-home study

Post by Dog Slobber » Sun Jul 19, 2020 1:57 pm

OnTheCouch wrote:
Sat Jul 11, 2020 6:12 pm
Zyrtec and Claritin are very similar medications. Unless a doctor has approved this i recommend not taking them together. I remember reading that overdosing on this class of antihistamine can cause heart rhythm disturbances.
It was prescribed by my doctor. My allergies are insanely out of control, and he actually thought the terrible allergy symptoms might be contributing to my problems sleeping. So far it hasn't helped the sleep, unfortunately, but at least the allergies are improved.

Central Texas is insane.
Another member uses Anti-Bacterial Filters to help with his allergies.

https://www.cpap.com/productpage/generi ... es-10-pack

If you do try them you'll need to configure the AB Filter in the Settings menu.

I'll quote one of his posts, in case he has more to add.

palerider wrote:
Tue May 26, 2020 1:27 am
ronragus wrote:
Mon May 25, 2020 3:17 pm
Have anyone been using bacterial filters such as these? https://www.cpapoutlet.ca/en/Product/Vi ... -6301/1655

I see that on my airsense 10's settings menu there is actually a section for "AB filter". Are these filters useful for anyone here or not really? thanks
I'm of those people that uses them for allergies, they help.

I've never seen any harm come from using them with heated humidity, other theories to the contrary.

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Pugsy
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Re: At-home study

Post by Pugsy » Sun Jul 19, 2020 1:59 pm

Okay...Can I see the overall night detailed report please...not just the one hour segment.

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OnTheCouch
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Re: At-home study

Post by OnTheCouch » Sun Jul 19, 2020 2:00 pm

Dog Slobber wrote:
Sun Jul 19, 2020 1:57 pm

Another member uses Anti-Bacterial Filters to help with his allergies.
Interesting - I have some that I bought a while back, but they didn't work with my old machine so I put them on a shelf and forgot about them. I'll have to dig them out and give them a try.

Thanks so much for the suggestion!

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Pugsy
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Re: At-home study

Post by Pugsy » Sun Jul 19, 2020 2:03 pm

Were you on your back that second part of that 1 hour segment above?

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OnTheCouch
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Re: At-home study

Post by OnTheCouch » Sun Jul 19, 2020 2:04 pm

Pugsy wrote:
Sun Jul 19, 2020 1:59 pm
Okay...Can I see the overall night detailed report please...not just the one hour segment.
Absolutely - here you go!
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