Seeking Input for settings

Hello All!

I just found out about this forum and would greatly appreciate some incite.

I was recently diagnosed with mild sleep apnea (AHI 9.7 from a Lofta home test). I started therapy 5 nights ago using an AirSense 11 with an AirFit F30i full face mask.

Initial settings were the default 4–20 APAP range.

Night 1:
Fragmented sleep. I was woken up by sudden pressure increases — the mask was inflating and that’s what woke me.

Night 2:
Raised minimum pressure from 4 to 6. Slept through the night, which was a big improvement. However, I had significant dry mouth and nasal congestion.

Night 3:
Added saline spray before bed. Helped temporarily, but I still woke up congested and needed to reapply. Dry mouth continued.

Night 4:
Took climate off auto and set humidity to 5 and temp to 76°. This caused rainout (water in hose/mask), gurgling, and I had to get up to clear the line. Switched climate back to auto afterward.

Night 4 (continued adjustments):
Used saline spray + Breathe Right strips.
Increased minimum pressure to 7.6.
Reduced EPR from 3 to 2.

Night 5:
Sleep became fragmented again. AHI was slightly higher than expected despite higher pressure. However, dry mouth seemed to improve significantly compared to prior nights.

My concern:
I think I may be making too many adjustments too quickly and not giving settings enough time to stabilize.

My current thought:
Hold settings steady instead of continuing to chase changes. I was considering increasing minimum pressure further (possibly to ~9–10) while keeping EPR at 2, but I’m not sure if that’s the right move or if I should pause adjustments.

Questions:

1. Am I adjusting too frequently at this stage?
2. Based on this progression, does it make sense to increase minimum pressure further, or hold steady?
3. Any suggestions for managing nasal congestion + dry mouth with a full face mask?

Appreciate any feedback. I’m trying to dial this in without overcorrecting. Thank you!

1. Min 6 is a typical lowest setting for beginning adult therapy
2. Max 20 is okay to have Max at its top end of 20 if no useless spikes of pressure are occurring
3. Rainout happens due to the effects of room temp and humidity/hose temp/humidity level selected. A balance must be found to prevent rainout. Some use an insulation wrap over the hose.
4. Giving 2-3 days to a settings change is often suggested.
5. The body needs to adapt to not only therapy but also any changes to therapy.
6. Monitoring Med EPAP pressure and 95% pressure can be a guide to Min and Max settings.
7. Raise pressure by .4 or 1 cm until OSA events are effectively treated. The standard is AHI <5 but many like to see AHI <2.
8. FLs are not serious so EPR is a personal preference unless it causes CAs Note that it reduces EPAP, the therapy floor.
9. Mouthbreathing is a cause of dry mouth. Some accept it, others use deterrents such as taping, chin strap, collar, mouth appliance, and gadgets to prevent back sleeping.
10. Oxytetramoline products shrink nasal passages, relieving congestion.
11. Less humidity and/or time to adapt may relieve congestion.
12. Therapy looks to be going well and on track for fine tuning.