antidepressant and cpap

Hello

sorry for my bad english but i'm not.

After one year and half of CPAP, i have always trouble with fatigue and fatigue worsen.

March 2013 :Before CPAP i have done a poly (sleep study) in hospital i have
- an iah of 24.8/h (whose hypopnea of 21.7/h)
-17 acrousals awakening/ h.
-No restleg syndrom (or periodic movement)
-I've been on 10 mg deroxat (an antidrepressant with paroxetine - paxil i mean in other country).

i have a remstar with autopilot beetween pression 4-14 .nothing wrong and good compliance with the night of 8h but don't see full effect.

July 2013 : deroxat - paxil 30 mg. i have to increase at this level and i'm since here.

August 2014 i have done a poly (sleep study) in hospital with Cpap : i have
- an iah of 9.3/h (whose hypopnea of 9/h)
-14.5 acrousals awakening/ h.
-I've been on 30 mg deroxat.
- restleg syndrom (or periodic movement of 7.1/h but only 1h

my doc change my device to resmed s9 because he think algorithm is better (my pneumo has first give me the remstar).autopilot 4-16
No improve since one week.

I ask me why acrousals awakening/ h has go down very few with cpap treatment and the same with IAH.

I would like the link with the increase of paxil : give paxil arousals awakening ? My doc say he give periodic movement.
Actually i go down with paxil by 5 mg step by step but really wondering if this is the cause or not.

can paxil and antidepressants in general give more 1/ hypopnea ? 2/ more awakening arousals ?

in which case do we have a fix pression ? with hypopnea ?

Furthermore this night of sleep study my cpap give a iah of 3.5/h whereas the sleep study is 9/h : why is iah 3 times more than cpap give ?

thanks very much

Your interrupted sleep probably caused symptoms of depression.

Get the CPAP software and work on optimizing your CPAP therapy.

In the meantime talk to your doctor about tapering the medications down to zero.

Thanks

My depression is gone and work on my fear.
My doc has suggest to go down because it cause periodic movements.

Thanks

Paxil doesn't necessarily make the sleep apnea (airway collapsing) thing worse but it sure can mess with sleep quality or cause you to have more arousals or awakenings during the night. Paxil really doesn't cause the airway tissues to relax like some other meds might (muscle relaxers or opiates). So Paxil itself shouldn't really affect hyponeas or pressures needed to address the sleep apnea part of things

Trouble getting to sleep and staying asleep is a well known side effect of Paxil....and pretty much all of those class of medications.

http://en.wikipedia.org/wiki/Paroxetine