Since using the Pur-sleep oils

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
SleepGuy
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Post by SleepGuy » Sun Apr 01, 2007 9:22 am

christinequilts, you're obviously extremely concerned about the safety of the pur-sleep products. You have raised good questions that I would consider to be fair game. There has already been a great deal of discussion on the points you have raised here on different threads (particularly the "essential oils" thread) and I offer the following thoughts:

1. Essentail Oil Safety. All of the essential oils used in pur-sleep products have been designated as being "generally recognized as safe" (GRAS) for human consumption by the U.S. FDA. Consumption is general but certainly includes ingestion, direct application to the skin, and inhilation (though I would NOT recommend ingestion or direct dermal application except for lavender).

Just as there is a great deal of folklore out there about essential oils curing all kinds of diseases and conditions, there's an equal amount of folklore about essential oil safety. For example, most essential oil sellers warn against use of almost every oil by pregnant women. But the book Essential Oil Safety by Tisserand and Balacs (Churchill Livingstone 1995), the leading scholarly work on the subject states concerning Risks in Pregnancy:

"A thorough search of the literature has not revealed any cases of unwanted abortion resutling from the use of essential oils. In fact most attempts by women to use essential oils to cause abortion have proven unsuccessful."

That's not to say there are no pregnancy-related risks: "there is evidence that a few oils, including the notorious savin, are possible abortifacients. Dangers to the fetus are also a risk with some oils." Essential Oil Safety p. 3.

Drbandage, an MD, offered the following thoughts on essential oil safety and the pur-sleep products on the "essential oils" thread:
Several have posted on this thread that they have presented this idea to their doctors, including a lung doctor, and none of them expressed safety concerns with it.
I've spoken to a few myself, including an ENT and a pulmonologist. At any rate, I've yet to meet a medical professional who has expressed any concern at all. I suspect most would share this opinion, but I haven't actually asked most, so who knows. Docs don't agree 100% on anything, as we all are aware, but on some things you certainly can get a consensus. I think this would likely be one of those things, from the things I know about the medical mind, and the reactions that I've seen thus far.

It doesn't "prove" anything of course, but we can say is that the amounts ingested are not on a grand scale, even if used eight hours every day. Yes, that name (oil) is a bit unfortunate, as it may (and has) mislead some who may not appreciate what is happening on the molecular level.

An oil "essentially" can be any of numerous mineral, animal, vegetable, and synthetic substances that are generally slippery, combustible, viscous, liquid at room temperature, soluble in various organic solvents (such as ether), but not in water. Oil and water don't mix, literally. Oil is referred to as hydrophobic, because it separates from water. SG's potion meets some criteria for being called an oil, but that isn't necessarily a bad thing. Many substances that the body needs fit that same criteria.

Now, where did I put my Cod Liver oil?

All liquids evaportate. Airborne molecules (including H20) are simply wayward formerly liquid borne molecules that have flown the coop. And, the fact that molecules in a liquid can actually fly the coop is a good thing. (Consider why we have that liquid water sitting in direct contact with the air in the humidifier reservoir.) The way that happens is that (at differing rates, depending on the liquid and the temperature), the molecules in the liquid are always in motion, and some get going so darn fast that they actually launch themselves free of their liquid neighbors and take a quick spin into the gas that is their neighbor, i.e. the atmosphere. Most will never return to their liquid buddies , as they just get carried off into the great wide beyond, floating away as airborne molecules, like Dorothy and Toto leaving Kansas, bound for Oz.

Fast forward to the inhalation stage.

Bottom line is that we are inhaling air all day long with all sorts of nasty airborne molecules in it, as well as chunkier stuff like pollens and pollutants. Most airborne molecules are absorbed by tissue in the nasal cavity, pharynx, and trachea long before they even get to the lungs.

And if they do make it to the lungs, they get absorbed there, or rolled up by cilia and stuck into mucus. That in turn is "moved" out of the lungs and leaves the body as mucus (a.k.a. snot), either through spitting it out or swallowing it and pooping it out. Yuck. Gross.

The nose allows you to make scents of what's going on in the world around you.

Up on the roof of the nasal cavity is the olfactory epithelium. The olfactory epithelium contains special receptors that are sensitive to odor molecules that travel through the air. There are literally millions of these receptors in your nasal passages, and there are literally thousands of different types of odor receptors, each with the ability to sense certain odor molecules. An odor molecule potentially can stimulate several different kinds of receptors. The brain then interprets the unique combination of receptors to recognize any one of about 10,000 different smells. (often less in husbands and boyfriends . . . )

When the smell receptors are stimulated, signals travel along the olfactory nerve to the olfactory bulb in the brain, just above the nasal cavity. Signals then are "scent" from the olfactory bulb to other parts of the brain to be interpreted as a smell you may recognize on a conscious level, and then you decide what you want to do about that odor, e.g. seek the source, flee, or tolerate it. Additionally, the brain may recognize these molecules on a subconsious level, in which case the brain makes up it's own mind (if you know what I mean) about what it wants to do about the stimulation.

It's important to recognize that he lungs are not a closed system (e.g bottle with a cap on it) where the airborne molecules are able to return to their original liquid form. So, no fear that they may somehow "coat" the tissue. Chunky stuff, (e.g. asbestos) though, is far bigger than a molecule, and may get stuck in the lung tissue as we all know. Not good.

The body, however, absorbs airborne molecules all the live long day, and for the most part it processes them and discards them back into the blood which then is filtered by the kidneys, which in turn produces urine, and out they go. Or, they may be snatched out of the blood stream as the blood courses through the liver, our own version of a filter. The liver sends the stuff out, too.

Anyway, SleepGuy's contraption requires that we pour the liquid from the bottle, and then let it reside on the little cotton thingy. Eventually, these molecules do get airborne, and fortunately we can smell them. (SG, please consider chocolate chip cookie essence. Obviously, there is some combo of molecules that fits the bill, as I've had that particular molecular structure grace my olfactory epithelium.) Ultimately, over time, all of the molecules are going to get launched, and as that is happening, the smell eventually fades away. Time to reload. Then shampoo, rinse, repeat.

SleepGuy gets my good housekeeping seal of approval for something that certainly appears to be perfectly safe when used as described, and seems to very helpful for lots of people, if the feedback on this message board is any barometer.

Of course, some would be loathe to inhale anything other than fresh, pure air if given the choice. But then, you gotta live a little on the edge sometimes to really enjoy life. As Dirty Harry pointed out, "you gotta ask yourself, punk: do you feel lucky?"

And as far as potential toxicity, it does not concern me in the least. But, then I'm just the kinda guy that sleeps in a bed, despite the known risk of falling out and onto the floor. Of course, it's only me, and dissenters may surface.

But ignore them.

drB
2. EO Reactions to Plastics. Since you've not seen the pur-sleep products this is a fair question. Non-reactivity was an important design consideration. The bottom part of the diffuser, including the bracket, is made from high-quality HDPE plastic that is completely non-reactive to essential oils.

3. EO Labeling. The essential oils are listed on the label though that's not required. For aromatic products it is sufficient to list "fragrance" on the label. The latin names are not used nor is the country of origin noted--but that information could be provided should anyone ask. Creme is something of an exception. It comes labeled to me from one of the largest EO dealers in the world as an "essential oil" but, depending on the definition used, it's probably not a true EO. The vanilla is an oleoresin; ethyl (drinking) alcohol is used to extract the aromatic elements from the vanilla, which are very thick and heavy. Most of the alcohol is removed but a small amount is necessary to keep the vanilla in a liquid form. The Creme label reflects this information.

4. Aromatherapy and the FDA. The sense of smell is linked directly to the emotional centers of the brain. The "therapeutic" aspect of aromas is linked to emotion. Pleasant aromatics make us feel calm and provide comfort. In my opinion, this is not the kind of the kind of claim that the FDA regulates as a drug. This is not being marketed as a sleep aid per se. It is being marketed as a product that helps people feel calm and relaxed, which will help people sleep. There may well be other therapeutic benefits of essentail oils (as has been proven with lavender in a placebo-controlled, double-blind human study) but that's not the focus of the marketing efforts here. Perhaps the marketing descriptions could use some clarification.

In many respects, the pur-sleep products are similar to the Vics products, which are meant to be breathed all night. They are marketed and branded as providing soothing "comfort." Ironically, the Vics products include essential oils of camphor and tea tree, neither of which is on the FDA list of EOs that are safe for human consumption. The Essential Oil Safety book also cautions against camphor and tea tree--these may not be safe for human consumption at all. So if you're that worried about the pur-sleep products, please NEVER use any products by Vics--they use unapproved essential oils that may be harmful and you breathe them all night. Certainly there's no study proving that the Vics products are either effective or harmless.

5. Unadulterated Air. It's worth noting that when it comes to xPAP, there's no such thing as unadulterated air. xPAP equipment is made from hard and soft plastic parts that emit plasticizers that, apart from presenting health exposure risks, can also be extremely irritating from an aromatic standpoint.

Here's a link to one thread:
viewtopic.php?t=18021&highlight=pvc

And another thread I started on PVC exposures: viewtopic.php?t=17138&highlight=pvc

7. Risk Assessment. Before using the pur-sleep products at best I was using my cpap 4 hours a night, 5 nights a week, for 3 years. And I felt terrible. I hated cpap with a passion. The pur-sleep products help me use my cpap every night, all night. I feel better. I'm getting very satisfying sleep.

Given the known risks of untreated OSA (including death, brain damage, depression, hypertension, heart disease, diabetes, stroke, and just plain feeling like warmed-over #$@#%$, I'm extremely happy that I can make my own decisions on this subject. Your personal decision came out the other way (which seems like the very best decision for you). If your cpap therapy is already working well for you, is effective, and you're satisfied I wouldn't recommend changing a single thing. I wouldn't change one thing about my therapy right now--I couldn't be happier with it.

And thanks to the forum for helping people be able to make well-informed decisions.

Try the Scented CPAP Mask with Pur-Sleep's CPAP Aromatherapy--CPAP Diffuser and Essential Oils.
"Love it, Love it, Love my PurSleep!"

SleepGuy
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Re: OK, Great, But Let's Get The Science Out...

Post by SleepGuy » Sun Apr 01, 2007 10:03 am

StillAnotherGuest wrote:
your "white paper"

http://www.pur-sleep.com/uploads/WhitePaperv3[1].pdf

sure makes this sound like treatment ("aromatherapy"? That sounds like therapy, doesn't it?) But treatment aimed at changing sleep architecture and efficiency, in my book, fits the FDA definition precisely.
It sound like splitting hairs a bit but therapy in the FDA sense means that it achieves a result either mechanically (a medical device) or through a chemical reaction or chemical effect (medication). Aromatherapy should be limited to the idea that aromatics effect people on an emotional level. Olfaction is tied directly to the emotional centers of the brain (the limbic system). An aromatic product that is marketed for its aromatic effect--makes people feel calm, happy, comforted, peaceful--is not a medication in the FDA sense. That's what I've tried to acheive with pur-sleep. The White Paper audience is intended to be the researcher--getting behind how the sense of smell affects xPAP therapy and how aromatics could be used to improve compliance by helping people feel comfortable. That's it.

By contrast, there are a LOT of aromatherapy claims out there that clearly cross the line between improving emotions and actually treating a disease or medical condition. Google "YoungLiving" and you'll find that essential oils cure STDs, cancer, bone spurs, colds, and almost anything else.
StillAnotherGuest wrote:
But speaking of medical journals (smooth segue, huh?) that one study is anecdotal:
An Olfactory Stimulus Modifies Nighttime Sleep in Young Men and Women, Namni Goel, Hyungsoo Kim, Raymund P. Lao

Abstract

Aromatherapy is an anecdotal method for modifying sleep and mood. However, whether olfactory exposure to essential oils affects night‐time objective sleep remains untested. Previous studies also demonstrate superior olfactory abilities in women. Therefore, this study investigated the effects of an olfactory stimulus on subsequent sleep and assessed gender differences in such effects. Thirty‐one young healthy sleepers (16 men and 15 women, aged 18 to 30 yr, mean±SD, 20.5±2.4 yr) completed 3 consecutive overnight sessions in a sleep laboratory: one adaptation, one stimulus, and one control night (the latter 2 nights in counterbalanced order). Subjects received an intermittent presentation (first 2 min of each 10 min interval) of an olfactory (lavender oil) or a control (distilled water) stimulus between 23:10 and 23:40 h. Standard polysomnographic sleep and self-rated sleepiness and mood data were collected. Lavender increased the percentage of deep or slow‐wave sleep (SWS) in men and women. All subjects reported higher vigor the morning after lavender exposure, corroborating the restorative SWS increase. Lavender also increased stage 2 (light) sleep, and decreased rapid‐eye movement (REM) sleep and the amount of time to reach wake after first falling asleep (wake after sleep onset latency) in women, with opposite effects in men. Thus, lavender serves as a mild sedative and has practical applications as a novel, nonphotic method for promoting deep sleep in young men and women and for producing gender‐dependent sleep effects.
I'd like to get that study to see the objective results, but if there is a concern, then why not do what snoredog suggests, just a drop someplace else, or a couple snorts before bedtime? The study had their guys having only 8 minutes of contact time before sleep. Why should it be necessary to increase that 50-fold? If some is good, then more is better?
SAG
You'll have to buy a copy of that study; it's not published on the internet. I wouldn't consider it to be anecdotal. It's the first study of its kind on essential oils and sleep. It was a double-blind, placebo controlled human study in a sleep lab where sleep patterns were directly recorded. Now this study clearly was looking at the therapeutic aspects of lavender EO on sleep--it goes way beyond the subjective emotional effects.

Of course everyone is free to put a drop of lavender essential oil someplace else or take a couple of snorts before bedtime.

Personally, I've tried that and, for me, it's not nearly as effective as using the EOs in-line. I think my biggest problem with cpap is that my body finds the plastic smells to be highly irritating (mostly on a subconscious level). The pur-sleep products cover that up and provide a pleasant smell that I find relaxing so I sleep much better.

As far as exposures, people are free to use as little oil in-line as they care. The fact that it's in-line doesn't mean the amount of exposure is 50 times more than sniffing it before retiring. It all depends on how much people use.

But that said, the pur-sleep products are not much different from the Vics products, which are marketed to provide comfort when people are sick and are designed to be breathed all night. Except that the Vics products use camphor and tea tree oils, which are not on the FDA GRAS list and, in fact, may be harmful. So if you're concerned about exposures from pur-sleep products, please NEVER use Vics products or let your children use them.

Try the Scented CPAP Mask with Pur-Sleep's CPAP Aromatherapy--CPAP Diffuser and Essential Oils.
"Love it, Love it, Love my PurSleep!"

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StillAnotherGuest
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OK, Then Let's Use That Data

Post by StillAnotherGuest » Sun Apr 01, 2007 1:07 pm

SleepGuy wrote:You'll have to buy a copy of that study; it's not published on the internet. I wouldn't consider it to be anecdotal. It's the first study of its kind on essential oils and sleep. It was a double-blind, placebo controlled human study in a sleep lab where sleep patterns were directly recorded. Now this study clearly was looking at the therapeutic aspects of lavender EO on sleep--it goes way beyond the subjective emotional effects.
Well, lemme check the magazine rack at work, maybe it's sittin' there. 30 bucks is a lot for an article. I will get it at some point, I'm also curious about that "opposite effects in men." They also did a gender difference study at the same time, so I'll sneak it in as a "work-related expense."
Of course everyone is free to put a drop of lavender essential oil someplace else or take a couple of snorts before bedtime.
My point exactly. And if that's a scientific study, then perhaps that's how one should go about it. If that's the data, then let's use the data.
Google "YoungLiving" and you'll find that essential oils cure STDs, cancer, bone spurs, colds, and almost anything else.
Yeah, I see what you mean. Hmmm. I also see where Amazon has a little 10 ml bottle for about 5 bucks. Maybe that's the way to go if people are a little short on coin, want to share with their non-CPAP SO, are concerned about changing the flow characteristics of the machine, ruining their mask, excess dosing, long-term side effects, developing a tolerance, etc.

Trial Size Lavender Essential Oil?

OK, you sold me, I'm gonna add it to my next Amazon order. For my SO, that is, I sleep like a rock.
SAG
An Olfactory Stimulus Modifies Nighttime Sleep in Young Men and Women, Namni Goel, Hyungsoo Kim, Raymund P. Lao

Abstract

Aromatherapy is an anecdotal method for modifying sleep and mood. However, whether olfactory exposure to essential oils affects night‐time objective sleep remains untested. Previous studies also demonstrate superior olfactory abilities in women. Therefore, this study investigated the effects of an olfactory stimulus on subsequent sleep and assessed gender differences in such effects. Thirty‐one young healthy sleepers (16 men and 15 women, aged 18 to 30 yr, mean±SD, 20.5±2.4 yr) completed 3 consecutive overnight sessions in a sleep laboratory: one adaptation, one stimulus, and one control night (the latter 2 nights in counterbalanced order). Subjects received an intermittent presentation (first 2 min of each 10 min interval) of an olfactory (lavender oil) or a control (distilled water) stimulus between 23:10 and 23:40 h. Standard polysomnographic sleep and self-rated sleepiness and mood data were collected. Lavender increased the percentage of deep or slow‐wave sleep (SWS) in men and women. All subjects reported higher vigor the morning after lavender exposure, corroborating the restorative SWS increase. Lavender also increased stage 2 (light) sleep, and decreased rapid‐eye movement (REM) sleep and the amount of time to reach wake after first falling asleep (wake after sleep onset latency) in women, with opposite effects in men. Thus, lavender serves as a mild sedative and has practical applications as a novel, nonphotic method for promoting deep sleep in young men and women and for producing gender‐dependent sleep effects.
Image

Aromatherapy may help CPAP compliance. Lavender, Mandarin, Chamomile, and Sweet Marjoram aid in relaxation and sleep. Nature's Gift has these and a blend of all four called SleepEase.

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WearyOne
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Post by WearyOne » Sun Apr 01, 2007 1:30 pm

What happens if you sit a frangrance--essential oil, strongly-scented non-burning candle, Vicks, etc.-- outside the air intake on the xPAP machine for the aroma to be pulled through the system with the normal air (not blocking it, of course)?

Bad for the machine? Fragrance won't reach the mask? Stupid idea?

Two-cent question.

Pam

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Linda3032
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Post by Linda3032 » Sun Apr 01, 2007 1:47 pm

Two Cent Answer:

I put a gob of Vicks smeared into the "elbow" between my hose and mask connection because my nose was stuffed up. I did smell it, and it did help relieve the congestion.


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christinequilts
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Re: OK, Then Let's Use That Data

Post by christinequilts » Sun Apr 01, 2007 2:19 pm

StillAnotherGuest wrote:... I'm also curious about that "opposite effects in men." They also did a gender difference study at the same time, so I'll sneak it in as a "work-related expense."

You mean like Breast Growth In Boys May Be Caused By Lavender And Tea Tree Oils

Its too bad it doesn't seem to work for girls....I know a lot of girls & adult women who would be filling their swimming pools with the stuff it did. But then the poor plastic surgeons would be out work...unless of course the pool boy got exposed to too much lavender & tea tree oil...

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StillAnotherGuest
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Oh Shoot!

Post by StillAnotherGuest » Sun Apr 01, 2007 2:37 pm

Drat, I guess I misread that reference, I thought it was the other way around.

In that case, cancel my order.

Good point about the eyes, tho, CQ.

Every Lavender Oil MSDS sheet has eye precautions there. Wonder what's gonna happen after 2000 hours of contact time if you have a leak?

Lavender Essential Oil MSDS

But hey, plenty of studies show stick it anywhere, why do you need to set it up as a Bong?
SAG
Image

Aromatherapy may help CPAP compliance. Lavender, Mandarin, Chamomile, and Sweet Marjoram aid in relaxation and sleep. Nature's Gift has these and a blend of all four called SleepEase.

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christinequilts
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Re: Oh Shoot!

Post by christinequilts » Sun Apr 01, 2007 2:43 pm

StillAnotherGuest wrote:
Every Lavender Oil MSDS sheet has eye precautions there. Wonder what's gonna happen after 2000 hours of contact time if you have a leak

Or use a Total Face Mask?

Or have leaky tear ducts that allow xPAP air to blow directly into the eye, even if they are closed? I've experienced it a few times with plain air and couldn't imagine it with essential oil scented air.

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PeaceSleeper
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Have used essential oils with steam for years w/ sinusitis

Post by PeaceSleeper » Mon Apr 02, 2007 1:31 am

I hear two different debates going on with this topic.

One has to do with the Pur-Sleep product as it relates to potential risk and FDA testing. That all seems pretty reasonable as long term I am sure any entrepeneur wants their product to be successful and if that includes demonstrating safety of operation in extreme circumstances which might come up with CPAP therapy, then it is to the company's advantage to head off those risks before they ever have the chance to become reality. Nobody wants to discover a design flaw late in the product rollout and have to do major redesign and rebuild. It just chews up profits too quickly.

The second debate is wrapped around essential oil therapy for sleep apnea, which I for one don't know anything about. However, I have been using a few essential oils for over 10 years for therapy of sinusitis in conjunction with a steam inhaler and have found them to have no equal in the commercial pharmaceutical world. I keep a little steam machine ready at all times for use with distilled or spring water and a few drops of very high quality eucalytpus, tea tree, or peppermint oils. (Usually only one at a time) I also use grapefruit extract in the steam, as an antifungal. I have also tried several blends and had good luck.

I also have asthma and have not had any reactions, but I realize that I am taking a risk as I may encounter something that sets off an allergic reaction. In my case, the reward far outweighs the risk. In fact, I carry around a bottle of essential peppermint oil (Aura Cacia brand) in my pocket and take a tiny drop and rub it on two fingers, then on the nares, to deliver the best and most gentle (compared to something like Afrin spray) decongestion I have found.

I have found homepathic approaches very useful in chronic conditions, and generally of limited use in highly acute medical conditions. In most acute situations aggressive products win because I want aggressive results. So I keep my bronchodilator in my pocket at all times, but I work hard to make sure my homeopathic therapy helps prevent acute flares of upper respiratory resistance. This is not meant as an endorsement of anything, only to share that I have found there is a use for more than one approach to a chronic problem.


bearcatx16
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Post by bearcatx16 » Mon Apr 02, 2007 7:27 am

PeaceSleeper: Request permission to contact you by PM.

Best Regards,

Fred

I just ordered my 2nd deluxe kit and a few extra bottles of EO after checking, again, with my health care providers. I want to be complaint with xPAP and to date the only thing that has been helpfull has been the EO of pur-sleep. I need the sleep more than anything and have been getting it. 7-8 hrours of sleep and 10 hours Sat. night and I have a bad cold with chest congestion. I also struggle with allergy induced asthma, but so far the EOs have not not triggered a reaction.

All I can say is THANKS to SleepGuy......

Awake and feeling good.

Fred
In the game of Life there is no two minute warning, just sudden death then judgment............Paraphrase Heb. 9:27 NIV
Not sure you believe in God.....just don't die.

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Post by MeHoo » Tue Apr 03, 2007 11:19 am

Tried mine last night.

some of them smelled terrible when i cracked open the bottles and took a whif so i went with fresh. cant beat oranges.

it smelled up the whoel room in a matter of minutes.

I read that it works best with heated humidifiers so i plugged mine in again [big mistake] and unfortunately woke up a hundred times with rainout and breathing in gobs of water all night. ill try it again tonight without the humidifier and i hope i feel better. It definitely felt as though i was breathing in thicker air at first though. i shoulda ran the machine for a minute or two without it on me to get the initial burst out of the way.

I will say i was rather upset about the lack of pictoral documentation for this product. assembly is more of a guesstimate than science and i was very glad it came pre-assembled otherwise i may have done somethign wrong. the "grate" that holds onto the cotton cylinder can be squeezed too far in easily, or it could be placed in backwards as well.

I'd like to see a better manual come with the purchase for the price of this.

overall it seems cool, but im REAL picky about my incense and candles so i doubt i'll end up using half of these scents. They all seem to be a little too harsh and not as refined as some of the sweeter scented candles and incense out there. i personally use an oil burner on a daily basis and those chemicals smell much nicer.