Join Our Newsletter

New? Free Sign Up

Then check our Welcome Center to a Community Caring about Sleep Apnea diagnosis and Sleep Apnea treatment:

CPAP machines, Sleep Apnea surgery and dental appliances.

CPAP Supplies

Latest Activity

99 replied to 99's discussion colloidal silver
"i have purchased some silver the make my own colloidal silver"
Dec 21, 2014
99 replied to 99's discussion colloidal silver
"just add to the distilled water it is antimicrobial eg cleans your machine and is beneficial for keeping you healthy  from bugs germs viruses you get the picture and when you need to clean the humidifier out, put water on your plants the silver…"
Dec 21, 2014
Mary Z left a comment for richard graham
"If the heated tube works with your machine I would try that.  They also make covers for your tubing which may help some.  I think the heated tube may be your answer.  Keep us posted."
Dec 21, 2014
Mary Z left a comment for richard graham
"Richard, some folks just use the humidifier in a Passover mode.  They just don't turn it on, but let the air pick up moisture without heat."
Dec 21, 2014
Mary Z replied to 99's discussion colloidal silver
"99, where have you been?  Do you add the colloidal silver to your humidifier?"
Dec 21, 2014
Mary Z replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"I Andy, I realize I'm months behind your post.  I have no idea why your S8 would stoop collecting data.  I'm glad to hear  you're having such improvement with your apnea.  I have made great strides since I changed…"
Dec 21, 2014
Mary Z replied to Andy's discussion Resmed S10 AirSense - Anyone have one? Any feedback?
"Andy, just found your post.  I don't know anything about this new machine.  How are you liking your new ResMed?"
Dec 21, 2014
Mary Z left a comment for Kay Day
"Kay, I haven't been around myself and miss the old, active forum."
Dec 21, 2014
Mary Z left a comment for richard graham
"Hi Richard,  I don't bother with a humidifier.  Someone on the forum suggested not using it and I'm a lot less congested without it.  A good AHI is under 5.  I use the Wisp and have been since it came out.  I think…"
Dec 21, 2014
hifay replied to Mary Z's discussion Sleep apnea increases risk of osteoporosis
"Always something. Thanks for the information."
Dec 21, 2014
99 posted a discussion

colloidal silver

a humidifier can be used with colloidal silverthis can keep the humidifier clean for day maybe weeks or longer without the need to clean the humidifiersilver colloidal is antimicrobial and you could just top up your humidifier without cleaning and at the same time treat your bodyor you just put silver on it own into the humidifierSee More
Dec 20, 2014
richard graham posted a status
"I feel like the humidifier is making me feel yucky and I'm waking up hacking and having to clear my throat a lot for a while."
Nov 3, 2014
richard graham posted a discussion

what's a good AHI?

I've been using and auto and it says my AHI HAS been between 4 and 6 and wondering what's a good range.
Nov 2, 2014
Andy posted a discussion

Resmed S10 AirSense - Anyone have one? Any feedback?

Hi All,I've just ordered a new Resmed S10 AirSense, and I was wondering if anyone here has used one?Any information or input would be appreciated!See More
Sep 29, 2014
Andy replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"Hi All, Well, I went to the sleep doc today, and he ordered a new S10 for me! I still don't know why my S8 is not tracking data anymore. Anyone have any ideas?"
Sep 29, 2014
Oscar Lemus updated their profile
Sep 25, 2014
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Just found they have a Facebook for the REMedy event, 1st Class Sleep REMedy Wellness Health Fair."
Sep 25, 2014
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Reminder: REMedy event is this Saturday, 10 am to 2pm.  Topics include: Nutrition and Weight Management with Sarah Kelly, Registered Nutritionist/Dietitian Oral Appliance Therapy for Sleep Apnea with Drs. Rena Vakay & Lara…"
Sep 25, 2014
Kay Day left a comment for Kay Day
"September 1, 2014 My apologies to Sleep Guide for not participating in a long time. In January 2012 I started classes at the local community college (my husband is an instructor there, and my tuition is refunded when my grades are above a C. My…"
Sep 1, 2014
Mary Z posted a discussion

Sleep apnea increases risk of osteoporosis

Sleep apnea/osteoporosis study finds “increased” health riskA recently published study may have found a connection between obstructive sleep apnea (OSA) and osteoporosis, marking yet another health…See More
Aug 23, 2014

CPAP May Make Nasal Spray Ineffective at Night?

came across this tip online and wanted to see whether others agree.

"Hold the Spray Until Morning
Advise patients who are receiving continuous positive airway pressure (CPAP) therapy and who use a corticosteroid nasal spray for allergies to spray in the morning rather than at bedtime. If the spray is used in the evening, CPAP may dry it out, making it less effective.
—— Richard A. Honaker, MD
Carrollton, Tex"

Tags: corticosteroid, cpap

Views: 542

Reply to This

Replies to This Discussion

What does corticosteroid mean?
Corticosteroids are a class of medication developed to reduce tissue inflammation (swelling) -- looks like Flonase is one such product. here's some more info: http://www.aanma.org/2009/03/news-for-your-nose-nasal-corticosteroids/

susan mccord said:
What does corticosteroid mean?
So it's like OTC nasal sprays? I (rarely) use a mild 4-hour spray before I go to sleep if I feel stuffy, which I hardly ever do anymore. One shot of it qhs is sufficient for me to get to sleep.

Is Flonase Rx or OTC? Am wondering if he's talking about a prescription spray that Rx'd for specific conditions.

McCord
Corticosteroid nasal sprays, such as Flonase, require a prescription in the US. Corticosteroids are steroidal anti-inflammatories and reduce swelling. OTC nasal sprays are considerably different and contain oxymetazoline or a related chemical. Both are used as general purpose nasal decongestants.

One major difference is that corticosteroid nasal sprays are suitable for long term daily use, and OTC nasal sprays can only be used for a few days at a time. Over-use of OTC nasal sprays can cause rebound and dependency. Even though corticosteroid nasal sprays are steroidal, they are not absorbed and are in very low concentration, so they have very little systemic effect.
NOT TRUE, with the humidifier, I used Flonase a long time,( Ivax Labs ,here in San Diego makes a generic, but it has a different steroid, and isn't the same, even though Kaiser substituted it til I caught them) it's MORE effective, the air disperses it thru ur sinuses & now I use saline nasal spray occasionally, same thing, it's MORE effectively pushed thru.

Tim said:
Corticosteroid nasal sprays, such as Flonase, require a prescription in the US. Corticosteroids are steroidal anti-inflammatories and reduce swelling. OTC nasal sprays are considerably different and contain oxymetazoline or a related chemical. Both are used as general purpose nasal decongestants.

One major difference is that corticosteroid nasal sprays are suitable for long term daily use, and OTC nasal sprays can only be used for a few days at a time. Over-use of OTC nasal sprays can cause rebound and dependency. Even though corticosteroid nasal sprays are steroidal, they are not absorbed and are in very low concentration, so they have very little systemic effect.
"If the spray is used in the evening, CPAP may dry it out, making it less effective.
"


Mike,

I disagree with the doctor's statement, but cite some caveats. A properly working CPAP process does not cause more air flow through the nasal passages than in normal unassisted breathing. Properly working means no excess mask leak and either use of a full face mask or a nasal mask/pillows with no mouth breathing. In such a situation CPAP delivers air pressure not air flow compared to normal breathing.

But I do maintain that it is a good practice to use these types of sprays in the morning because some very few people are extremely sensitive to the corticosteroid to the point it will interfere with sleep if used in the evening.

In my own case, morning is a good time to use a neti pot just before a warm shower and clear my nasal passages of excess mucus then use the spray. If you use the spray when excess mucus is present, the spray will not be distributed as well. Also, and more importantly, when excess mucus is present, the spray will not be as well absorbed into the mucus membranes.

So, by default, I would say the doctor's advice is good.

Ciao.
i'm not clear on the distinction you're making between between air flow and air pressure.

Banyon said:
"If the spray is used in the evening, CPAP may dry it out, making it less effective.
"


Mike,

I disagree with the doctor's statement, but cite some caveats. A properly working CPAP process does not cause more air flow through the nasal passages than in normal unassisted breathing. Properly working means no excess mask leak and either use of a full face mask or a nasal mask/pillows with no mouth breathing. In such a situation CPAP delivers air pressure not air flow compared to normal breathing.

But I do maintain that it is a good practice to use these types of sprays in the morning because some very few people are extremely sensitive to the corticosteroid to the point it will interfere with sleep if used in the evening.

In my own case, morning is a good time to use a neti pot just before a warm shower and clear my nasal passages of excess mucus then use the spray. If you use the spray when excess mucus is present, the spray will not be distributed as well. Also, and more importantly, when excess mucus is present, the spray will not be as well absorbed into the mucus membranes.

So, by default, I would say the doctor's advice is good.

Ciao.
Mike said:
i'm not clear on the distinction you're making between between air flow and air pressure......

flow -noun: movement of a volume in or as if in a stream
pressure -noun: the exertion of force upon a surface by an object, fluid, etc., in contact with it

If you think CPAP provides more air flow (as compared to normal breathing), then state where the additional air goes.
gordon nelson: When you say that what somebody said is not true, you had better show why it is not true. Other than a couple of spelling errors, I believe that the information that I provided is accurate, and you said nothing that would refute it. I said nothing about the effect of CPAP on decongestants.

gordon nelson said:
NOT TRUE, with the humidifier, I used Flonase a long time,( Ivax Labs ,here in San Diego makes a generic, but it has a different steroid, and isn't the same, even though Kaiser substituted it til I caught them) it's MORE effective, the air disperses it thru ur sinuses & now I use saline nasal spray occasionally, same thing, it's MORE effectively pushed thru.
Tim said:
Corticosteroid nasal sprays, such as Flonase, require a prescription in the US. Corticosteroids are steroidal anti-inflammatories and reduce swelling. OTC nasal sprays are considerably different and contain oxymetazoline or a related chemical. Both are used as general purpose nasal decongestants.

One major difference is that corticosteroid nasal sprays are suitable for long term daily use, and OTC nasal sprays can only be used for a few days at a time. Over-use of OTC nasal sprays can cause rebound and dependency. Even though corticosteroid nasal sprays are steroidal, they are not absorbed and are in very low concentration, so they have very little systemic effect.
Tim said:
gordon nelson: When you say that what somebody said is not true, you had better show why it is not true. Other than a couple of spelling errors, I believe that the information that I provided is accurate, and you said nothing that would refute it. I said nothing about the effect of CPAP on decongestants.


OK Tim, Gordon can defend his own posts, but let me "pick" for a brief moment on two statements you made. You said, "....... OTC nasal sprays are considerably different and contain oxymetazoline or a related chemical. ........".

That statement is not correct. While there are OTC sprays that do contain oxymetazolone, there are also many types of OTC nasal sprays that do not contain oxymetazoline or any similar chemical. There are simple salt solution sprays, Zicam sprays, various sprays purporting to contain vitamins, "natural substances", and I even see one containing honey and another containing pepper (!), but all contain no oxymetazoline.

You also said, “Even though corticosteroid nasal sprays are steroidal, they are not absorbed and are in very low concentration, so they have very little systemic effect.” Now I am being picayune, but this statement is not true. Some very small amounts of corticosteroid spray is absorbed by most users and in some very sensitive users side effects such as mood change have been observed. But I agree with your statement that they have very little systemic effect.

I believe the main point of your post was to point out, “Over-use of OTC nasal sprays containing oxymetazoline can cause rebound and dependency” and to emphasize that corticosteroid sprays used properly are very safe. On these main points, I am in violent agreement with you.

Have a good one
sorry Tim- all that's true what you said. I was only stating mu .02 , that I have a positive affect using both Flonase and saline at night, it enhanced it, it's not my imagination because I used Flonase habitually, to my detriment, but I found on my #4humidity it seems to have a vaporizing affect w/ CPAPon those sprays, I don't see the point of using Flonase in the morning when you need it to breath at night. You can use it 2-3 times a day.

Banyon said:
Tim said:
gordon nelson: When you say that what somebody said is not true, you had better show why it is not true. Other than a couple of spelling errors, I believe that the information that I provided is accurate, and you said nothing that would refute it. I said nothing about the effect of CPAP on decongestants.


OK Tim, Gordon can defend his own posts, but let me "pick" for a brief moment on two statements you made. You said, "....... OTC nasal sprays are considerably different and contain oxymetazoline or a related chemical. ........".

That statement is not correct. While there are OTC sprays that do contain oxymetazolone, there are also many types of OTC nasal sprays that do not contain oxymetazoline or any similar chemical. There are simple salt solution sprays, Zicam sprays, various sprays purporting to contain vitamins, "natural substances", and I even see one containing honey and another containing pepper (!), but all contain no oxymetazoline.

You also said, “Even though corticosteroid nasal sprays are steroidal, they are not absorbed and are in very low concentration, so they have very little systemic effect.” Now I am being picayune, but this statement is not true. Some very small amounts of corticosteroid spray is absorbed by most users and in some very sensitive users side effects such as mood change have been observed. But I agree with your statement that they have very little systemic effect.

I believe the main point of your post was to point out, “Over-use of OTC nasal sprays containing oxymetazoline can cause rebound and dependency” and to emphasize that corticosteroid sprays used properly are very safe. On these main points, I am in violent agreement with you.

Have a good one
gordon nelson said:
........I used Flonase habitually, to my detriment, ....... I don't see the point of using Flonase in the morning when you need it to breath at night. You can use it 2-3 times a day. ...

Such misinformation about Flonase, how to use it, and how it works. Flonase is prescribed for use once per day. It has a build-up effect that provides relief for 24 hours or longer. It is often prescribed for daily use for indefinitely long periods of time.

From the Flonase website: "For best results, use FLONASE daily. Your nasal symptoms may begin to improve in as few as 12 hours. Maximum relief may take several days."

This forum is great, but like all forums (and all of life), people should be wary and verify from several soruces that they have found to be reliable in the past. And yes, this precaution includes everything I post here.

Reply to Discussion

RSS

© 2015   Created by The SleepGuide Crew.

Badges  |  Report an Issue  |  Terms of Service