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I've had my CPAP for only a month. I put it on and do fine for a few hours (thanks to Ambien) and then wake up in the middle of the night with the mask leaking like crazy. I adjust over and over and finally give up and take it off. When I first put it on it fits fine and doesn't leak. When I'm able to wear it all night I feel so much better, so I want to leave it on. I can't figure out why it starts out with a nice seal and leaks after a few hours. I wear a full face mask. Thanks!

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you can also try fitting the mask on with you mouth open a little(relaxed open). this will help to compensate for facial muscles relaxing.
I have this problem too, and I figured out one reason is because as moisture collects in the nasal pilllows during the night they become more slippery and the seal breaks easily. So I first tried drying them off with a towel and going back to sleep which helped a bit, but even better was turning the humidifier to 0. This is during the winter in SF bay area, so humidity is high enough so that I don't dry out.
if you do decide to go with a PAPillow or some such, you can get a discount on it as a sleepguide member at ApneaLife

Judy said:
Are you laying down when you put your mask on? Do you have your CPAP turned on to your set pressure, not a lower Ramp pressure BEFORE you adjust your mask fitting for sealing?

You SHOULD lay down, turn your CPAP on w/o Ramp to your set pressure, lay your mask on your face, allow it to fill w/air, tighten the top straps first but still fairly loose, then tighten your bottom straps. Run your fingertip along the seam line between mask cushion and face. If still some leaks lift your mask SLIGHTLY off your face, let it refill w/air and then lay it on your face again and do the fingertip along the seam line again.

You might need a different pillow. Either one so soft you can punch it into a comfortable shape w/a "dent" or "hollow" for your mask when sleeping on your side. Or maybe something like a PAPillow where you can sleep w/your face to the edge of the pillow and your mask off the edge.

Hanging your hose above your head or clipping it to your PJs to reduce the drag of the hose on your mask when you change positions can be a big help to reducing leaks when you change positions.
More great advice. Thank you. I have been setting my humidity at 2, so I'll reduce that. (I'm in WY where it is really dry). I've also done pretty much the exact opposite of what Judy says, so I will follow that advice.
it can be the mack 2 small or 2 big .. the same thing happen 2 me and i want and talk 2 my DR and he got me a new one and it fits a lot better with no leaks or any thing .. and i have a full face mack i hope this helps
I got new mask cushions yesterday. Now it works normally again. Now I know what to look for too. Thanks everyone.
amazing how much of a difference new mask cushions can make. glad we could help.

Mary said:
I got new mask cushions yesterday. Now it works normally again. Now I know what to look for too. Thanks everyone.

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