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Question from A.W.A.K.E. meeting: "In your experience, what percentage of patients with anxiety or depression disorders are able to lessen their dosage or cease medication completely once they have achieved successful treatment of their sleep-disordered breathing problems. What approach do you suggest for deciding when and how that should be explored by a doctor and patient?"

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I don't understand the emphasis on decreasing or ceasing medicine for anxiety. I used to have this attitude my self, from who knows where, that it would be better to be off anxiety medicines. However this usually caused more harm than good. I think this should be carefully explored by patient and doctor when a sleep study shows that their sleep apnea treatment is successful and their mood is stable.. It would be a mistake to believe all anxiety in an OSA patient is from sleep apnea. In my experience when one decides there is no longer use for a particular medicine they often start to wean themselves off of the medication. However, for me, my spleep apnea seems to have little to do with my anxiety and psychiatric problems, having had them long before sleep apnea. Trying to come off these medicines is not recommended by my psychiatrist.
Apnea symptoms often immitate those of depression, or anxiety. Once you know that the PAP therapy is working the pt should have a complete physical and psychological evaluation. If the symptoms of depression are gone than one might think to come off of some meds. This is a personal matter between the pt and the doc.
Nice link jnk.

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