FAQs

Can I safely buy a CPAP machine online without a prescription?

No. CPAP therapy requires individualized pressure settings based on a sleep study. Using a machine without a prescription or professional supervision can result in ineffective therapy, ongoing apneas, mask leaks, and potential health risks.

Are all CPAP machines sold online approved in Canada?

Not necessarily. Only CPAP machines approved by Health Canada meet Canadian safety and quality standards. Machines sold on general online marketplaces may lack warranty coverage, local support, or proper regulatory approval.

What are the risks of using a CPAP without medical supervision?

Risks include:

• Incorrect pressure settings

• Persistent breathing events (apneas or hypopneas)

• Mask leaks and discomfort

• Low oxygen levels during sleep

• Poor long-term compliance and persistent daytime fatigue

Do auto-adjusting CPAP machines remove the need for follow-up?

No. Even auto-adjusting CPAP devices need monitoring to ensure they respond correctly to your breathing patterns. Professional follow-up ensures your therapy remains safe and effective.

How does CPAP affect oxygen levels?

Proper CPAP therapy maintains healthy oxygen saturation throughout the night. Untreated or poorly treated sleep apnea can cause oxygen drops, increasing the risk of high blood pressure, heart problems, stroke, cognitive decline, and worsening diabetes.

What is the benefit of ongoing follow-up for CPAP users?

Follow-up appointments help:

• Optimize pressure settings

• Adjust mask fit for comfort

• Review therapy data and oxygen trends

• Troubleshoot side effects

• Improve compliance and overall therapy success

I already bought a CPAP online. Can I still get professional help?

Yes. Our team can review your machine, check your therapy data, and ensure your oxygen levels and breathing events are properly controlled. Professional supervision makes your treatment safe and effective.

If you have questions about your CPAP machine or want professional guidance, email us at bettersleep@sleeptherapeutics.ca or book a call. 

The WatchPAT One is one-time use, so you will be the first and only patient to use the device.

Weight loss can significantly improve obstructive sleep apnea (OSA) symptoms and, in some cases, might even lead to its resolution, but it is not always a complete cure. Here’s a more detailed look at how weight loss impacts OSA and what patients should consider:

 How Weight Loss Improves OSA
1. Reduction in Fat Deposits: Excess weight, particularly around the neck and upper airway, can contribute to airway obstruction during sleep. Losing weight reduces these fat deposits, decreasing the likelihood of airway collapse.
2. Decreased Inflammation: Obesity is associated with systemic inflammation, which can affect the airway tissues. Weight loss helps reduce this inflammation, improving airway function.
3. Improved Muscle Tone: Weight loss can enhance the muscle tone around the airway, reducing the risk of obstruction.
4. Metabolic Health: Weight loss improves insulin sensitivity and reduces the risk of metabolic disorders like type 2 diabetes, which are often associated with OSA.

Studies and Evidence
Numerous studies have shown that weight loss, while not a cure, can significantly reduce the severity of OSA:
– Weight loss of 5-10% of your body weight can result in substantial improvements in obstructive sleep apnea symptoms.
– In more severe cases of OSA, substantial weight loss (e.g., 15% or more of body weight) may be required to see major improvements.

 Limitations and Considerations
1. Individual Variability: Not everyone with OSA will experience the same level of improvement with weight loss. Factors like the severity of OSA, age, and overall health play a role.
2. Complementary Treatments: While weight loss can improve OSA, it often needs to be combined with other treatments such as Continuous Positive Airway Pressure (CPAP) therapy, or oral appliances for optimal results.
3. Long-Term Management: Maintaining weight loss can be challenging, and weight regain can lead to a recurrence of OSA symptoms. Sustainable lifestyle changes are essential for long-term success.

Weight Loss Strategies for OSA
1. Dietary Changes: Adopting a balanced diet rich in fruits, vegetables, lean proteins, and whole grains while reducing processed foods, sugars, and unhealthy fats.
2. Regular Exercise: Incorporating aerobic exercise (e.g., walking, jogging, swimming) and strength training to promote weight loss and improve overall fitness.
3. Behavioural Therapy: Counselling or support groups can help address emotional eating and develop healthy eating habits.
4. Medical Interventions: In some cases, medications or bariatric surgery may be recommended for individuals with severe obesity who struggle to lose weight through diet and exercise alone.

Conclusion
Weight loss can be a highly effective strategy for reducing the severity of obstructive sleep apnea and improving overall health. However, it is not a guaranteed cure for everyone. A comprehensive approach that includes lifestyle changes, medical treatment, and ongoing support is often necessary to achieve the best outcomes for individuals with OSA. Regular follow-up with healthcare providers is crucial to monitor progress and adjust treatment plans.

Some Insurance Providers require their clients to show proof of consistent use in order to get reimbursement. We will send this information on your behalf, or provide it to you, if you need proof of compliance for your claim.

If you wake up feeling dry or if you have a dry cough, try increasing the humidity settings on your CPAP unit. Higher humidity will add more moisture to the air being pushed through your CPAP into your mask, which can help alleviate dryness in your mouth and throat.

Additionally, you can:

• Ensure your CPAP humidifier is filled with distilled water each night.
• Use a heated humidifier if your machine supports it, as this can provide more consistent moisture.
• Try a nasal saline spray before bed to help keep your nasal passages hydrated.
• Make sure your mask fits properly to avoid air leaks, which can contribute to dryness.

If you are still having trouble with dryness, contact your Sleep Therapeutics Clinic for advice.

To adjust the humidity, heat, or tube temperature settings, follow these steps:

1. Ensure your machine is plugged in and turned on.
2. Access the Main Menu:  Press the center dial to access the main menu.
3. Navigate to Settings:  Rotate the dial to scroll through the menu options until you reach the settings for temperature, humidity, or tube temperature.
4. Select and Adjust Settings:  Press the center dial to select the setting you want to adjust.

Turn the dial to modify the setting:
Humidity: Lower numbers reduce the moisture added to the air, while higher numbers increase it.
Heat: If your machine has a heated humidifier or heat settings, adjust as needed for your comfort.
Tube Temperature: If your model allows adjusting the tube temperature, you can set it to a level that helps prevent condensation and maintains a comfortable airflow.

5. Confirm and Save:  Press the center dial to save your changes and exit the menu.

Adjust settings gradually and monitor how they affect your comfort throughout the night.  If you need assistance, contact your Sleep Therapeutics Clinic or email virtual@sleeptherapeutics.ca

Watch these helpful videos:

ResMed AirSense 11:  Maximize your comfort with humidification

ResMed:  How humidification makes CPAP therapy more comfortable

Philips Respironics:  Adjusting humidification on the DreamStation 

Each Insurance Provider has specific requirements for reimbursement, we will advise and assist with paperwork to ensure that you have what you need. 

If you are eligible for reimbursement for CPAP equipment under your plan, you will need to submit your receipt along with your claim form.  When you make a purchase you will receive email confirmation of your purchase including a detailed PDF receipt that you can submit to your Insurance Provider.  If your purchase is made in-store you will receive a paper copy as well.

Many Insurance Providers allow online claim submission via their websites; however some may require submission by mail.  Claim forms can be found on your Insurance Providers website or from our clinic upon request.  

Proper cleaning and maintenance of your CPAP machine and accessories is an essential part of effective therapy and helps extend the life of your equipment. Here is a suggested cleaning schedule:

1. Daily Cleaning:

• Mask: Wash the mask cushion or nasal pillows with warm, soapy water to remove oils and bacteria. Rinse thoroughly and allow to air dry.
• Humidifier Chamber: Empty any remaining water from the humidifier chamber, wash with mild soap, rinse with warm water, and let it air dry. Do not refill until ready to use.

2. Weekly Cleaning:

• Mask and Headgear: Wash the entire mask and headgear with warm, soapy water. Use a gentle detergent and rinse thoroughly. Allow all parts to air dry.
• Tubing: Soak the tubing in warm, soapy water for about 15-20 minutes, then rinse thoroughly and hang to dry.
• Humidifier Chamber: In addition to daily rinsing, give the humidifier chamber a weekly deep clean using a mixture of one part vinegar to three parts water. Soak for 30 minutes, rinse well, and let it air dry.
• Reusable Filters: If your CPAP machine has reusable filters, wash them in warm, soapy water, rinse thoroughly, and let them air dry before reinserting.

3. Monthly Cleaning:

• Reusable Filters: Replace reusable filters every 6 months or more frequently if they appear worn or damaged.
• Humidifier Chamber: Check for signs of wear and replace as needed. Manufacturers often recommend replacing the humidifier chamber every 6 months.

4. As Needed:

• Hose/Tubing: Inspect for any signs of wear or damage and replace if necessary.
• Mask Parts: Replace cushions, pillows, and other mask parts according to the manufacturer’s recommendations or if you notice wear and tear.  Masks should be replaced every 6 months.

Additional Tips:

• Always follow the manufacturer’s specific cleaning instructions for your CPAP machine and accessories.
• Avoid using harsh chemicals or abrasive cleaners that could damage the equipment.
• Ensure all parts are completely dry before reassembling and using your CPAP machine.

By following this cleaning routine, you can keep your CPAP machine in optimal condition, ensuring your therapy is effective and hygienic.  To order manufacturer approved cleaning supplies contact the Virtual Care Team or your Sleep Therapeutics Clinic.

Please watch these helpful videos:

Philips DreamStation 2 CPAP Cleaning and Maintenance

ResMed AirSense 11:  Cleaning and caring for your device

ResMed – Quick and easy:  Daily CPAP mask cleaning tips

The eXciteOSA device is not currently covered by insurance. If your benefit plan includes a Health Spending Account this coverage may extend to the purchase of the eXciteOSA.  Please contact your Insurance Provider for clarification of this coverage.