Clinical guidelines for the manual titration of positive airway pressure in patients with obstructive sleep apnea.

I would recommend you speaking with your doctor to make sure that the dizzy, lightheaded feeling isn’t related to a condition other than CPAP therapy. Your doctor will also be able to review your sleep therapy data to determine if you could possibly benefit from setting adjustments.

 In cases when non-invasive treatments fail, a surgical solution might be necessary. Your otolaryngologist will be able to advise you on the treatment options.

Choice of machine and level of air pressure will be determined by a sleep specialist after you have undergone an overnight study, usually at a sleep centre. The levels are then adjusted or ‘titrated’ after you have had an opportunity to get used to the machine at home.

While lifestyle changes like exercise, weight loss and modified sleeping positions can be helpful, these modifications may not be enough to improve moderate to severe OSA on their own, and an alternative treatment like a custom oral appliance might be suggested to open the airway.

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Reducing alcohol and tobacco use may be helpful for lessening the symptoms of OSA. Drinking alcohol before bed can worsen OSA, promote snoring, and depress the central nervous system.

CPAP cannot be used in individuals who are not spontaneously breathing. Patients with poor respiratory drive need invasive ventilation or non-invasive ventilation with CPAP plus additional pressure support and a backup rate (BiPAP).

Other complications of sleep apnea can include memory problems, mood disorders, heart attacks and heart rhythm disorders.

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Regular aerobic exercise can benefit sleep apnea symptoms, whether weight loss is involved or not, says Dr. Cacho. Researchers aren’t exactly sure why exercise is helpful in reducing sleep apnea symptoms with or without weight loss, but one theory is that exercise may improve sleep quality.

Once diagnosed, check with your insurance provider to see what types of sleep apnea treatment your plan covers. The right option for you depends on your preferences, comfort level, and price. Talk with your health care provider if you’re unsure which alternative treatments to consider.

See how your sleep habits and environment measure up and gauge how adjusting behavior can improve sleep quality.