Is nasonex (mometasone) helps a sleep apnea patient? if yes, how it helps?

Unlikely: Sleep apnea is a type of closure of the upper airway for a number of reasons The Nasonex (mometasone) is a steroid that is not going to help significantly. The obstruction is usually related to closure of the airway from very large tonsils or adenoids, obstrucitve upper airway problems and collapse of airways due to obesity. Nasonex (mometasone) may only help if is allergic problem. See lung doctor for consultation.

No: Nasonex (mometasone) is a nasal steroid for inflammation or allergy exacerbation affecting the nasal passage. It does not appreciably penetrate further than that. It does nothing for sleep apnea. If the patient is having trouble sleeping because of inflammation, that is usually a short period and not due to sleep apnea which is a chronic condition. Nasonex (mometasone) does nothing for sleep apnea.

Possibly: Any obstruction in the upper airway from the nose to the throat can potentially cause sleep apnea. Although one study indicated that pinching the nose alone could induce sleep apnea, this has not been confirmed. However there is no harm in trying Nasonex (mometasone) for a week to see if it helps. Even if it did not help the apnea, it may keep your nose more patent-important if a nasal device is used.

R/O OSA: NASONEX (mometasone) WILL HELP IF RHERE IS A COMPONENT OF ALLERGIC RHINITIS: OSA can be suggested with underling obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL.VS HYOID SUSPENSION .