Doctor insights on:
Trazodone And Sleep Apnea
Safest is none: I am concerned when sleep apnea and sleeping meds are used in the same sentence. You don't mention if your apnea is being treated. Do you routinely use a cpap? Why the insomnia? Things to consider include caffeine intake, regular exercise, bedroom darkness, temperature. Consult with the sleep specialist who diagnosed your apnea for advise with the insomnia. They know the severity of your apne. ...Read more
Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more
If you have sleep apnea is ativan or klonopin (clonazepam) a better choice for sleep. Right now I take klonopin (clonazepam)....Thoughts on trazadone for sleep..
And apnea are classified in the category of dyssomnias. These are sleep disorders associated with excessive sleepiness as a result of difficulty initiating or maintaining sleep. Treatment for apnea is cpap.
Ativan and Klonopin (clonazepam) are the same group (benzos) and equally effective for short term treatment for insomnia.
Trazodone is often used for sleep, but can not be effective without depression. ...Read more
No cure: There is high failure rate of surgical procedures for sleep apnea. Best treatment is the CPAP mask adjusted to the right pressure. There are some that automatically adjust themselves for the best pressure. Need to get the most comfortable mask & less noisy machine. Complications of surgery include airway obstruction, bleeding, hematoma, infection, pain, death, dysphagia, velopharyngeal etc... ...Read more
Yes: It has been published that it affects 4% of men and 2% of women, but personally, I think it is much higher. Unfortunately, it has been given lower priority than other medical conditions. That is now changing as we are discovering that is is associated with considerable medical and psychiatric morbidity and even mortality. ...Read more
Just another term: For sleep apnea. There are several types: obstructive, where the air is blocked from getting to your lungs by collapse of your upper airways during sleep, and central sleep apnea where your brain does not send the signals to your lungs to breathe, and the third type which is a mixture of the two. I cannot think of a sleep apnea that would not be organic, because there is no psychogenic sleep apnea. ...Read more
R/O OSA: OSA can be suggested by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam 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. ...Read more
Being over weight is probably the biggest risk factor. A loss of muscle tone in neck muscles as we get older. Heredity undoubtedly plays a role. Having a large tongue. Other contributing factors are an underdeveloped lower jaw, a narrow upper jaw and a high palate. These all tend to block the airway and lead to obstructive sleep apnea.
In central sleep apnea the brain doesn't say to breath. ...Read more
Snoring: The symptoms are daytime fatigue, snoring, frequent waking, frequency of night time urination, but tiredness during the day very hard to deal with. Get diagnosed by sleep study and treated. Apnea carries risk of heart attack, stroke and other nasty things. Your family doctor can arrange the study and most insurances cover it. You will feel so much better after a good nights sleep. ...Read more
Not just weight: Anatomy is king. Obstructive sleep apnea happens in a small airway "box". The airway can be small if what's in it takes up space or if the box is smaller. Weight gain increases tongue size and the thickness of the side walls of the throat. Tonsils may be large. Small jaw size, often inherited, will increase the risk of osa. Low muscle tone is also a factor. ...Read more
R/O OSA: YES IT IS: OSA DX by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam 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 use. ENT CONSULT FOR UPP EVAL. ...Read more
NPSG: An npsg is a formal overnight sleep study. You would be monitored for breathing, muscle activity, heart rate, oxygen level and brainwave activity. Typically an ahi (apnea hypopnea index) is calculated to determine if you are positive. A minimum of an ahi = 5 is needed to be positive. An ahi of 5-14 is mild, 15-29 is moderate and >30 is severe. ...Read more
Sleep apnea: Sleep apnea in children is a pause in breathing while asleep. Many children who have sleep apnea will snore too. Babies with sleep apnea don't usually snore but may have other developmental problems or may have an illness (like whooping cough or respiratory syncytial virus -rsv) that causes them to become stop breathing. A pause of 20seconds or more is too much - talk to your doctor. ...Read more
Sleep apnea is when you stop breathing while you are asleep. This results in waking up at night many times over and/or having reduced blood oxygen levels. The primary symptom is sleepiness called "excessive daytime somnolence." you can take a simple questionairre here: http://www. Umm. Edu/sleep/epworth_sleep. Htm
if you believe that you have sleep apnea, see a sleep specialist right away. ...Read more
Obesity #1: The risk of osa rises with increasing body weight (obesity), active smoking and age. Individuals with low muscle tone and soft tissue around the airway (e.g., because of obesity) and structural features that give rise to a narrowed airway are at high risk for obstructive sleep apnea. In addition, patients with diabetes or "borderline" diabetes have up to three times the risk of having osa. ...Read more
Sleep apnea: Hello. You will need to have a sleep study or polysomnogram for confirmation. Your doctor can order this study. A home study is easy and accurate. Good luck. ...Read more
Depends on severity: Your degree of sleep apnea as well as the quantity of sleep you get determines how tired you are during the day. Some people have overwhelming fatigue that leads them to nap during the day, others do not. The first step is to get an overnight sleep study done to determine if you have sleep apnea or not. ...Read more
OSA: It is caused by obstruction of the upper airway either from excessive tissue, inflammation or closure of the trachea while sleeping. It is characterized by repetitive pauses in breathing during sleep, despite the effort to breathe, and is usually associated with a reduction in blood oxygen saturation. There are varying degrees of severity and is diagnosed with an overnight sleep study. ...Read more
Depends: The level of CPAP is determined as that which will almost eliminate the manifestation of sleep apnea during sleep study. It is different for every person. If I have 9 cm h2o pressure blowing on me that would be very uncomfortable but some need 15, 18, or even 20 cm h2o pressure. The pressure given is what is necessary for you. ...Read more
Depends: Outcomes depend on the procedure/combination of procedures, as well as the anatomy of the airway. Soft tissue surgery (on the palate, nose, etc) have roughly a 50-70% success rate. Jaw surgery, although a bit more drastic, has approximately a 90-95% success rate. Best to see a surgeon in your area trained in sleep surgery to discuss this at length and choose the right procedure for you. ...Read more
Probably not: Lupus by itself will not cause sleep apnea. Apnea is usually obstructive, which is due to being overweight, or having excessive amounts of tissue in the back of the throat. Rarely, it can be central (coming from the brain being "lazy" with breathing), but this would not be present unless your lupus has significant neurological involvement. ...Read more
This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more