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What are some drawbacks to automatic positive airway pressure (APAP)?

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APAP can be more expensive and complicated than the more common CPAP for sleep apnea. Other potential issues include:

Apnea type. APAP has not been well studied with people who have central sleep apnea syndrome instead of the more common obstructive sleep apnea, which is when something blocks your upper air passageway.

Health problems. You may not be a candidate for APAP if you have heart failure, chronic obstructive pulmonary disease (COPD), or if your breathing problems stem from obesity or opioid use.

SOURCES:

American Association of Speech Technologists: “Pros and Cons of APAP Therapy.”

American Association of Sleep Technologists (AAST): “Comparison of CPAP Versus APAP,” “Pros & Cons of APAP Therapy.”

American Sleep Apnea Association: “CPAP vs. APAP.”

Journal of Clinical Sleep Medicine: “Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline.”

National Institutes of Health: “Sleep Apnea Information Page,” “Sleep Apnea.”

UpToDate: “Initiation of positive airway pressure therapy for obstructive sleep apnea in adults.”

Reviewed by Melinda Ratini on February 21, 2020

SOURCES:

American Association of Speech Technologists: “Pros and Cons of APAP Therapy.”

American Association of Sleep Technologists (AAST): “Comparison of CPAP Versus APAP,” “Pros & Cons of APAP Therapy.”

American Sleep Apnea Association: “CPAP vs. APAP.”

Journal of Clinical Sleep Medicine: “Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline.”

National Institutes of Health: “Sleep Apnea Information Page,” “Sleep Apnea.”

UpToDate: “Initiation of positive airway pressure therapy for obstructive sleep apnea in adults.”

Reviewed by Melinda Ratini on February 21, 2020

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