I am newly diagnosed with a severely painful and disabling arthritic condition. I have been having trouble with fatigue for about 3 weeks and its just getting worse. I've only been taking the medications since Thanksgiving and only got into a pain clinic in mid December and have only been relatively balance on the pain meds for the last 3 weeks as well. I had a sleep study last week but they said it will be up to 6 weeks until I get results. Any suggestions in the meantime? Thanks, Michael
Obstructive Sleep Apnea/Hypopnea Syndrome - Apnea changes when taking opioids/opiates?
- Posted:
- 10 Jan 2011 by BionicMike
- Topics:
- sleep apnea, obstructive sleep apnea/hypopnea syndrome, sleep disorders, sleep, fatigue, opiate, opioid
Responses (4)
11 Jan 2011
Hi Michael!
I do have sleep apnea. I suggest that you sleep on a bunch of pillows that elevate your head. Try to sleep at a 30 to 45 degree angle. That might help you sleep better. Opiods will cause you to sleep harder and make it harder to breathe.
Do you have RA? I have both OA and RA. I know your pain. I can't imagine it taking 6 weeks to get a diagnosis! Sounds like you need to be on a CPAP now. I love my CPAP. I sleep so much better with it.
11 Jan 2011
Medications like Nuvigil really help. Nuvigil only hits on the receptors that keep you awake, making you less fatigued and tired. I'd ask your doctor about it. I'm in a similar situation where my meds (we think) make me tired, and that's what I have to do...
hope that this helps,
Jeff K
I have a recurring heart condition that eliminates my eligibility to be on the med. I took it before I found out about it and you are right about it helping to stay awake. The condition is WPW and is congenital (birth defect) and I only found out in July when I had it corrected. I came back mid November and I just got another ablation to fix it. I won't take anything like Nuvigil again just in case it ever comes back again. Thanks, Michael
11 Jan 2011
I am confused while it would take that amount of time. Did the technician use any mask on you? If not, you will probably have to do another study to complete a titration study. It took less than a week for the info to be given to my sleep doctor. I have what is known as central/complex sleep apnea which means I have obstructive sleep apnea & central sleep apnea. The opiates slow your breathing or causes shallow breathing. It will take a titration study to get the apnea machine set with your settings. There is a new BI-PAP machine(BIPAP autoSV advanced) that can help with both central and obstructive apnea. I was very glad I had insurance because this particular machine cost around $8000! During the titration study, they were able to correct me to 88%. If this machine had been used during my titration study, I think the score would have been higher.
11 Jan 2011
Hi BionicMike. I'm glad you marked this question "conversational" as I really don't have an answer for you. What I DO know about sleep apnea is it scares the hell out of the person sleeping next to them, me. He's totally unaware he stops breathing for as long as 15-20 seconds before he gasps for breath or I can't stand it anymore and give him a push. It's so much worse if you're a back sleeper. I encourage my hubby to sleep on his side but he eventually ends up on his back, the apnea kicks in, and I'm the one wide awake worrying about his breathing. He doesn't take it seriously even though his doctor wants him in asap for the sleep study. Hubby has had 3 cervical surgeries and rarely takes pain meds. When he does, it's maybe half a percocet. If he takes it too close to bedtime, the apnea is non existent. He says he only half sleeps when he takes the med.
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Thank you. I appreciate the suggestion. I will try it if possible. I have an almost 3yr old who cosleeps with my wife and I in a king size bed. It is difficult to take up more than my little alotment of space but I'll give it a go. I actually have Psoriatic Arthritis. It is an autoimmune disease similar to rheumatoid arthritis but it is everywhere except my mid and lower spine. I have a CPAP already, they were testing to see if I needed a BiPAP or that other one that is like a respirator. I am new to the forum thing and I didn't really make that part clear. I have a habit at home to start talking to my wife as if we are already mid conversation also. I do have really bad apnea and while waiting for the results I decided to replace all of the easily replaceable less expensive parts to my CPAP and I just got them all today.
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I also got a chin strap which I never knew existed before because I have been waking up with very dry mouth and a sore nose and put 2+2 together and actually got 4 instead of the imaginary number I usually come up with. Anyway, thanks for the assist, Michael