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Sleep apnea is a common sleep disorder affecting millions worldwide. Continuous Positive Airway Pressure (CPAP) therapy is often prescribed to manage sleep apnea and ensure restful sleep. However, individuals with nasal congestion may find it challenging to use a CPAP machine effectively. This article will provide helpful tips for using a CPAP for sleep apnea when dealing with nasal congestion, allowing individuals to sleep comfortably through the night.

Tips to Sleep Comfortably Through the Night

Keep Nasal Passages Clear: Clearing nasal congestion is crucial before using a CPAP machine. Here are a few methods to alleviate congestion:

  • Saline Nasal Rinse: Use a saline nasal rinse or irrigation kit to flush out excess mucus and relieve nasal congestion. This rinse can be done before bedtime to ensure clear nasal passages.
  • Nasal Decongestants: Over-the-counter nasal decongestant sprays or drops can temporarily relieve nasal congestion. However, following the instructions and avoiding prolonged use is vital to prevent rebound congestion.
  • Steam Inhalation: Inhaling steam from a bowl of hot water or taking a warm shower before bedtime can help moisten and open the nasal passages, reducing congestion.

Opt for a Full-Face Mask: Individuals with nasal congestion may find using a full-face mask more comfortable than a nasal mask. A full-face mask covers the nose and mouth, allowing the individual to breathe through either or both. This ensures effective therapy even if nasal congestion limits breathing through the nose.

Adjust CPAP Pressure: Consult with a sleep specialist or respiratory therapist to adjust the CPAP machine pressure settings if you are experiencing nasal congestion. Lowering the pressure may help alleviate discomfort caused by congestion while still providing effective therapy.

Use a Heated Humidifier: A CPAP machine with a heated humidifier can benefit individuals with nasal congestion. The warm, moist air generated by the humidifier helps to soothe and moisturize the nasal passages, reducing congestion and dryness. Ensure the humidifier is adequately cleaned and filled with distilled water per the manufacturer’s instructions.

Nasal Dilators or Strips: Nasal dilators or nasal strips can help improve nasal airflow by opening the nasal passages. These devices are placed externally and can be particularly useful for individuals with structural nasal abnormalities or chronic nasal congestion. They can be combined with a CPAP machine to enhance comfort and optimize therapy.

Regular CPAP Maintenance: Ensure proper maintenance of your CPAP machine and equipment to minimize the risk of worsening nasal congestion. Clean the mask, tubing, and humidifier according to the manufacturer’s guidelines. Regularly replace filters, cushions, and other disposable components as recommended.

Nasal congestion can pose challenges when using a CPAP for sleep apnea therapy. However, with the proper techniques and adjustments, individuals can sleep comfortably through the night and reap the benefits of CPAP therapy. Clearing nasal passages, using a full-face mask, adjusting CPAP pressure, utilizing a heated humidifier, trying nasal dilators or strips, and maintaining the CPAP equipment are all effective strategies to alleviate discomfort and optimize therapy. It is essential to consult with a healthcare professional for personalized advice and guidance in managing nasal congestion while using a CPAP machine.

Parkway Sleep Center

Are you experiencing sleep problems? Parkway Sleep Center can help. After a thorough evaluation, we can recommend a treatment plan, including CPAP for sleep apnea. Our expert team will assist with selecting a CPAP machine and mask that suits you and answer any of your questions on its use and maintenance. Contact us today at 919-439-3463 and schedule an appointment.


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It is estimated that between 10% and 30% of adults in the US have obstructive sleep apnea, a sleep disorder that causes repeated pauses in breathing during sleep. One of the most common ways of treating sleep apnea is continuous positive airway pressure (CPAP) therapy. If you need CPAP therapy, it is helpful to know how a CPAP machine works, how it can help a person with sleep-related breathing problems, and how to troubleshoot some issues that may occur when using a CPAP machine.

What is a CPAP Machine?

A CPAP machine is a medical device that uses a stream of pressurized air to keep a patient’s airways open, encouraging stable breathing while asleep. The air pressurized in the CPAP machine is pumped through a hose into a mask worn on the face.

Components of a CPAP Machine

There are many different brands and models, but all CPAP devices have these standard components.

  • Machine – it includes the motor that generates streams of pressurized air and controls for operating the device.
  • Hose – it’s a long tube connected to the CPAP machine and carries air to the mask.
  • Mask – it delivers pressurized air into the nose and mouth in a way that holds the airway open. There are different CPAP mask styles. All masks include straps to keep them in place.
  • Air Filter – it filters the air from the CPAP machine.
  • Humidifier – most CPAP devices have a heated humidifier using water from an attached reservoir to add moisture to the airflow. The humidifier reduces discomfort from dryness in the nose caused by the pressurized air.

Types of CPAP Masks

Before using CPAP therapy, a sleep specialist or doctor will help you select a mask. The different types include:

  • Nasal mask – only covers the nose.
  • Oronasal mask – goes over the mouth and nose, covering an area from the bridge of the nose to the bottom of the mouth.
  • Nasal pillows – instead of going over the nose, this mask sits under the nose and above the upper lip. Some types have prongs fitting into each nostril.
  • Oral mask – covers the mouth only.
  • Full-Face mask – covers most of the face. This type is rarely used.

Mask Fit

A CPAP mask has to fit correctly against the face to ensure no air leaks. In addition, the mask must be comfortable enough to be used night after night. Different straps and cushions are available to help keep the mask in place, making it comfortable to wear. The best CPAP mask offers a combination of comfort and performance.

Benefits of CPAP Machines

Regular use of CPAP therapy may resolve or reduce obstructive sleep apnea symptoms, improving sleep and a patient’s quality of life. Some of the benefits that might come from the use of CPAP include:

  • Reduced snoring
  • Consistent breathing during sleep
  • Reduced daytime sleepiness
  • Improved thinking and focus
  • Healthier blood pressure
  • Improved quality of sleep for a bed partner
  • Few mornings headaches
  • Enhanced mood

Side Effects of CPAP Machines

For most people, it is challenging to get accustomed to sleeping with a CPAP machine. It takes weeks or days to get used to the machine through the night. Some side effects of using CPAP machines include:

  • Dry mouth
  • Discomfort from the mask and stream of pressurized air
  • Nasal congestion
  • Eye and skin irritation
  • Anxiety or claustrophobia when wearing the mask
  • Chest muscle discomfort

In most cases, adjustments to CPAP settings might resolve these side effects making nightly CPAP use even more comfortable.

Tips for Using CPAP Machines

Here are tips to help make the adjustment process smoother when using a CPAP machine.

  • Research – seek quality information to resolve the most common questions about using a CPAP machine.
  • Work with a specialist – keep in touch with the healthcare team when you start using the CPAP machine to help resolve any challenges. For example, a specialist might suggest modifying the mask or trying a different one.
  • Patience – the CPAP mask or airflow might initially make sleeping hard or uncomfortable. It is usual for it to take time to adjust using the machine. Despite the difficulties, using the CPAP machine for an entire night might speed up the acclimation process.

CPAP Cleaning and Maintenance

CPAP devices come with specific instructions for maintenance and cleaning. It is vital to follow these directions and any guidance a specialist gives. For example, some parts of the machine, such as the mask, might need cleaning daily, while others require thorough cleaning and disinfection weekly.

Watch for wear and tear of the CPAP components and replace them when necessary. Masks, hoses, and straps should be periodically replaced based on the instructions from the manufacturer. If the material on these items becomes noticeably dirty or damaged, they should be discarded.

Parkway Sleep Health Center

Do you struggle with a sleep disorder? Parkway Sleep Health Center can help. After a thorough evaluation, our team can recommend a treatment plan, including a CPAP machine, if necessary. So, if you need a CPAP machine in Cary NC, we’re ready to help. Contact us at 919-439-3463 and schedule an appointment today.


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When most CPAP users go to fill up their humidifier water chambers, tap water is the default. However, clinicians and CPAP manufacturers recommend that patients use distilled water only. It might seem like an inconvenience, but it’s not, and it’s worth it. Here is why.

Why Use a CPAP Humidifier?

Humidification is critical to making CPAP therapy comfortable for people with obstructive sleep apnea (OSA), especially during the cold winter when indoor heat is running, drying the air. A humidifier vaporizes water in the CPAP tubing and chamber. The air flows through the patient’s airways, and the added moisture prevents side effects such as dry mouth and irritated sinuses. In addition, it helps break up congestion due to a cold or allergies.

Add heat if the air is too cold or condensation builds in the tube. This is accomplished using a heated humidifier or adding heated tubing to the regular humidifier. Most CPAP machines today come with heated humidifiers built in. One can also purchase heated tubing to use with an existing humidifier.

An added benefit to using heated tubing is that it helps keep the CPAP tubing and mask free of excess moisture, preventing bacteria growth.

Why You Should Never Use Tap Water in the CPAP Humidifier

In the US, different states have different regulations for purifying tap water. Standard tap water is safe for public consumption in most places but carries trace contaminants. Tap water contains mineral deposits, germs, and microbes that one should never risk breathing in. With time, the contaminants might also collect on your supplies damaging the CPAP tubing and motor. Distilled is the only water to use in the water chamber. Poor quality tap water might lead to a runny nose, bacterial infection, sore throat, or adverse reaction for those allergic to mold spores.

Can I Use Filtered or Boiled Water?

Boiling water doesn’t eliminate chemical contaminants or minerals, even though it kills mold spores, microbes, and bacteria. However, the water remains hard, meaning it contains minerals such as iron, calcium, and magnesium. High mineral content might lead to buildup within the water tubing.

Filtered water isn’t pure enough to use in CPAP, either. A home filter removes some contaminants and improves the smell and taste. The water is, however, not up to par for use in a CPAP as mineral content remains.

Can I Use Bottled Water?

Bottled water exists in different types. However, bottled water isn’t truly free of impurities. Most bottled water is “remineralized” water once it’s purified. This is true whether labeled filtered, purified, spring, or mineral water.

Why Is Distilled Water Best for CPAP?

Unlike the purification process for different types of water, the distillation process physically separates water from minerals and contaminants. The water is heated past the boiling point, and the vapor is cooled and captured. The condensation formed is distilled water. It is then collected and distributed in water bottles. Distilled water is sold in most grocery stores and for CPAP machines.

Parkway Sleep Health Centers

Do you suffer from sleep apnea? Do you long to feel energized in the morning after a good night’s sleep? Parkway Sleep Health Center can help. After an evaluation, a treatment plan will be developed, including using a CPAP machine, if necessary. Contact us today at 919-439-3463 and see what we can do for you.


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Parkway SleepHealth Centers exists to help people build healthier lives by providing compassionate, exceptional care for their sleep health needs.

Serving Cary, plus cities and towns from the surrounding area, including: Raleigh NC, Apex NC, Durham NC, Holly Springs NC, Garner NC, Morrisville NC, Chapel Hill NC, Hillsborough NC, Carrboro NC, Pittsboro NC, Clayton NC, Fuquay Varina NC, Wake Forest NC, Greensboro NC, Charlotte NC

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