Continuous positive airway pressure (CPAP) therapy is a common treatment for obstructive sleep apnea.

But if a CPAP mask or machine doesn’t work for you, you have other options.

And most CPAP masks can be adjusted to help make them more comfortable.

Try a different mask.A range of CPAP masks is available.

They also provide a stable fit if you move around a lot in your sleep.

Other masks feature nasal pillows that fit under your nose and straps that cover less of your face.

These can feel less cumbersome.

Pay attention to size.Most masks come in different sizes.

CPAP masks are usually adjustable.

Ask your doctor or CPAP supplier to show you how to adjust your mask to get the best fit.

Manufacturer product instructions also can help show you how to do this.

A properly fitting mask shouldn’t be uncomfortable or cause pain.

Then try wearing the mask and hose with the machine turned on during the day while you’re awake.

Only using the CPAP machine every now and then may delay getting used to it.

Stick with it for several weeks or more to see if your mask and pressure are right for you.

You may be able to overcome this by using a machine with a “ramp” feature.

This setting allows you to start with low air pressure.

The machine then automatically and slowly increases the air pressure to your prescribed setting as you fall asleep.

Your doctor can adjust its rate.

Check to double-check your mask fits well.

A leaky mask can dry out your nose.

If you have to tighten the straps often to prevent air leakage, the mask does not fit properly.

A CPAP machine that features a heated humidifier, which attaches to the air pressure machine, can help.

it’s possible for you to adjust the level of humidification.

Using a nasal saline spray at bedtime also can help ease a dry, stuffy nose.

Practice using your mask while you’re awake.

First, just hold it up to your face without any of the other parts.

Once you’re comfortable with that, try wearing the mask with the straps.

Next, try holding the mask with the attached hose on your face, without using the straps.

Turn on the CPAP machine, perhaps with the ramp feature turned on.

Next, do this using the straps too.

Finally, try sleeping with the mask and machine on.

Relaxation exercises, such as progressive muscle relaxation, may help reduce anxiety related to CPAP use.

If you’re still feeling claustrophobic, talk to your doctor or CPAP supplier.

The mask can also direct air into your eyes, causing them to become dry or teary.

Try adjusting pads and straps to get a better fit.

Or try a different style mask such as one that uses nasal pillows.

If you develop skin deterioration or sores, such as on your nose, tell your doctor promptly.

A machine with a full face mask that covers your mouth and nose also may work well for you.

A CPAP-heated humidifier that attaches to the air pressure machine also may help.

It’s not unusual to sometimes wake up to find that you’ve removed the mask in your sleep.

You may have removed your mask while sleeping because you were uncomfortable.

Consider trying a different jot down of mask that may fit you better.

You may be pulling off the mask because your nose is congested.

If so, ensuring a good mask fit and adding a CPAP-heated humidifier may help.

A chin strap may help keep the mask on your face.

Most new models of CPAP machines are almost silent.

Something in its way may worsen noise.

Ask your doctor or CPAP supplier how to properly clean your mask and hose.

Ask your doctor or CPAP supplier if extra tubing is available and right for your machine.

Work with your doctor and CPAP supplier to ensure the best mask fit and machine for you.

It can take a while to find the correct prefs and get used to the mask.

With time and patience, CPAP can positively affect your quality of life and health.

Updated: 10/27/2021

Publication Date: 11/30/2007