Getting Started: Starting on Positive Airway Pressure (PAP) therapy can be a big adjustment. Here are some common challenges new users face with easy ways to solve them. Click through commons problems on the left to see symptoms and Respiratory Therapist approved fixes for each.
Build a nightly habit and dial in comfort (fit, humidity, ramp/EPR) so you can keep CPAP on through the night.
What success looks like:
≥4 hrs/night on ≥70% of nights (trending toward 6–8 hrs), low leak alerts, and fewer wake-ups.
Common Pitfalls:
Over-tightening the mask, leaving humidity unchanged despite dryness, removing the mask after a wake-up and not putting it back on.
Most common obstacles to getting started
Addressing Dry Mouth
If you wake up with a dry mouth, increase your humidifier, use a chin strap with a nasal mask, or talk to your provider about switching to a full-face mask if nasal breathing is difficult.
Fix Rainout (Water in Tubing)
If you notice water or gurgling in your tubing, place the PAP machine below your mattress, use heated tubing, and consider a tube cover to reduce condensation.
Prepare your CPAP equipment
Each night, fill the humidifier, check your mask for a proper fit, and inspect for any air leaks.
If your AirSense 11 reports a high leak, inspect and gently reshape the outlet adapter ring to improve the seal, and contact support if the alert continues.
Pressure Intolerance
If the air feels too strong, turn on the Ramp feature so pressure starts low and builds gradually, and practice wearing your mask while awake to help your body adjust.
Routine is the foundation of successful CPAP therapy. Consistency in using your machine will help you adapt more quickly and improve your sleep quality.
Months 2-3: Solving Issues, Fine Tune Your Experience
Months 2-3: Solve Issues, Fine Tune Your Experience
Goals, success, and pitfalls of this stage
Goal of this Stage:
Make CPAP feel effortless every night—fix leaks/dryness/noise, dial in comfort (humidifier, ramp/EPR), and lock in your routine.
What success looks like:
6–8 hrs use on most nights (≥80%), low leak rate, no bothersome dryness/noise, AHI in target, waking more rested.
Common Pitfalls:
Over-tightening the mask, ignoring humidifier/ramp/EPR tweaks, changing pressure without clinician OK, skipping cleaning/replacements, or swapping gear before fixing fit.
Tips to solving common issues
Adjusting to the Mask
Wearing CPAP while reading or watching TV makes bedtime easier. Aim for a calm, seated start and a few deep breaths.
Stop Mask Leaks
If your mask hurts or leaks, loosen and refit it so it’s snug but comfortable, try a different size or style if needed, and consider a virtual mask fitting with an Apria Sleep Coach.
Noisy CPAP
CPAP machines should operate quietly, but if you notice excessive noise, check for loose connections, worn-out tubing, or consider upgrading to a quieter machine model.
Troubleshoot Common Issues
Noise, pressure discomfort, rainout, or app pairing—solve the common hiccups in under a minute.
Now is the time to adjust as needed to stay comfortable. Regular refinements in conjunction with your healthcare provider will ensure your therapy remains comfortable and thus effective.
Maintain therapy by cleaning weekly and replacing parts on schedule (filters 1–3 mo, cushion/mask 3–6 mo, tubing ~6 mo) with auto-resupply.
What success looks like:
Low leaks and stable AHI with fresh parts in use and the next order scheduled.
Common Pitfalls:
Overusing worn parts, inconsistent cleaning, and not tracking or re-fitting after replacements.
New to CPAP: Maintenance & Resupply (Months 3-6)
Stay ahead of the game.
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Suggested replacement schedule:
Mask, Cushions, Pillows, and Machine Filters — every month Replacing these items regularly helps maintain a secure seal, keeps your equipment hygienic, and ensures your therapy is effective.
Mask Frame and Tubing— every 3 months Fresh cushions seal better and stop leaks and red marks.
Headgear and Water tub — every 6 months New tubing prevents moisture and dust build-up for clean, quiet airflow.
Upgrades beyond the standard kit (certain mask models or premium features)
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