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Friday, November 25, 2011

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Modafinil(nuvigil) decreases extreme sleepiness due to narcolepsy and other sleep disorders such as difficult/irregular breathing during sleep (eg, obstructive sleep apnea/hypopnea syndrome-OSAHS). It is also used to help you stay awake during work hours for people with work schedules that interfere with a normal sleep routine (shift work sleep disorder-SWSD). It is not known how modafinil works to increase wakefulness. It is thought to work by affecting certain chemicals in the brain that control the sleep/wake cycle. Modafinil does not make up for lack of sleep and should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder. This medication is not recommended for use in children. How to use Modafinil(nuvigil) Read the Patient Information Leaflet provided by your pharmacist before your start using modafinil and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth with or without food, usually once daily in the morning or as directed by your doctor. If you are using modafinil for shift work sleep disorder, take this medication 1 hour before you start your work shift or as directed by your doctor. If you are using this for apnea (OSAHS), continue your other current treatment (eg, CPAP machine) unless your doctor tells you to stop. Dosage is based on your medical condition and response to therapy. Use this medication exactly as prescribed to get the most benefit from it ...

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Wednesday, November 23, 2011

Obtrusive and Central Sleep Apnea and CPAP Machines Discussed

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Sleep apnea is a sleep disorder characterized by a pause in breathing. This pause in breathing is involuntary - and the person is not even aware that at one moment in time, he forgot to breathe.

This breathing abnormality is caused by two things - and such a cause determines the kind of sleep apnea that the person is suffering from.

Obtrusive Sleep Apnea (OSA)

This type of apnea is the most common. As the name suggests, this occurs when there is an "obstruction" on the airway.

When you sleep, the muscles in your upper airway relax. You know that when muscles relax, they tend to collapse. Indeed, this is a natural occurrence. But there are dilator muscles that work to keep them from collapsing, so that the air passage remains clear. When the dilator muscles don't do their work effectively, that's when you have difficulty breathing, and sleep apnea occurs.

OSA is treated with the use of CPAP machines. CPAP stands for Continuous Positive Airflow Pressure. As such, CPAP machines provide a certain level of pressure - and keep it in that level - to prevent the muscles from blocking the airway.

The air pressure required by most patients ranges from 6 to 14 cm H20. Typical CPAP machines can deliver pressures at 4 to 20 cm H20. Of course, the pressure to be used in CPAP machines has to be determined by a specialist. This is established after a series of tests have been conducted. This is the reason why there has to be CPAP trials for new patients - to determine the "appropriateness" of the pressure introduced to them. Incorrect pressure could lead do more damage - than good - to the sleep apnea sufferer.

CPAP machines also come with masks to act as an interface between the person's airway and the source of the airflow pressure. Masks could either be nasal or full-face. CPAP full-face masks - in Toronto or elsewhere - cover the whole face, while nasal masks cover only the nose.

Central Sleep Apnea (CSA)

This type of sleep apnea is caused by an aberration in the central nervous system (CNS). Simply put, the brain fails to properly signal your airways to breathe. The CSA is the less common type, and the more dangerous one. In contrast to OSA patients, those suffering from CSA wake up as a result of reduced levels of oxygen in the brain.

Of course, if you don't breathe, you will have less supply of oxygen, and more of carbon dioxide. The lack in oxygen will signal your lungs to suck in air, and for you to be able to do this, you have to wake up.

The field of sleep apnea is a well-researched one. The internet, for example, has loads of information about this disorder and CPAP machines. There are also a number of alternative treatments methods available, ranging from using dental devices to undergoing a surgery.

So if you suspect that you are suffering from sleep apnea, don't panic. It's not the end of the world.

Consult your doctor. And if it's really sleep apnea that you have, there are many treatment procedures to choose from.

CPAP Clinic - healthcare at your home

We serve Greater Toronto Area in Canada.

Contact: 1-877-430-CPAP(2727) or info@CPAPClinic.ca