Cpap Mask Problems - Allergic to Cpap Mask or is it pressure ulcers (bruising) from CPAP Mask?

Do you complain of the following CPAP mask problems or CPAP side effects - “ I think I am allergic to CPAP mask , CPAP makes nose red, CPAP masks and pressure ulcers”?

Allergic Reactions are hard to diagnose. Is the pressure ulcers from CPAP masks causing an allergic reaction or is it a bruising from the mask that had gone untreated? Meaning, you first had a minor irritation on the nose. But because you kept using the CPAP mask a blister develops and then eventually a scab and then skin discoloration. So at first glance it can be challenging to diagnose bruising from a genuine allergic response.

Usually an allergic to CPAP mask response will take place the same night of use.

• Best advice if it is a true allergic reaction is to stop using the mask immediately and see your physician.

• Almost 9 out of 10 times, what appears to be an Allergic reaction is quite frequently a bruise or a skin infection because the person has not been cleaning the mask. However only your doctor can make that determination. • The majority of the CPAP masks in the market today are made from silicone and a few made from some type of gel material. Almost all are latex free. • Some of the older generation CPAP masks do have some latex in it. Of which we have seen people have some severe reaction to it. • Speak to the Respiratory Therapist of the Home Medical Equipment Company (DME – Durable Medical Equipment Company). The therapist can suggest alternative masks. In our experience, the therapist knows more about masks than most sleep physicians. However please do speak to your sleep doctor. Keep them in the conversation

CPAP Nasal Pillows:

~ Nuance Pro with Gel
~ The Sleep Weaver Advance Mask

Cpap Full Face Mask - If you are Allergic to the “Gel” in your Cpap Full Face Mask, then consider using full face mask that has Silicone in it.

CPAP Full Face Mask

– Please keep in mind that even the Gel Full Face Masks have some silicone in it that will touch your face.

~ Sleep Weaver ANEW by Circadiance (A full face mask made out of cloth)


The Sleep Weaver Advance Mask and use a CPAP ChinStrap

CPAP Nasal Mask - If you are Allergic to the Silicone in the Nasal CPAP Mask we recommend :

The Sleep Weaver Advance Mask.

• The Sleep Weaver Advance CPAP mask is the closest thing to a hypoalergenic CPAP mask . (Many people refer to it as Cloth CPAP Masks. • Many times all that was needed is for the person to wash the mask well before using the mask the first time. Example, we have seen this phenomena with the Respironics Comfort Gel mask and Respironics ComfortGel Blue mask. We think there might be some residue left behind on the mask from the manufacturing process that irritates the skin. We don’t know really why however washing makes the problem go away. In fact it is recommended per the instructional booklet that comes with the mask.

• We have also seen this take place many times – the Allergic Sensitivity is only on a specific part of the face. For Example, a few weeks ago we were working with a patient that had severe Allergic Reaction to the Mirage Quattro Full Face Mask on the bridge of the nose. With the doctor and patient consent, we switch to using The Hybrid and as of this writing (3 weeks later) with a follow up visit to the sleep doctor at the sleep center there are no issues. Once again, here you must work collaboratively with your sleep doctor. • Try using a cpap liner. The goal is to have a layer that separates your skin from the mask.

a) Remzzzs b) Quietus Liners c) Gecko Nasal Pads(formerly known as Select Comfort Care Pad) d) Duoderm e) Pad –A-Cheek

Now if it is a true allergic reaction to the mask do not use the mask. Consult with your doctor.

• Please read our article on Bruising. – It is very possible what you have is bruising and not an allergic reaction to your cpap mask.

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