How to Help Breathing Difficulties when Using CPAP Therapy
Key Takeaways
- Difficulty breathing during CPAP therapy is usually caused by pressure settings, mask fit, congestion, or anxiety.
- Making some simple adjustments can make breathing feel easier and more natural.
- Consistent use, the right equipment, and self-acclimation strategies can improve comfort and long-term CPAP therapy success.
One of the most effective treatments for sleep apnea is Constant Positive Airway Pressure, or CPAP therapy. 1 Using a machine to help keep your airway open while you are sleeping can take a little bit of time to get used to. It can be uncomfortable at first. Sometimes, it can make breathing feel difficult, when you first start wearing it. For some, the air flow may feel strong at first. Having issues with your CPAP machine can interfere with both your sleep, and your therapy.
The good news is that there are some straightforward solutions for most breathing difficulties. Having the right equipment and making the proper adjustments can help CPAP therapy become more comfortable and feel more natural.
Reasons for Difficulty Breathing
It’s not uncommon to feel like breathing is hard while using CPAP therapy. This is especially true until you get used to the machine and the airflow it provides. It usually comes down to a few factors:
- High Air Pressure. If the airflow seems overwhelming, the machine’s pressure setting may be too high. It may also ramp up too quickly.
- Nasal Congestion. If you have allergies, a cold, or sinus issues, it can make nasal breathing feel more difficult with your CPAP. Dry air can sometimes make it more difficult.
- Mask Issues. If you mask leaks, doesn’t fit right, or feels like it’s suffocating you, it can make it difficult to breathe comfortably.
- Anxiety. Some users feel stressed or panicked because they are not used to wearing a mask. They are also not used to having pressurized air being pushed into the airway.
- Claustrophobia. For those who suffer from claustrophobia, the mask can feel like it’s preventing breathing, even though it’s not.2
Understanding what causes breathing difficulties is the first step toward finding the right solution.
How to Improve Breathing During CPAP Therapy


Here are a few actionable steps to help improve your breathing during CPAP therapy.
Adjust Machine Settings
Sometimes, something as simple as changing your CPAP machine settings can make breathing feel more natural. Here are some adjustments for you to try.
- Ramp Feature: The Ramp starts the air pressure at a low level and slowly increases it as you go to sleep. This can help reduce initial discomfort.
- Increase Humidity: Adding humidity can help with nasal passage discomfort. Adding a little humidity can help.
- Heated Tubing: A heated hose will keep the air warm and help reduce dryness.
- Machine Type: You may find that you prefer a specific type of CPAP machine. An auto-adjusting CPAP machine may work for you, or you may prefer a bilevel CPAP machine which provides flexible airflow.
If you are not sure about making adjustments, consult with the doctor who prescribed your CPAP therapy, or contact the specialists at The CPAP Shop for assistance.
Ensure Proper Mask Fitting
Your CPAP mask needs to fit right to ensure a night of easy, comfortable breathing.
- Secure Seal. Having a secure seal on your CPAP mask prevents leaks, which can interrupt your breathing rhythm.
- Headgear. The right headgear will help your mask stay in place without leaving pressure marks.
- Mask Style. There are several different types of masks: full face, nasal, nasal pillow. Choose the style that feels comfortable and best matches your breathing patterns.
You need a CPAP mask that fits properly to make sure you get the benefits of CPAP therapy. If you need help, the CPAP Shop offers MaskFit AR. It’s an online augmented-reality tool that lets you see how the different mask styles will fit your face. Check out the MaskFit AR tool on our website.
Address Other Issues
Sometimes, breathing difficulties are caused by something other than a CPAP machine. Small lifestyle adjustments like these can make your CPAP therapy much easier.
- Manage Allergies. Use a saline spray, antihistamines (approved by your PCP) or an air purifier to make allergies more manageable.
- Treat Nasal Congestion. Humidifiers, nasal rinses, or decongestants can help open your airway so that breathing is more comfortable.
- Sleeping Position. Sleeping on your side can improve breathing comfort by reducing airway resistance.3
Stay Consistent
Getting used to CPAP therapy can take a little time. As you stick with it, your body will adjust. Here are a few tips to help you build consistency.
- Practice wearing mask during the day. This can help reduce your anxiety and make it feel more normal to you.
- Gradually increase how long you wear it. Start with short sessions and slowly build up to wearing it all night long.
- Be patient. It may take some time to get used to the mask.
- Be consistent. Most people will begin to experience steady improvement within just a few weeks with consistent use.
Where to Find the Best CPAP Products
Having the right equipment can make a huge difference when it comes to comfortable, effective breathing during CPAP therapy. Choosing quality CPAP products can help create a smoother experience for you.
Are you ready to improve your comfort and find the right equipment that supports easier breathing? The CPAP Shop offers a wide selection of CPAP machines, masks and accessories. Explore our products today and take the next step toward better breathing and better sleep.
If you need help finding CPAP products that meet your needs, give our expert team a call at 866-414-9700.
References
-
National Heart, Lung, and Blood Institute (NHLBI)
National Heart, Lung, and Blood Institute. Sleep Apnea Treatment. https://www.nhlbi.nih.gov/health/sleep-apnea/treatment -
PMC – Continuous Positive Airway Pressure Review
Patil, S. P., Ayappa, I. A., Caples, S. M., Kimoff, R. J., Patel, S. R., & Harrod, C. G. (2015). Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline. https://pmc.ncbi.nlm.nih.gov/articles/PMC4352200/ -
Medical News Today – Sleep Position for Apnea
Medical News Today. What Is the Best Sleep Position for Sleep Apnea? https://www.medicalnewstoday.com/articles/best-sleep-position-for-sleep-apnea#managing-symptoms













