Does Insomnia Get Worse with CPAP?

April 13, 2023


3 minutes read

Does Insomnia Get Worse with CPAP

Continuous Positive Airway Pressure (CPAP) therapy is a popular treatment for sleep apnea, a condition where breathing is repeatedly interrupted during sleep. While CPAP is effective in treating sleep apnea, some patients may experience worsening insomnia, or difficulty falling and staying asleep. This is a complex relationship that we have explored in our blog post about CPAP and Insomnia. This article will explore the reasons why insomnia might worsen with CPAP use and offer potential solutions to improve sleep quality.

Reasons for Worsened Insomnia with CPAP

  • Adjustment Period: For many individuals, using a CPAP machine for the first time can be uncomfortable and take some getting used to. The unfamiliar feeling of wearing a mask and the sensation of continuous airflow can make it difficult to fall asleep, leading to heightened insomnia. You might find our post on the CPAP inception and evolution interesting, which covers the history and developments of CPAP therapy.
  • Mask Discomfort: An ill-fitting or uncomfortable mask can also contribute to sleep difficulties. If the mask is too tight, too loose, or doesn't suit the user's facial structure, it may cause discomfort and disrupt sleep. Make sure to choose the right mask for you - take a look at our selection of CPAP masks for sale to find a comfortable and effective fit.
  • Pressure Settings: In some cases, the pressure settings of the CPAP machine might be too high or too low for an individual's needs, causing discomfort and contributing to insomnia.
  • Noise: While modern CPAP machines are generally quiet, some users may still find the noise level disruptive, making it difficult to fall asleep or stay asleep.
  • Anxiety: The thought of using a CPAP machine can cause anxiety in some individuals, which can lead to insomnia. This can be due to concerns about the therapy itself, the machine, or the potential side effects.

Reasons for Worsened Insomnia with CPAP

Solutions to Improve Sleep with CPAP

  • Gradual Adjustment: To help ease the transition to CPAP therapy, try using the machine for short periods during the day or while watching TV. This can help the user become more accustomed to the sensation of wearing the mask and receiving airflow.
  • Mask Selection: Ensure that the CPAP mask fits comfortably and securely. Consult with a healthcare professional or CPAP provider to explore different mask styles and find the best fit for your facial structure.
  • Pressure Adjustment: If the pressure settings seem to be causing discomfort or difficulty sleeping, speak with a healthcare professional about adjusting the settings to better suit individual needs.
  • Noise Reduction: If the CPAP machine's noise level is bothersome, consider trying a different model with quieter operation or placing the machine further away from the bed.
  • Address Anxiety: For those experiencing anxiety related to CPAP use, speaking with a healthcare professional, therapist, or support group can help alleviate concerns and provide guidance on coping strategies.  If you're looking for more ways to improve your CPAP experience, we've detailed some in our blog post, Solution for sleep apnea patients with CPAP.
solutions to improve sleep with cpap


While CPAP therapy is highly effective in treating sleep apnea, it is not uncommon for users to experience worsened insomnia during the initial adjustment period. By addressing the factors that contribute to sleep difficulties and implementing the solutions discussed in this article, users can improve their overall sleep quality and get the most out of their CPAP therapy. At, we understand the challenges that new users may face and offer a wide range of products and resources to ensure that your CPAP therapy journey is as comfortable and effective as possible.