Bipap and still exhausted after 8-9 hours of sleep?

My husband has a Bipap machine and is exhausted after 8-9 hours of sleep during his work week and on weekends can sleep up to 12 - 13 hours before feeling halfway rested. I saw an ad for a device that can be inserted into the nasal pathways but it was a bit pricey and my husband wished I would try to research other options before that because of the cost and he is breathing through his mouth and wears a mask that covers the nose and mouth. I have noticed that it is not slipping off his mouth and rising over his top lip so much, but he's getting frustrated because he was encouraged by the fact that everyone told him that this would definitely decrease his symptoms, but it seems to be doing just the opposite and is getting no benefit and his sleep is more restless than before. It is affecting work and his health. Thank goodness no accidents, so please help!!!

Have you followed up with the doctor regarding these issues? How long has he been using the therapy? Are you using a tracking program to monitor his sleep, because you mention the mask slipping. Perhaps the mask is leaking and he is not receiving optimal treatment. There are many programs out there to track his bipap usage, Sleepyhead is one that a lot of users on this forum seem to like.

Odd that your husband is having you chase issues he is having with the effectiveness of his therapy. If you are in charge of these details, you might start with how long he has been on therapy, what were the number of apnea incidents during the study and what was the SPO (blood oxygen level) during the study. Finally, machine type and mask type. Are you or he monitoring the results of sleep on a daily basis. That is, if it is a ResMed machine, I know that they offer a free monitoring service you can check online and with other machines you can get software to monitor therapy. This will let you have a good idea of how well therapy is working and how it can be improved as was mentioned by Sleep in the previous post. The amount of sleep your husband is getting is far more than sufficient for wakeful good feeling but perhaps not the quality.