CPAP silicone allergy: Anyone know of other options? Solutions?

Posted by SanibelSandy @sanibelsandy, May 6, 2017

I apparently have developed an allergy to silicone, which creates problems with my cPAP mask since they all seem to be made of silicone. Anyone know of other options? Solutions? I do use a barrier (Silent Night, RemZZs) but at times they slip and I end up with skin break-down.

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Profile picture for steventomer @steventomer

My wife is allergic to silicone. She wears the SleepWeaver Anew, an all-cloth mask, and has no trouble with it. It's available online and from some medical supply stores.

It's really a hassle, since almost all respiratory stuff is made of silicone. We wrap the oxygen tubing in tape to prevent contact.

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I have an inhalation silicone allergy. Tried the sleepweaver anew and couldn’t get a seal. Is she a side sleeper? Whenever the mask touches anything it has a big leak? I’ve tried all sizes.

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Profile picture for sosonja @sosonja

After wearing a silicone Cpap mask I developed an allergy to silicone resulting in full blown sneezing, runny nose symptoms that would last for many days even if I stopped using the mask. I use a cloth Sleep Weaver mask but it's not a great fit. Is there a non silicone gel type mask?

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Wonder that too. I get a swollen throat, nausea and sore hands and feet from my silicone mask. Cannot find anything that works. All major manufacturers confirmed they use a mix of silicone in masks. Like you, I don’t have a contact allergy so, foam skin contact areas or liners don’t help.

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Profile picture for SanibelSandy @sanibelsandy

Justin, I have had my cPAP since October 2012. I developed skin breakdown (bridge of my nose) within a few weeks of using the machine. I tried various solutions, thinking it was probably a pressure from the mask issue. I tried the gel pads, adjusting the mask straps, etc. but nothing seemed to help. I finally came across an ad for RemZZs several years later and in desperation ordered some. I was surprised when the skin sores healed, thinking it was still a pressure issue; I couldn't figure out how such a thin material could provide enough cushioning to relieve the pressure and allow healing. Then it finally clicked that the nose pads on my eyeglasses were also causing skin irritation/breakdown where they came in contact with the skin. Yep, they were made of silicone. Question answered, but no really satisfactory solution. I used the RemZZs until a year or two ago, but they sometimes slipped and were a nuisance because they had to be repositioned every time I removed and replace my mask. I searched cPAP.com for other alternatives and noticed the Silentnight cushions and ordered some. They do have an advantage in that they are adhered to the mask and don't have to be removed/repositioned every time I remove and replace my mask. The problem is the size options are limited (one size fits most--ha!). They do help the skin breakdown on the bridge of the nose, but the opening is too large for my mask (Lady ZestQ) so I still get some skin irritation below my nose since the cushion opening is too large and doesn't cover the lower part of my mask opening.( Note: I also have latex allergy.) I see an allergist regularly and do have a pulmonologist that I see for my sleep apnea, but neither of them has had any suggestions to help resolve the issue. I am managing with the Silentnight nasal cushions, but again they aren't the complete solution. I was just wondering if anyone else is dealing with this issue and how they handled it. Thank you for your help.

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Hi, it's 5 years since you wrote your post above. How are you doing?

Yes, I'm having the same problem you have. I'm allergic to silicone. The nurse in the Sleep unit told me I could try a foam mask. So, that's next. I haven't had a good night's sleep since I put on the CPAP unit before bed, 3 weeks ago. I also have a latex allergy.

I have a feeling that you and I aren't alone in our allergies and difficulties with the CPAP experience.

I'm wondering if the "cure" is worse than the "disease." The Inspire product could be next for me, and.....no, I can't imagine doing that. LOL.

It looks like I may have to go in to an informal Sleep Apnea research mode.

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Profile picture for surreal name @sofaramnotdead

Hi, it's 5 years since you wrote your post above. How are you doing?

Yes, I'm having the same problem you have. I'm allergic to silicone. The nurse in the Sleep unit told me I could try a foam mask. So, that's next. I haven't had a good night's sleep since I put on the CPAP unit before bed, 3 weeks ago. I also have a latex allergy.

I have a feeling that you and I aren't alone in our allergies and difficulties with the CPAP experience.

I'm wondering if the "cure" is worse than the "disease." The Inspire product could be next for me, and.....no, I can't imagine doing that. LOL.

It looks like I may have to go in to an informal Sleep Apnea research mode.

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I did switch to the ResMed AirTouch F20 which has a foam facing melded to a silicone mask so pretty much the only thing that comes into contact with your face is the foam material. Overall I have done quite well with that option. I do occasionally experience some redness and rarely a rash on the bridge of my nose but have had no actual skin breakdown. So overall it has been a win for me (and my husband, who also now uses the AirTouch). That said, I don't know if the presence of the silicone and possible inhalation of microscopic particles from it may impact my lungs but if so, there is no really noticeable effects in that regard. I would highly recommend at least giving the AirTouch a try to see if it might work for you. (Please note: the AirTouch is not the AirFit. The AirFit has a soft silicone cushion rather than the foam cushion. My supplier has in the past mixed up the two masks once or twice, so that is something to watch for.)

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I just have a slight allergy which seems to be aggravated by Revlimid.

I always got lightly pink in the mask area. Now I get hot face my nearly everyday.

I'm seriously thinking about quitting the drugs and seeing how my numbers do.

A So called Dr. First Diagnosed my nose redness as roceatia. It wasn't until years later that an allergist said I was allergic to my CPAP mask..
They all.missed the. MGUS and smoldering myeloma

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Profile picture for jrsav @jrsav

I just have a slight allergy which seems to be aggravated by Revlimid.

I always got lightly pink in the mask area. Now I get hot face my nearly everyday.

I'm seriously thinking about quitting the drugs and seeing how my numbers do.

A So called Dr. First Diagnosed my nose redness as roceatia. It wasn't until years later that an allergist said I was allergic to my CPAP mask..
They all.missed the. MGUS and smoldering myeloma

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Interesting on the MGUS and smoldering myeloma. I was referred to an oncologist several years ago when some of my lab work was out of whack. Further testing indicated abnormalities that could be indicative of MGUS but was not definitive. So that brings up the question as to whether there may be a correlation between the silicone/latex/other allergies and the MGUS/multiple myeloma. Just an observation and something to ponder, though probably not any real connection. Our bodies are so intricate and complicated but operate as one integrated system, so something out of order in one area can affect other areas. Despite huge leaps over the years in our understanding of the body and how it functions, we still only comprehend a small portion of the wholeness and interactivity of the created being. God's ways are indeed so much higher than we can begin to understand.

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Profile picture for hairchic @hairchic

I’ve used a C-Pap for over 5 years. The allergy is relatively new. I’ve used a soclean machine for over 2 years. I often wonder if this has compounded the problem.

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Me too. It started during the mask mandates for covid, go figure... have done everything dermatology has requested and still no improvement. Believing it is allergy to mask. I too have used SoClean machine. Everything was fine till 1+ ago.

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Profile picture for SanibelSandy @sanibelsandy

Justin, I have had my cPAP since October 2012. I developed skin breakdown (bridge of my nose) within a few weeks of using the machine. I tried various solutions, thinking it was probably a pressure from the mask issue. I tried the gel pads, adjusting the mask straps, etc. but nothing seemed to help. I finally came across an ad for RemZZs several years later and in desperation ordered some. I was surprised when the skin sores healed, thinking it was still a pressure issue; I couldn't figure out how such a thin material could provide enough cushioning to relieve the pressure and allow healing. Then it finally clicked that the nose pads on my eyeglasses were also causing skin irritation/breakdown where they came in contact with the skin. Yep, they were made of silicone. Question answered, but no really satisfactory solution. I used the RemZZs until a year or two ago, but they sometimes slipped and were a nuisance because they had to be repositioned every time I removed and replace my mask. I searched cPAP.com for other alternatives and noticed the Silentnight cushions and ordered some. They do have an advantage in that they are adhered to the mask and don't have to be removed/repositioned every time I remove and replace my mask. The problem is the size options are limited (one size fits most--ha!). They do help the skin breakdown on the bridge of the nose, but the opening is too large for my mask (Lady ZestQ) so I still get some skin irritation below my nose since the cushion opening is too large and doesn't cover the lower part of my mask opening.( Note: I also have latex allergy.) I see an allergist regularly and do have a pulmonologist that I see for my sleep apnea, but neither of them has had any suggestions to help resolve the issue. I am managing with the Silentnight nasal cushions, but again they aren't the complete solution. I was just wondering if anyone else is dealing with this issue and how they handled it. Thank you for your help.

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you are NOT alone.....I too am having the same issue with no resolution
My pulmonary dr says he's never had anyone with this issue and my dermatologist has not been able to resolve. Thinking allergist is next, I know I have Latex allergy.

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Profile picture for rmontana @rmontana

you are NOT alone.....I too am having the same issue with no resolution
My pulmonary dr says he's never had anyone with this issue and my dermatologist has not been able to resolve. Thinking allergist is next, I know I have Latex allergy.

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What helped me with the mask issue was a CPAP comfort cover for the mask. I now use a ResMed F20 full face mask but I've had the comfort covers for each one that I had. My sleep medicine PA was the one who told me about them.
https://cpapcomfortcover.com/.

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I love my dental device verses my cpap.
With RBD there also was no way I could continue to use it either.
Speak with your dentist.
You will also need to be retested with a sleep study to see if any adjustments need to be made.

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