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Comment by jrockway | Hacker News Reader

I was prescribed a CPAP (well, APAP as you mention) and the first week was miserable. I think I got 3 hours of sleep total that week, and obviously felt like crap. I talked to my primary doctor and she's like "well then go back to the specialist". That's what I'm doing.

My plan is to get a prescription I can use to buy a bunch of different masks (I don't care about the cost), and get a few days of sleep aids. That should sort it out.

The few hours I did sleep with a CPAP were crazy. I forgot that I stopped having dreams. I had so many dreams while I could breathe at night.

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What bothers me is that you need a prescription to get a mask for a CPAP - I kinda get the prescription needed for the CPAP - but the accessory mask - that just seems absurd to me.

Looks like there's plenty of masks available on Amazon. I suspect a major part of why the mask gets a prescription is to make insurance covering it simpler.

Yeah, doctors can write a prescription for over the counter drugs for this reason.

There's a funny workaround where mask parts don't require a subscription. The ones I've seen on Amazon are usually selling parts, perhaps a kit of parts, and not a complete mask.

I bought masks at sleeplay and another cpap store and they didn't ask for prescriptions. Sleeplay did ask for a prescription when I wanted to buy a travel CPAP.

You don't need a prescription for CPAP masks and you don't need a prescription for CPAP devices. You can freely buy both in most parts of the world. If you happen to live somewhere where you can't (and you can't get a prescription for some reason), then I suggest you find an online reseller anyway.

From a few minutes on Google, it appears like most developed countries require a prescription to purchase a CPAP device, including the US (varies per state), Canada, UK, Australia, Germany, France and Italy.

The most notable exceptions I find are Japan and Singapore, where it can be purchased without an Rx.

I think those places need a prescription in order for insurance to pay for the machine, not to buy the machine.

That is incorrect in at least Canada and Spain.

As for other developed countries, they typically have universal healthcare and the patient does not need to pay for CPAP devices. Regardless, insurance and prescriptions are orthogonal.

You can order them online, not sure if a prescription is required:

https://cpapoutlet.ca/

You need to email them or fax them a prescription. I live in Canada. I know this for a fact. I had to do it myself.

From the website you linked:

> All CPAP machines require a prescription for shipment. Details of submitting a prescription are provided below. If you have any questions or concerns, please call us toll-free at 1-855-542-2727.

Source: https://cpapoutlet.ca/pages/shipping-returns-policy

No, you need a prescription in the US. And that prescription is withheld by sleep specialist “doctors” until you do an expensive and unnecessary sleep study. These doctors serve no useful role other than telling you really obvious things, but you are forced into multiple appointments with them just for the prescriptions. Going through insurance then can require at least one more follow up appointment, but sometimes more depending on your plan. Some of them require multiple appointments where the doctor confirms your usage.

That’s not true at all, I purchased mine in the UK without a prescription.

The websites I found indicate that a prescription is required in the UK to purchase a CPAP machine. If you have any alternative links, please do share.

Here is an example of what I found:

> Do I need a prescription to buy a CPAP mask?

> You do need to provide written confirmation of CPAP suitability when ordering a machine, but this is not required for a CPAP mask.

Source: https://www.cpap.co.uk/help-and-advice/cpap-mask/

I buy my masks on Amazon. No prescription needed.

Also, the nasal pillow "masks" are vastly superior.

at least for me, it took like two weeks of adjustment to get used to a CPAP.

one big thing is that you really should only breathe through your nose if you're using nasal pillows.

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