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As we saw in the previous chapter, the options for drug therapy in the treatment of sleep apnea are few and relatively ineffective. Some drugs may be appropriate when central apnea is the problem, since they act to repair the mechanisms responsible for a malfunctioning respiratory drive. Protriptyline, for example, stimulates the muscles of the upper airway; it also decreases the time spent in REM sleep, thus minimizing the periods during which most severe OSA occurs. In OSA, however, the causes of the breathing disruption are usually of a physical nature, making drug therapy largely useless. Sleeping pills, commercial or prescription, are no solution. I have discussed the fact that use of sedatives may produce sleep but can also act to prevent the sleeper from waking up enough to begin breathing after an apnea attack. What’s more, such drugs suppress respiratory function even further—in some cases to the point of death. test cialis 20mg
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