Sleep Apnea
Conditions
Keywords
acetazolamide, Treatment Emergent Sleep Disordered Breathing, Sleep Apnea
Brief summary
This is a single center pilot study evaluating the immediate effects of low-dose acetazolamide on respiratory control in subjects with treatment emergent sleep disordered breathing. The purpose of this study is to assess the immediate effect one-time low-dose acetazolamide on sleep breathing in (Treatment Emergent Sleep Disordered Breathing) TE-CSA subjects compared to subjects' baseline evaluation without acetazolamide. Investigators will also try to determine the immediate effect of one-time low-dose acetazolamide on subjects' resting ventilation and ventilatory response slope compared to subjects' baseline evaluation without acetazolamide.
Interventions
Two single dose administrations of acetazolamide (once before daytime testing, and once before nighttime testing)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥18 to 80 years * TE-CSA * Subjects are capable of giving informed consent
Exclusion criteria
* Hypersensitivity to acetazolamide or other sulfonamides * Intake of carbonic anhydrase inhibitors within the last 72 hours * Intake of medication that influences breathing, sleep, arousal or muscle physiology * Cheyne-Stokes respiration * Heart failure * Renal failure * Liver failure * Chronic hypercapnea * Hyponatremia * Hypokalemia * Pregnancy * Breastfeeding mothers * Active drug/alcohol dependence or abuse history
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severity of Obstructive Sleep Apnea before and after acetazolamide administration using Laboratory Nocturnal Polysomnography | 60 Days |
| Total lung capacity before and after acetazolamide administration | 60 Days |
Secondary
| Measure | Time frame |
|---|---|
| Gas composition with and without acetazolamide using Resting Ventilation Study (RVS) | 20 Minutes |
| Measure of ventilatory response to carbon dioxide (CO2) without and with acetazolamide | 15 Minutes |
| Measurement of Arterial Blood Gas (ABG) | 60 Days |
| Measurement of Venous Blood (VB) Analysis | 60 Days |
Countries
United States