Irritation caused by your CPAP* mask can be frustrating, particularly if it affects your sleep.  

If you’re dealing with unexplained irritation, go through our list to work out what could be happening:  

Choose the right type of mask 

Wearing the wrong type of CPAP mask can cause air leaks and pressure issues, leading to dryness and irritation.¹ Find out Which type of CPAP mask is best for me?

Get the right size 

An ill-fitting mask can be uncomfortable, causing irritation if parts rub against your skin. 

Put your mask on correctly 

A mask that’s too tight, too loose, or sitting incorrectly could cause irritation. Always read the instructions that come with your mask before you put it on. Some companies, such as F&P Healthcare, provide therapy users with instructional videos to help them fit their masks correctly. 

Achieve a secure seal 

A secure seal eliminates air leaks, which can irritate the skin, nose, and eyes. To ensure your seal is right, check the fit, examine for cracks or breaks, or ask your healthcare provider for help. 

Avoid over-tightening straps 

Over-tightening can lead to red marks and irritation on your face.¹ 

Keep away from irritating mask materials  

Look for a mask that’s well made, with materials that won’t trap heat or feel rough against your face. Check for allergies to silicone or other mask materials. 

Sweat, bacteria, and dirt on your mask can exacerbate skin conditions such as dermatitis.¹ Reduce the risk by thoroughly cleaning your mask, hose and machine.

Replace your old mask 

If you’ve had your mask for a while, parts of it may have developed cracks, tears or stiffness that could irritate your skin. 

Try a barrier 

A barrier between your mask and your skin can help reduce irritation.²Try a soft mask liner, a gel pad for your nose, or a barrier cream to prevent chafing around your mouth and nose.  

Common types of CPAP-induced irritation 

Mask-induced irritation comes in many forms, including rashes, itchiness, nasal pain and general discomfort. If you’re dealing with one or more irritation issues, here’s what could be happening:  

Skin irritation 

Skin irritation is a common complaint for new CPAP users. If you have sensitive skin or you’re prone to skin issues, a mask can aggravate the problem, causing breakouts or flare-ups.³

Rashes, lines or marks on the face

Some CPAP users notice red marks, lines, and rashes when they use a new mask. If these issues don’t resolve on their own, find more methods for preventing CPAP mask rash here. 

Acne and dermatitis

If you’re prone to acne or dermatitis, the contact between the mask and your skin may make it worse, causing spots, rashes, dryness, and itchiness¹. To avoid exacerbating the problem, always follow the cleaning instructions that came with your mask and use warm soapy water to clean the mask and not harsh chemicals. 

Nasal irritation 

While irritation in and around the nose is more common in pillows-mask wearers, it can affect anyone using any kind of CPAP mask.⁴ Here’s a look at some common symptoms and solutions: 

Bridge of the nose

If you notice irritation, redness, and lines or grooves on the bridge of your nose, loosen your mask, use a gel pad, or try a soft and stretchy mask style to reduce pressure on the area.   

Under the nose

Air leaks, too-tight straps and mask parts rubbing your skin can all cause pain under your nose.¹ Use barrier cream, loosen straps, or switch to a model that may be easier to fit.

Inside the nose

Some nasal mask users suffer from dryness and irritation inside the nostrils, which can turn into painful sores.⁵ Nasal pillow masks may be more likely to irritate your nose, so try a traditional nasal mask if you’re having issues.⁴  

Trouble sleeping 

Sleep issues may be caused by a mask that’s the wrong style or size, air leaking from a poor seal or the noise of your CPAP machine. If your sleep issues don’t resolve over time, talk to your doctor about adjusting your fit or trying a new type of mask. 

The content is for educational purposes only. It should not be used as a substitute for the medical advice provided by your healthcare provider.