MAD fixed my sleep apnea but symptoms stayed the same
Short backstory: I can't remember I actually ever felt refreshed from sleep. I felt like I hadn't slept for 2 weeks when I woke up sometimes. This led to me having a lot of trouble getting out of bed, but it would get okay after a while. When I started to get this feeling every day, and I had persisting tiredness during the rest of the day I finally had a sleep study done. My doctor had also ruled out other factors and blood work.
I got diagnosed with mild sleep apnea (AHI 11) where my saturation stays fine. Got an MAD in February and I was very hopeful. However, after two months I would still wake up unrefreshed and remained tired during the day. I would get 8+ hours of sleep every night with MAD, but still fell asleep during a presentation at work. The MAD had 4 different settings, where I got jaw pain from the furthest one but could sleep fine with the 3rd. I also tried it on and off for a few nights, but I never felt any worse when I didn't wear it. I started feeling pretty bad and I guess a bit hopeless. Got a control sleep study done with MAD where my AHI was only 1,5. When I stopped wearing the MAD, I actually felt better than the period before (although it got worse again after that).
I am now getting referred to a neurologist/somnologist (appointment at the end of June) and because my wedding is in 2 weeks he prescribed me modafinil. I feel pretty good with it, although it takes about 2,5 hours to work and it wears off when I get home from work. Afterward I do notice a little anxiety related side-effects and some rebound where I feel overwhelmed again.
I'm wondering if there are any people here that are or were in the same boat as me? What ended up being the cause?
Posted May 24, 2026, 2:58 AM UTC