Tired of Congestion and Fatigue? Let’s Talk Allergies and Sleep Apnea

Dr. Martin Hopp MD, ENT
If you live with sleep apnea, you already know the struggle of restless nights and groggy mornings. But if you’re also battling seasonal allergies, that stuffy nose might be doing more than just annoying you during the day — it could be quietly sabotaging your sleep and even interfering with your sleep apnea treatment.
Let’s unpack how allergies and sleep apnea are connected, how allergies can make treatment less effective, and most importantly, how you can manage allergy symptoms across seasons to breathe — and sleep — a little easier.
The Allergy-Sleep Apnea Connection

When allergy season strikes, your nasal passages become inflamed and congested. This inflammation narrows your airways, making it harder to breathe, especially at night. For people with snoring or sleep apnea, this is a serious issue.
Sleep apnea occurs when the airway repeatedly becomes blocked during sleep, causing pauses in breathing and oxygen drops. Add swollen nasal tissues to the mix, and you’ve got a recipe for louder snoring, more frequent apnea events, and more sleep disruptions overall.
Even if you don’t have full-blown sleep apnea, allergies can trigger or worsen snoring. And if you already rely on treatment for sleep apnea, like an oral appliance or CPAP, allergy symptoms can make these treatments less effective — which brings us to the next point.
How Allergies Can Undermine Sleep Apnea Treatment
Whether you’re using a CPAP machine or a custom oral appliance, keeping your airways as clear as possible is key for treatment success. Here’s how allergies interfere:
- CPAP challenges: Nasal congestion makes it uncomfortable (or impossible) to use a CPAP properly. You might feel like you’re suffocating, leading to lower compliance.
- Mouth breathing issues: Allergy-related nasal blockage often forces mouth breathing, which can decrease the effectiveness of oral appliances meant to keep the airway open.
- Increased inflammation: Chronic allergic reactions contribute to airway inflammation, increasing the likelihood of obstructed breathing at night.
In short: unmanaged allergies can diminish the benefits of your sleep apnea therapy and leave you feeling just as tired as before treatment.
Seasonal Allergy Tips to Support Better Sleep

Spring and Summer:
Pollen counts skyrocket in warmer months.
- Keep windows closed during high pollen days.
- Shower and change clothes after spending time outdoors.
- Use HEPA filters in your bedroom.
- Consider over-the-counter or prescribed antihistamines or nasal sprays.
Fall:
Ragweed and mold are common culprits.
- Rake leaves promptly to reduce mold buildup.
- Use a dehumidifier to control indoor moisture.
- Establish or continue air filtration and cleaning routines.
Winter:
Dust mites and indoor allergens take over.
- Wash bedding weekly in hot water.
- Vacuum carpets and upholstery regularly.
- Use dust-mite-proof covers on pillows and mattresses.
Year-Round:
- Saline nasal rinses can help flush allergens from nasal passages.
- Talk to an allergist about long-term solutions like immunotherapy.
- Maintain routine follow-ups with your doctor to monitor both allergy control and sleep apnea treatment effectiveness.
Clearer Airways, Better Sleep

Managing allergies isn’t just about daytime comfort — it’s a crucial step toward improving your sleep apnea and getting the restful nights you deserve. By staying ahead of seasonal triggers, keeping your environment clean, and working with your healthcare provider to manage both your allergies and your sleep apnea, you’ll be setting yourself up for better sleep and better health. Don’t let congestion stand in the way of effective treatment. Take control of your allergies, and you might just breathe easier all night long.
Allergies might add an extra hurdle, but treating your sleep apnea doesn’t have to be complicated. With Daybreak’s at-home solutions, you can keep moving forward toward better sleep and better days.
