Long flights and sleep apnea: what should you do with your CPAP?

Long flights and sleep apnea: what should you do with your CPAP?

Epworth test

An Epworth test measures the general level of daytime sleepiness through simple, though non-scientific, questions. This test indicates whether a thorough evaluation is warranted in order to diagnose a sleep disorder.

Long flights and sleep apnea: what should you do with your CPAP?

When preparing for a flight lasting several hours, one question often comes up for people being treated for sleep apnea: Should I bring my CPAP… and more importantly, should I use it during the flight?

The answer depends on several factors, but here are the key elements to help you make an informed decision.

Bringing your CPAP on the plane: yes, without hesitation

Even if you don’t plan to use it during the flight, it is strongly recommended to bring your CPAP in your carry-on luggage. CPAP devices are considered medical devices and generally do not count as an additional carry-on item.

This helps avoid any risk of damage, loss, or delays that could occur if the device were checked in the hold.

Using it during the flight: is it necessary?

For most people, using a CPAP on the plane is not essential, especially if the flight is short and you remain in a semi-upright position.

However, using it may be beneficial in certain situations:

  • very long flights (8–10 hours or more),
  • moderate to severe sleep apnea,
  • significant symptoms without CPAP (excessive sleepiness, headaches, feeling of choking),
  • overnight flights where you plan to sleep for several consecutive hours.

Practical considerations

Before planning to use your CPAP on a flight, a few things should be checked:

  • Power supply: not all airlines allow CPAP use with onboard power outlets, and available power may be insufficient. An approved external battery may be required. Don’t hesitate to contact your airline ahead of time for more information.
  • Airline authorization: some airlines require a medical form or prior declaration.
  • Space and comfort: using a CPAP in an airplane seat can be restrictive, both for you and nearby passengers.

What about at your destination?

Even if you choose not to use your CPAP during the flight, the most important thing is to resume your treatment on the very first night at your destination. Jet lag, fatigue, and shorter nights can worsen sleep apnea symptoms.

In summary

  • ✔️ Bring your CPAP in your carry-on: yes, always
  • ✖️ Use it during the flight: optional, depending on flight length and your condition
  • ✔️ Plan ahead (authorization, battery, accessories)
  • ✔️ Top priority: use it at your destination

Traveling with sleep apnea requires a bit of planning, but with good preparation, it’s entirely possible to fully enjoy your trip while still taking care of your respiratory health.

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