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Continuous positive airway pressure (CPAP) is the frontline treatment for sleep apnea, a breathing condition which affects millions of Americans. While CPAP is a very effective treatment, some people struggle to adjust to the mask they must use every night. Accessories can make treatment more comfortable, and CPAP pillows are one of the most popular accessories for ensuring a good night’s sleep while using a CPAP machine.

CPAP pillows — not to be confused with CPAP nasal pillows, which are a type of low-profile mask — are pillows designed to accommodate a CPAP mask. They vary in design, but most have cut-outs or curves so that CPAP users can sleep on their side without their mask digging into their face. Other designs may be adjustable or stabilizing rather than accommodating. A CPAP pillow may also improve treatment efficacy by making it less likely for an active sleeper to dislodge their mask.

Choosing the right CPAP pillow depends on your personal preferences and budget, as well as what type of mask you use and your preferred sleep position. We’ll introduce you to our favorite models, then walk you through the most important factors to consider before making a purchase.

In-Depth Reviews

The Borden Textile CPAP Pillow caters to sleepers who use CPAP devices, especially those who frequently experience therapy disruptions from jostled tubing. The plush design also offers plenty of cushioning for those who need it.

  • Pros

    1. Polyester fill gives the pillow a plush feel

    2. Cutout design accommodates CPAP mask and hoses

    3. Reasonable price-point

  • Cons

    1. Some may find the polyester fill too soft

    2. Pillow may be less suitable for sleepers who use top-of-head tubing

Price

$50

Fill

Polyester

Firmness

Medium

A good CPAP pillow is one that keeps your head and neck properly aligned with your spine without jostling your CPAP mask in the middle of the night. The Borden Textile CPAP Pillow pulls off this feat thanks to a unique design that helps prevent excessive shifting of your mask and tubing.

What Does It Do?

The pillow is designed with ample cutouts on each side to allow space for your CPAP tubing and mask to rest while you sleep. This reduces the likelihood of dislodging your mask, which ultimately ensures more effective CPAP therapy. The pillow’s polyester fill is soft and plush, and it’s encased in a breathable cotton cover.

Who It’s Best for

The Borden Textile CPAP Pillow is well suited for side sleepers, since the cutout shape on the bottom allows space for the shoulder while maintaining support for the neck and head. Side sleepers are also more prone to hose and mask interference, so the cutout design is a noteworthy benefit. Back sleepers and combination sleepers will also find the cutout design advantageous for the same reasons as side sleepers.

The pillow is affordably priced compared to some other CPAP pillows we’ve reviewed. A small flat-rate fee is charged for shipping if you purchase the pillow on The Sleep Doctor.

Contour’s CPAPmax 2.0 is thoughtfully designed to meet the various needs of CPAP users. Side cutouts, a tube tether, and adjustable loft elevate this pillow over many competing models, and an approachable sticker price makes it a solid option for budget-conscious shoppers.

  • Pros

    1. Memory foam inserts can be added or removed to optimize the loft

    2. Tether stabilizes the tube and helps prevent rainout

    3. Mesh-paneled cover promotes airflow and offsets heat retention

  • Cons

    1. Foam layers emit strong off-gassing odor when the pillow is new

    2. Design may not accommodate masks with top-of-head tubing

Price

$60

Fill

Memory foam with fiber fill, support polyfoam

Firmness

Medium Firm

Comfortable sleep can be elusive for people who need CPAP therapy, and the wrong pillow can exacerbate this problem. The Contour CPAPmax 2.0 is equipped with features intended to stabilize your mask while you sleep, preventing rainout and reducing the potential for air leaks in the process. Adjustable loft and a breathable mesh cover further boost the pillow’s appeal for CPAP users.

What Does It Do? 

The pillow’s core begins with a top layer of memory foam, followed by two layers of high-resiliency (HR) polyfoam that form a stable base. All three foam layers are ventilated to promote airflow throughout the interior, and the base layer is infused with charcoal for additional cooling. You can remove one or two of the layers to lower the profile if you normally sleep on your back or stomach. Regardless of how many inserts you use, the pillow feels fairly firm.

Both sides feature cutouts to support your face mask’s tubing. A tether attachment further stabilizes the tube by preventing it from tugging on or pulling away from your mask, which in turn reduces kinks and helps maintain steady airflow. A breathable cover with mesh side panels encases the inserts. You can remove and machine wash the cover as needed.

Who It’s Best for

While the adjustable design means you can lie comfortably on the pillow in any position, the side cutouts are especially useful for side sleepers. The CPAPmax 2.0 is also a good choice for combination sleepers who use more than one position on any given night, as the pillow is easy to adjust compared to models with shredded foam fill.

Although the pillow is compatible with many mask types, you may notice restricted airflow if your mask has top-of-head tubing. You may also notice some strong off-gassing when the pillow is new. These odors eventually dissipate, but people who are highly sensitive to smells might struggle for the first few nights.

The Contour CPAPmax 2.0 Pillow is competitively priced. If you purchase the pillow through Sleep Doctor and reside in the U.S., your order qualifies for reasonable flat-rate shipping. You may return the pillow unused and unopened within 60 days of delivery.

If you’re a side or back sleeper who needs a balance of cushioning and support from your pillow, the Medline CPAP Pillow with Memory Foam offers the best of both worlds. The shape is also perfect for accommodating CPAP gear while you sleep.

  • Pros

    1. Unique shape accommodates CPAP masks

    2. High-density memory foam balances contouring and support

    3. Foam composition helps relieve pressure buildup

  • Cons

    1. High potential for strong initial odor

    2. Foam may trap and absorb heat

Price

$65

Fill

High-density memory foam

Firmness

Medium Firm

The Medline CPAP Pillow with Memory Foam is a solid choice for sleepers seeking a pillow that removes some of the discomforts that can arise when using a CPAP mask with more traditional pillows. The Medline model has an approachable price-point compared to other CPAP pillows on the market.

What Does It Do?

The specialized shape of the pillow is meant to accommodate CPAP masks and tubes, reducing pillow interference that can sometimes jostle masks and result in leakage. The pillow measures 13 inches by 20 inches, with a 5-inch loft. It’s filled with memory foam that molds closely to the shape of your neck and head. The cover has a zippered construction and may be machine washed for easy care.

Who It’s Best For

The close contouring of the memory foam offers relief to sleepers who experience pressure buildup at night, yet the high density composition of the foam maintains enough support to keep the head elevated and aligned with the spine. This mid-range loft is best suited for side and back sleepers, while stomach sleepers may find it too thick to keep their neck aligned with the spine.

Medline pillow purchases on Health Products For You are returnable within 30 days. A refund will be issued, minus a restocking fee.

If your pillow is constantly dislodging your CPAP mask and hose while you sleep, the Vive CPAP Pillow might be the perfect solution. The curved design is meant to keep mask and hose in place through the night.

  • Pros

    1. Solid memory foam offers excellent pressure relief

    2. Cutout design prevents mask from pushing against the face

    3. Polyester shell is removable and machine-washable

  • Cons

    1. Low-loft design may not provide enough cushioning for side sleepers

    2. Foam may emit bothersome off-gassing odor after unboxing

Price

$89

Fill

Memory foam

Firmness

Medium

Traditional pillows have a tendency to push against CPAP masks at night, which can cause uncomfortable pressure against the face. The Vive CPAP Pillow has an ergonomic design that allows CPAP masks to rest with minimal pushback against the face.

What Does It Do?

The pillow is made with solid memory foam encased in a machine-washable polyester shell. The unique shape includes cutout curves that provide a space for the mask and tubes to rest, producing minimal pushback against the face. This not only feels more comfortable but also reduces the risk of your mask being pulled away from your face, which can lead to leakage.

Who It’s Best For

The foam conforms closely to the head and neck to relieve pressure buildup, which can be beneficial for sleepers who experience neck pain at night. At the same time, the pillow is firm enough to keep the head from sinking too deeply, especially compared to down or down alternative pillows. The pillow is 13 inches by 20 inches, with a 3.5-inch loft that is ideal for back sleepers.

Vive CPAP Pillows purchased on Health Products For You may be returned within 30 days for a refund, minus a restocking fee.

Many CPAP pillows are composed of memory foam, but the Core Products Mini CPAP Pillow caters to sleepers who enjoy pillows with a fluffier feel. The compact size makes it ideal for travel.

  • Pros

    1. Crescent-shaped design accommodates all sleep positions

    2. Fiber filling is lightweight for travel

    3. Excellent temperature regulation

  • Cons

    1. Down alternative fill offers less neck support than solid foam

    2. Pillow can only be hand washed

Price

$70

Fill

Down Alternative

Firmness

Medium

Unlike most of the other CPAP pillows on the market, the Core Products Mini CPAP Pillow has a fairly simple design and a down alternative filling. The pillow provides surprisingly robust support to CPAP users regardless of their mask type or preferred sleeping position.

What Does It Do?

The Mini CPAP Pillow features a down alternative fill with a cotton cover that cannot be removed, though pillow cases can be purchased through the official Core Products website. While molded foam pillows are some of the most popular CPAP pillows, the crescent shape is one of the original CPAP pillow designs and is still quite effective at accommodating CPAP gear. The pillow is shaped to fit against the body without any excess, leaving plenty of room for whatever type of mask you use.

Who It’s Best For

The pillow’s lightweight design makes it a great choice for frequent travelers, including for use while traveling by air. It is effective for both side and back sleepers, although its design may be an adjustment for side sleepers accustomed to a larger pillow. Active side sleepers may also dislodge the pillow, as it requires fairly precise positioning. The Mini CPAP is also a good choice if you enjoy the feel of alternative down instead of memory foam.

The manufacturer stands behind its pillow with a 1-year warranty covering common manufacturing defects and flaws.

How to Choose a CPAP Pillow

Choosing the right CPAP pillow can be confusing. There is a wide range of pillows specifically designed for CPAP users, and other types of pillows — particularly wedge, cervical, and adjustable pillows — can also be helpful for CPAP users. We’ll walk you through the details you should know and factors to consider before making a purchase. By focusing on your own needs and arming yourself with information, it’s possible to choose a CPAP pillow that provides you with personalized comfort.

What to Consider When Purchasing a CPAP Pillow

CPAP pillows are often advertised with many marketing terms that have little concrete meaning. Comfort, for example, is highly personal — the “most comfortable” CPAP pillow might be perfect for one person and less than ideal for another.

To help our readers cut through the marketing talk, we’ll examine 11 critical factors to keep in mind when choosing a CPAP pillow. Some categories may be more important to you than other categories, but considering each of them will allow you to accurately judge what pillow might work for your needs.

Sleeping Position
Your preferred sleeping position is one of the most significant factors to consider when buying a CPAP pillow. Side sleepers should look for a pillow with cut-outs or curves to provide space for their mask, while people who sleep on their back often find that cervical pillows provide the stability and comfort they need. Some pillows are also shaped differently at the top and bottom so that combination sleepers can turn them as required. Stomach sleepers, on the other hand, usually find a nasal pillow mask most comfortable when paired with an adjustable memory foam or gel pillow.

Loft
A pillow’s loft refers to its height. While traditional pillows usually have one height, pillows designed for CPAP users often have dips and curves to provide cervical support or space for a CPAP mask. The ideal pillow loft also depends on your preferred sleep position, with side sleepers requiring a thicker neck support than back or stomach sleepers.

“Side sleepers tend to need a high-loft pillow for support and to fill the space beneath the head and neck to promote proper spinal alignment. Keep your head and neck in alignment at around 30 degrees with the help of a good pillow so your airway stays open during the night, allowing air to flow from your nose to your lungs without obstruction.”

Sarah Silverman, Psy.D., a licensed psychologist and holistic sleep wellness consultant who treats patients in New York and Florida.

Mask Accommodation
There are several types of CPAP masks, with the most common varieties being full-face, nasal, and nasal pillow masks. Bulkier masks like full-face and nasal models require more accommodation, particularly for side sleepers, while nasal pillow masks tend to work well with most CPAP pillows. Before deciding on a CPAP pillow, consider whether the cut-outs or curves will allow enough space for your mask in your usual sleeping position.

Support
Most high-quality CPAP pillows offer excellent support through the cervical spine. This is thanks to their design, but also their materials — most CPAP pillows are made from memory foam, which provides soft comfort while still supporting the neck better than a traditional feather pillow. However, customers should make sure to choose a pillow with the right loft for their sleeping position in order to receive full support.

Firmness Level
CPAP pillows tend to range from medium to very firm. Most are intended to provide excellent cervical support while accommodating a CPAP mask, which requires firmer construction than a feather or down pillow. While softer options are available, most people quickly adjust to a firmer model and appreciate the additional support.

Pressure Relief
“Firm” doesn’t have to mean uncomfortable.  A well-made CPAP pillow will contour against the head, allowing for a buoyant feeling with a supportive core. CPAP pillows made from memory foam tend to offer the best pressure relief, though latex and polyfoam options also provide gentle contouring.

Shape
CPAP pillows are available in a range of shapes meant to support the cervical spine and provide space for a CPAP mask. Different shapes may be more or less effective for the type of mask you have or for support in your preferred sleeping position. For example, a back sleeper looking for cervical stability may prefer deeply curved support around their neck, while a side sleeper mostly interested in space for their full-face mask may require a thinner central support with generous cut-outs at the sides.

Price
CPAP pillows are considered “non-essential” and are therefore not covered by insurance providers. Most cost between $30 and $75, though some models may be available for less and luxury versions can cost significantly more. As with other CPAP accessories, it’s crucial to choose the right pillow rather than the least expensive one. Pillows need to be replaced far less often than many other CPAP accessories, making them worth the investment.

Quality Materials
As with any other piece of bedding, a CPAP pillow should be made of high-quality materials. Most models use memory foam or polyfoam for support, both of which are synthetic materials that work extremely well for this use. However, latex options are available for people who prefer naturally derived materials for their bedding. A high-quality CPAP pillow will also have a soft, comfortable cover that can be washed.

Moldability
Some CPAP pillows are made from shredded memory foam that can be molded and adjusted for the right amount of support and mask space. Most CPAP pillows cannot be adjusted this way, so customers should decide on their adjustability preferences before narrowing down their options.

Temperature Regulation
Although memory foam and polyfoam are the ideal choice for most CPAP users, they do tend to retain heat throughout the night and can be uncomfortably warm for some people. Different manufacturers approach temperature regulation in different ways, with features like improved airflow and the use of gel memory foam.

Purchasing a CPAP pillow is similar to buying any other pillow, but there are enough unique factors to overwhelm and confuse many people. In this section, we’ll answer some of the most common questions our readers have about buying and caring for a CPAP pillow.

Frequently Asked Questions About CPAP Pillows

How much do CPAP pillows cost?

CPAP pillows usually cost between $30 and $75, with an average price-point of around $50. A CPAP pillow that doesn’t fit your needs can lead to neck pain, as well as making it more likely for you to dislodge your mask during the night. Because of this, it’s crucial to buy the right pillow rather than the least expensive one. CPAP pillows aren’t covered by insurance providers, but a high-quality pillow can be bought on a budget by comparison shopping or waiting for a sale.

Do I need a prescription for a CPAP pillow?

CPAP pillows are considered an accessory item and do not require a prescription. Thanks to this, they can be purchased from many online and brick-and-mortar retailers who do not specialize in CPAP items. However, specialized CPAP retailers are likely to offer a wider selection at better prices than general retailers.

Can I wash my CPAP pillow?

Most foam CPAP pillows can be washed in the bathtub with warm water and a small amount of mild soap, but using and regularly washing a pillowcase is a better way of keeping it clean day-to-day. Some CPAP pillows come with a pillowcase or cover that hugs their cut-outs and curves, which can make for a more comfortable experience. If your CPAP pillow does not have a pillowcase, an oversized ordinary pillowcase made of a soft, stretchy material like cotton jersey is the best option. When washing the foam core of your pillow, squeeze out the excess water and leave it to dry rather than wringing it out or otherwise compressing the foam.

What other pillow styles are good for CPAP users?

In addition to cervical pillows and those with cut-out accommodation for masks, CPAP users may find that wedge-shaped pillows and adjustable shredded foam pillows work well for their needs. Different types of sleep apnea pillows fit different needs, so we recommend you speak to your sleep specialist about what design might work best for you. Wedge pillows, for example, can reduce gravity-related airway compression and therefore improve the effect of CPAP treatment in some people.

Still have questions?

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