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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.
Best Overall
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Designed especially for sleepers who use a CPAP mask, the Contour Living CPAPMax 2.0 Bed Pillow has an ergonomic design that supports your head and neck. Cutouts on the edges allow you to comfortably sleep on your back or side without compromising your mask’s fit. An extended hose tether also lets you move during the night without leaks from your mask.
Shoppers who prefer a firm feel are most likely to enjoy this pillow’s orthopedic molding. The CPAPMax 2.0 has a flippable design that lets you choose your sleep surface. One side features vented memory foam that closely contours and helps relieve pressure points while the other has a microfiber fill that feels more like a traditional pillow. Both sides share a support core made from foam that’s engineered to be resilient.
Sleepers can adjust the pillow’s loft by adding or removing layers. These layers are infused with charcoal that’s intended to neutralize odors. A removable mesh and fiber fill cover wraps the pillow. Shoppers can add an optional cotton cover to their purchase.
Contour Living backs the CPAPMax 2.0 with a 2-year warranty. Free economy shipping is available to shoppers in the contiguous U.S. who spend over $49. There is a 45-day window for those who wish to return their pillow.
Best Value
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The EnduriMed CPAP pillow is one of the most durable options we’ve found, offering customers both comfort and strong cervical support over its long lifespan. While some other memory foam pillows can compress over time, our testing has shown that this pillow holds its shape well without becoming firm or brittle. The pillows design also features a removable pad to allow users to adjust the pillow’s loft as needed.
Despite featuring mask accommodation for side sleepers, this pillow is best for people who sleep on their back. It features a lower loft to allow for the natural curve of the spine, with a shoulder cut-out and molded cervical support. This design gently encourages proper cervical alignment while also stabilizing the position of your head on the pillow. Some people end up in an uncomfortable position during the night due to the extra weight of a CPAP mask and hose, but this pillow’s molded support should help prevent this from happening.
All CPAP users who sleep on their back should find the Endurimed CPAP pillow works well for them, regardless of what type of mask they use. If you sleep on your side and still choose this model, it accommodates nasal and nasal pillow masks the best. It comes with a removable cotton cover and is backed by a 30-day manufacturer’s warranty.
Best Luxury
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The Technogel CPAP Pillow from Relax the Back has a unique shape and features high-quality materials that may be attractive to shoppers looking for a luxe PAP therapy pillow. An ergonomic butterfly shape allows users to sleep on either their sides or backs with minimal interference from their CPAP headgear.
This CPAP pillow has two layers, and shoppers can choose between thick (5.1 inches) and regular (4.5 inches) loft levels. The bottom layer is made from memory foam that helps relieves any pressure or discomfort caused by wearing a mask.
Technogel, a proprietary gel, comprises the top layer and is engineered to help sleepers stay cool. Hot sleepers may also appreciate the pillow’s breathable design which is intended to increase airflow within the memory foam layer. You can sleep directly on the Technogel for the coolest surface or use the included zip-off cover as a buffer.
Though it has a higher-than-average price-point, the Technogel CPAP Pillow’s cost may be worth it to sleepers who want a durable, pressure-relieving pillow that’s compatible with CPAP masks. The pillow comes with a 2-year warranty, but shoppers can receive an additional year by registering their product. Returns and exchanges are not allowed on this pillow.
Best for Neck Pain
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Some sleepers find that a balance of pressure relief and alignment can help to alleviate neck pain. Shoppers looking for those qualities in a CPAP Pillow may find the Respura CPAP Pillow from Health Products for You a suitable option.
This pillow features a bottom cutout that’s designed to accommodate direct nasal and full-face masks connected to CPAP or BiPAP devices. Those who sleep on their backs or sides should be able to rest without their masks shifting or leaking significantly during the night.
The Respura is intended to support the neck and head as well as provide pressure point relief. Those who feel uncomfortable sleeping in their mask should find this pillow alleviates some of that discomfort.
A viscose and polyester cover wraps the pillow and adds breathability. Viscose is derived from bamboo and well-known for regulating temperature, something hot sleepers may appreciate. The Respura CPAP Pillow also has a below-average price-point and could be a good fit for shoppers on a budget.
Those who spend over $150 with Health Products for You receive free shipping. There is a 30-day return window for new or unused pillows.
Best Travel CPAP Pillow
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Unlike most of the other CPAP pillows on the market, the Core Mini CPAP pillow has a fairly simple design and a down alternative filling. The Core Mini provides surprisingly robust support to CPAP users regardless of their mask type or preferred sleeping position. Its lightweight design also makes it a great choice for frequent travellers, including for use while traveling by air.
While molded foam pillows are now the most popular form of CPAP pillow, the Core Mini’s crescent shape is one of the original CPAP pillow designs. The pillow is shaped to fit against the body without any excess, leaving plenty of room for whatever type of mask you use. 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 Core Mini features a down alternative filling with a cotton cover that cannot be removed, though pillow cases can be purchased through the official Core website. The manufacturer stands behind their pillow with a 1-year warranty covering common manufacturing defects and flaws.
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.
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. These categories may be more or less important to you, 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.
Mask Accomodation
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 should look for 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.
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.
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.
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.
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.
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