CPAP Machine in Hyderabad: Pulmonologist-Supervised Setup, Titration and 90-Day Follow-Up
A CPAP machine set to the wrong pressure is worse than no CPAP at all. Here is what a clinically supervised purchase looks like, and why it changes whether the therapy actually works.
Medical disclaimer: This page is reviewed by Dr. Kunal Waghray, DM Pulmonology, and co-reviewed by Dr. Pradyut Waghray, MBBS MD FRCP (London) FCCP FAMS. It is for informational purposes only and does not replace a consultation with a sleep physician. CPAP is a prescribed medical device. Pressure settings must be determined by a qualified clinician based on your sleep study.
Last reviewed: 2026-05-11 by Dr. Kunal Waghray
A CPAP machine set to the wrong pressure is worse than no CPAP at all. You wake up gasping, you swallow air all night, you abandon the device inside a month, and you blame the brand. The brand was rarely the problem.
At Respire Airway Clinics, a CPAP purchase includes a pulmonologist-led titration session with Dr. Kunal Waghray, an in-person mask fitting, humidifier calibration for Hyderabad's climate, and a 90-day follow-up to fix the adherence problems that show up in week three. That is the part the distributor cannot sell you on Amazon.
Why CPAP Pressure Is the Variable That Matters
The brand on the box does not decide whether your therapy works. The pressure setting does.
CPAP holds your upper airway open during sleep by delivering a steady stream of air at a prescribed pressure, measured in centimetres of water (cm H₂O). The pressure your airway needs depends on your anatomy, your weight, your sleeping position, your AHI (apnea-hypopnea index from your sleep study), and whether you have a deviated septum or enlarged tonsils. Two patients with the same diagnosis can need pressures four points apart.
We see this in clinic every month. A patient arrives with a machine set at 12 cm H₂O bought from a supplier, complaining the device “isn't working.” On titration, the airway opens cleanly at 7. Drop the pressure, and the same machine performs exactly as designed. Nothing was wrong with the equipment. The setting was guessed.
A CPAP machine is a prescribed medical device for sleep apnea treatment, and the prescription is the pressure.
What CPAP Titration Actually Is
Titration is the procedure where a sleep physician calibrates your CPAP pressure to the level your airway actually needs.
In-lab titration
Performed during an overnight sleep study. A technologist gradually increases CPAP pressure while monitoring breathing, oxygen levels, and sleep stages. The physician identifies the lowest pressure that eliminates apneas, hypopneas, snoring, and oxygen drops across every sleep stage and every body position.
Auto-titration (APAP)
An APAP device records pressure data across one to two weeks at home. The pulmonologist reviews the download to set a fixed pressure or a pressure range. The American Academy of Sleep Medicine accepts either method for straightforward obstructive sleep apnea when supervised by a qualified physician.
A titration session at Respire runs 60 to 90 minutes for the in-person fitting, plus a download review at the two-week mark. You leave with a pressure number that is yours, not an average.
What Goes Wrong When CPAP Is Bought Without Titration
Four failure modes show up again and again when patients buy CPAP from a retail channel and set it themselves.
CPAP vs APAP vs BiPAP: When Each Is Prescribed
The choice of device is a clinical decision, not a feature comparison.
Fixed-pressure CPAP
AHI is stable across positions and sleep stages, and a single pressure value clears the airway through the night. The workhorse device for most patients with moderate obstructive sleep apnea.
APAP (auto-titrating CPAP)
Pressure need varies significantly between supine and lateral sleep, or when positional OSA is present. Varies within a prescribed range, breath by breath. Also used as a titration tool.
BiPAP (bi-level positive airway pressure)
Fixed pressures above 15 cm H₂O are required, when a patient cannot tolerate exhaling against fixed pressure, when there is overlap with COPD, or when central apneas are part of the picture. BiPAP is not a CPAP upgrade. It is a different prescription for a different physiology.
Dr. Kunal Waghray decides which of the three you need based on your sleep study, your symptoms, and the titration data, not on what the distributor has in stock.
Masks and Humidifiers for Hyderabad's Climate
Mask fit and humidification are where most of the day-to-day comfort wins live.
Nasal masks
Cover the nose only. Work well if you breathe through your nose all night.
Full face masks
Cover nose and mouth. Needed if you mouth-breathe, have a chronic nasal block, or wake with a dry mouth on a nasal mask.
Nasal pillows
Sit at the nostril openings. Least face real estate. Suit minimalist sleepers and those with claustrophobia.
Hyderabad climate note: The dry winter months (November to February) pull moisture out of your airway at therapy pressures, leading to a sore throat and morning hoarseness. The monsoon months (June to September) introduce condensation in the tubing. A heated humidifier with adjustable temperature, plus a heated tube where indicated, solves both. We dial these settings in person at the fitting and revisit them at the 90-day follow-up.
What CPAP Setup at Respire Includes
A supervised CPAP purchase at Respire bundles five things into one process.
The integrated team matters here. ENT, pulmonology, and sleep medicine are in one clinic, so a mask leak that turns out to be a deviated septum gets handled in the same building.
CPAP Machine Price in Hyderabad and What Is Included
Reliable units from ResMed and Philips Respironics are available across Hyderabad. Indicative retail ranges:
A retail purchase ends at the device. A supervised purchase at Respire includes the titration session, the mask fitting, the humidifier calibration, the first download review, and the 90-day follow-up. When you compare the two on whether the therapy actually works at the one-year mark, the supervised purchase is the more cost-effective option: most retail patients have stopped using the device by then.
Rental options are available for short-term trial or post-operative use. Speak to our team about current rates and EMI plans.
Frequently Asked Questions
What is the price of a CPAP machine in Hyderabad?
Fixed-pressure CPAP machines from ResMed and Philips Respironics typically range from around Rs. 35,000 to Rs. 65,000 in Hyderabad. APAP units run higher, usually Rs. 55,000 to Rs. 95,000, and BiPAP devices start near Rs. 85,000. A supervised purchase at Respire bundles the device with titration, mask fitting, humidifier calibration, and a 90-day follow-up, which a retail purchase does not include.
Can I rent a CPAP machine in Hyderabad?
Yes. Rentals are useful for short-term needs such as a one to four week therapeutic trial, post-operative recovery, or while waiting for insurance approval on a purchase. We provide rental units with titration and mask fitting included. Speak to our team about current rental rates and terms.
What is the difference between CPAP and BiPAP?
CPAP delivers a single continuous pressure across inhale and exhale. BiPAP delivers a higher pressure on inhale and a lower pressure on exhale, which makes it easier to breathe out against high pressures. BiPAP is prescribed when CPAP pressures above 15 cm H₂O are needed, when a patient cannot tolerate fixed-pressure exhalation, when there is overlap with COPD, or when central apneas are present. BiPAP is not a CPAP upgrade. It is a different prescription.
How do I get a CPAP prescription in India?
A CPAP prescription requires a diagnostic sleep study, either an in-lab polysomnography or a validated home sleep test, followed by a clinician interpretation that yields an AHI score and a pressure recommendation. At Respire, the pulmonologist reviews the study, runs a titration session, and issues a written prescription specifying device type, pressure, mask, and humidifier setting.
Does CPAP have side effects?
The common ones are dry mouth, nasal congestion, mild skin marks from the mask, and a feeling of air pressure on the face during the first nights. Less common are aerophagia (air swallowing) and treatment-emergent central apneas. Most side effects resolve with a pressure adjustment, a different mask, or humidifier changes, which is exactly what the 90-day follow-up is for.
What is the best CPAP machine brand in India?
Both ResMed and Philips Respironics are well-supported in India and produce reliable devices. The more important question is not the brand but the pressure setting, the mask fit, and whether you actually use the device every night. We recommend a model based on your titration data, your face shape, and your data-tracking needs.
Book a CPAP Titration Consult
If you have a recent sleep study, bring it. If you do not, we will arrange one. The consult includes a pulmonologist review with Dr. Kunal Waghray, a device recommendation, and a written pressure plan.
Book a CPAP consult at Basheer Bagh or Jubilee Hills, Hyderabad.
All consultations are strictly confidential. No referral needed.
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