Is It OK to Use Tap Water in a CPAP?

Using tap water in a Continuous Positive Airway Pressure (CPAP) machine is generally not recommended. While it might seem convenient, using tap water can lead to operational issues for the device and potential health concerns for the user. There are specific reasons why it is not the preferred choice for CPAP humidifiers.

Understanding Tap Water Risks

Tap water, despite being safe for drinking, contains various elements that can pose problems when used in a CPAP machine’s humidifier. A significant issue is the presence of minerals like calcium, magnesium, and iron. When heated, these minerals do not evaporate with the water vapor but remain in the tank, leading to a buildup of scale or white dust. This mineral residue can clog components, reduce machine efficiency, and shorten the lifespan of the humidifier and the CPAP device itself.

Beyond mineral deposits, tap water can harbor microorganisms like bacteria, fungi, and protozoa. The warm, moist environment within a CPAP humidifier creates an ideal breeding ground for these microbes, which can become aerosolized and inhaled directly into the respiratory system. Inhaling these contaminants can lead to respiratory irritation, infections, or more severe conditions like pneumonia, especially for individuals with compromised immune systems. Additionally, tap water may contain chemicals such as chlorine and fluoride, which, while safe for consumption at low levels, can become aerosolized when heated and potentially irritate the lungs or airways.

The Importance of Distilled Water

Distilled water is the recommended choice for CPAP humidifiers because it is purified to remove impurities. It is produced by boiling water into vapor and then condensing the steam back into liquid in a separate container. This distillation process effectively separates water from minerals, chemicals, bacteria, and other contaminants, resulting in a highly pure form of water.

Using distilled water in a CPAP machine offers several benefits for the device and user’s health. It prevents mineral deposit accumulation, protecting the humidifier from damage, extending machine life, and ensuring consistent humidification. Without minerals, no residue is left to clog components or create surfaces for harmful microorganisms to grow. Distilled water is also free of microbes and chemicals, significantly reducing the risk of inhaling airborne contaminants and safeguarding respiratory health. It is widely available in stores and is an inexpensive option, making it an accessible solution for CPAP users.

Addressing Issues from Incorrect Water Use

If tap water has been used in a CPAP humidifier, switch to distilled water immediately. Regular and thorough cleaning of the humidifier chamber and tubing is important to address existing mineral buildup or microbial growth. Daily cleaning involves rinsing the water chamber, and weekly cleaning should include washing the chamber with mild soap and warm water.

For mineral deposits that have already formed, a solution of white vinegar and water can be effective. A common recommendation is a mixture of one part distilled vinegar to one part water for soaking hard plastic parts, or one part vinegar to nine parts water for weekly cleaning. After cleaning with vinegar, rinse all components thoroughly with distilled water to remove any residue and prevent lingering odors. Signs of problems from tap water use include white mineral buildup, unusual odors, or reduced performance of the humidifier. If respiratory symptoms persist or the machine continues to malfunction after switching to distilled water and thorough cleaning practices, consulting a CPAP provider or healthcare professional is recommended.