About this trial
Sleep-disordered breathing (SDB or sleep apnea) is very common among elderly Veterans and leads to increased morbidity and mortality in this population. The proposal aims to identity whether oxygen, finasteride and acetazolamide can be effective in reducing unstable breathing and eliminating sleep apnea in the elderly via different mechanisms. This proposal will enhance the investigators' understanding of the pathways that contribute to the development of sleep apnea in the elderly. The investigators expect that the results obtained from this study will positively impact the health of Veterans by identifying new treatment modalities for sleep apnea. A cumulative effect of the investigators' research will fulfill the long-term goal of improving the quality of life of elderly Veterans suffering from sleep apnea and its potential life-threatening complications.
Eligibility criteria
Qualifiers
Adults with mild to moderate sleep apnea with Apnea-Hypopnea Index (AHI)>/=5 to 20/hour with central, obstructive, mixed apneas and hypopneas
For the finasteride protocol elderly men with above criteria will be enrolled
Disqualifiers
Patients with severe sleep apnea (Apnea-Hypopnea Index (AHI)>20/hour)
Patients with history of prostate cancer
Males with hypogonadism
History of cardiac disease, including myocardial infarction
Trial design
Treatments tested in this trial
- Hyperoxia/oxygen
- Acetazolamide
- Finasteride