CPAP Vs APAP In NZ: What’s The Difference And Which Is Right For You?

If you snore, wake up tired, or your partner has noticed pauses in your breathing, you might be wondering what a CPAP or an APAP machine could do for you. This guide breaks down the key differences in plain Kiwi English, so you can choose with confidence. You will learn how each machine works, who it suits, what it costs, and the best first steps to take in New Zealand.

Quick recap: what a CPAP actually does

A continuous positive airway pressure machine delivers a steady stream of air through a mask while you sleep. That gentle airflow acts like a splint, keeping your airway open. When the airway stays open, snoring drops, breathing becomes regular, and your sleep is deeper. Many people feel more alert within a few nights. If you are after more details or want to browse options, see our range of continuous positive airway pressure machines.

CPAP vs APAP, the simple difference

• CPAP stands for Continuous Positive Airway Pressure. It uses one fixed pressure all night. Your clinician sets that pressure based on your sleep test and trial results.
• APAP stands for Automatic Positive Airway Pressure. It automatically adjusts within a set range as your needs change through the night. If your airway narrows, the machine increases pressure. If you are sleeping quietly, it eases pressure back down.

Think of CPAP as cruise control at a set speed, and APAP as an adaptive cruise that speeds up or slows down to match the conditions.

Is APAP better than CPAP?

It depends on you. APAP can feel more comfortable because the pressure is lower when you do not need much support. It can also handle night-to-night changes, such as sleeping on your back, drinking alcohol, having a cold, or entering REM sleep. Many Kiwis love the comfort and the data features on modern APAP models.

CPAP still wins for simplicity. A single pressure can be very effective and is easy to troubleshoot. Some people prefer the consistent feel. With a good mask fit and humidification, CPAP can be just as comfortable and just as practical.

The best way to know is to test both settings during a supervised trial. Most current machines in NZ are auto-capable, so you can start in APAP mode and, if needed, switch to fixed CPAP after you find the correct pressure.

Who should avoid APAP or use it with care?

APAP is not ideal for everyone. You may need fixed CPAP, or a different therapy if you have:

• Significant central sleep apnoea that is not primarily obstructive
• Severe COPD or certain heart conditions where tight pressure control is needed
• Nighttime hypoventilation or neuromuscular conditions, where a bilevel positive airway pressure machine is more appropriate
• Complex sleep apnoea that emerges during treatment

If you are unsure, start with a home sleep test and talk with a sleep expert. Your results will guide the safest choice.

Are APAP machines more expensive than CPAP machines?

Often, yes, but not always. Many devices sold in New Zealand are auto-capable at similar prices to fixed models. If there is a difference, APAP can be slightly higher due to the extra algorithms. Your total cost is usually driven more by the mask you choose, the warranty, and the included support. 

If you want to try before you buy, our CPAP hire is $5 per day or $35 per week with a two-week minimum. That includes expert setup and support. A short trial shows you what pressure feels best and which mask suits your face.

How to choose the right option for you

1. Start with evidence
   Book a home sleep test. It is quick, done in your own bed, and comes with a consultation to explain your results. Your AHI, oxygen desaturation events, and snoring pattern will indicate the appropriate pressure strategy.

2. Trial the therapy at home
   Do a two-week CPAP hire at $5 per day or $35 per week. We will help you try APAP mode first, then check your comfort and data. If a fixed pressure looks better, we will set that and compare nights. This takes the guesswork out.

3. Pick a comfortable CPAP mask.
   Comfort is king. A well-fitted mask matters more than the mode. We will help you choose a nasal pillow, a nasal mask, or a full-face option that seals well without pinching.

4. Consider your sleep habits
   If your sleep varies a lot, APAP can adapt. If you want simple and steady, CPAP is great. If you have lung or heart issues, we will confirm the safest mode with your clinician.

5. Sort the admin
   Ask us about Afterpay. If you have Southern Cross, we can support your claim. Keep your receipts and any test results handy.

Practical NZ buying and trial advice

• Book a home sleep test first. It confirms whether you have obstructive sleep apnoea and helps us set your starting pressures. You can book a home sleep test online in a few minutes.
• Trial a machine for two weeks. Our CPAP machine hire is $5 per day or $35 per week. You will get coaching on setup, mask fit, humidity, and cleaning. We will review your data together to dial in comfort.
• Lean on support. We offer telehealth consults and ongoing tips so you get quick wins in the first week.
• Use available payment support. Afterpay is available on many products. We also assist with Southern Cross claims to make the process smooth.

Common questions, answered quickly

• What is the difference between a CPAP and an APAP machine? CPAP uses a single fixed pressure. APAP auto adjusts within a range based on your breathing.
• Is an APAP better than a CPAP? It can be more comfortable for variable nights. CPAP is simple and effective once the right pressure is found. Your trial will show which you prefer.
• Who should not use APAP? People with significant central events, certain heart or lung conditions, hypoventilation, or complex apnoea may need fixed CPAP or bilevel. Always check your test results and get advice.
• Are APAP machines more expensive than CPAP machines? Sometimes slightly, but many NZ machines include both modes at similar prices. Trial first, then buy what works.
• What does a CPAP machine do? It keeps your airway open with gentle air pressure so you breathe steadily, snore less, and sleep more deeply.

What about snoring only?

If your main goal is to stop snoring and your sleep test shows no or mild apnoea, you have options. A mandibular advancement device can reduce snoring by slightly advancing the lower jaw to open the airway. Lifestyle tweaks like side sleeping, steady weight management, and limiting alcohol near bedtime also help. For practical tips, see our how-to stop snoring guide. If you want to explore devices, browse a snore mouthpiece or a snoring device and compare pros and cons with us before you buy.

The AwakeNZ way, simple steps to better sleep

• Test at home for clarity
• Trial CPAP for two weeks at $5 per day or $35 per week
• Decide on CPAP or APAP based on comfort and data
• Pick the right mask for a great seal
• Use Afterpay if helpful and talk to us about Southern Cross support

Ready to breathe easier?

If snoring or daytime sleepiness is getting in the way, start with a quick home sleep test. Use our current discount code if shown at checkout for extra savings. We are here to help you choose the right therapy, get the fit sorted, and sleep better faster. Book now, then line up your two week CPAP hire to confirm comfort and results.