Sleep Apnea Treatment Without CPAP: Best Alternatives That Actually Work
Discover clinically-proven CPAP alternatives for obstructive sleep apnea relief—from innovative intranasal stents to lifestyle modifications that restore restful sleep without masks, noise, or complicated equipment.
Sleep apnea treatment without CPAP is now a reality for millions struggling with obstructive sleep apnea (OSA), snoring, and disrupted breathing at night. If you've abandoned your CPAP machine due to discomfort, mask leaks, claustrophobia, or travel inconvenience, you're not alone—studies show that nearly 50% of CPAP users discontinue therapy within the first year. The good news? Effective alternatives exist that can reduce your Apnea-Hypopnea Index (AHI), improve oxygen saturation levels, and help you wake feeling genuinely refreshed. From CE-certified intranasal devices like Back2Sleep nasal stents to positional therapy and oral appliances, this comprehensive guide reveals science-backed solutions that work for mild-to-moderate sleep apnea—giving you and your partner the peaceful nights you deserve.

Why Millions Are Seeking CPAP Alternatives
CPAP (Continuous Positive Airway Pressure) remains the gold-standard treatment for moderate-to-severe obstructive sleep apnea. However, the reality of daily CPAP use often differs dramatically from clinical expectations. Understanding why people struggle with CPAP helps identify which alternative might work best for your specific situation.
Mask Claustrophobia
Many users experience anxiety and panic when wearing full-face or nasal CPAP masks, making consistent therapy nearly impossible.
Travel Inconvenience
Carrying bulky equipment, finding power sources, and explaining machines at airport security creates significant barriers for frequent travelers.
Partner Disturbance
The humming noise of CPAP machines and air leaks from masks often disturb bed partners, creating relationship strain.
Skin Irritation
Prolonged mask contact causes pressure sores, acne breakouts, and facial marks that many find unacceptable long-term.
The Best Sleep Apnea Treatments Without CPAP
From intranasal stents to surgical interventions, here are the most effective alternatives ranked by efficacy, convenience, and user satisfaction.
1. Intranasal Stents: The Revolutionary CPAP-Free Solution
Intranasal devices represent one of the most significant innovations in non-invasive sleep apnea treatment. Unlike external nasal strips that merely widen nostrils, internal nasal stents like Back2Sleep create a continuous airway passage from nostril to soft palate—preventing the tissue collapse that causes both snoring and apneic events.

2. Mandibular Advancement Devices (MADs)
Oral appliances that reposition the lower jaw forward help maintain an open airway during sleep. Custom-fitted by dentists, these devices work best for mild-to-moderate obstructive sleep apnea and primary snoring. However, they may cause temporomandibular joint (TMJ) discomfort and tooth shifting with long-term use.
3. Positional Therapy
For position-dependent sleep apnea (where events occur primarily when sleeping on your back), specialized devices and techniques encourage side-sleeping. While effective for some, this approach requires consistent compliance and doesn't address all types of airway obstruction.
4. Hypoglossal Nerve Stimulation (Inspire)
This surgically-implanted device stimulates the hypoglossal nerve to prevent tongue-based airway obstruction. Reserved for patients who cannot tolerate CPAP, it requires surgery and costs significantly more than non-invasive alternatives.
CPAP vs. Alternative Treatments: Complete Comparison
| Feature | CPAP Machine | Intranasal Stent | Oral Appliance | Surgery |
|---|---|---|---|---|
| Effectiveness (Mild-Moderate OSA) | High | High (92%) | Moderate-High | Variable |
| Setup Time | 5-10 minutes | 10 seconds | 30 seconds | N/A |
| Travel-Friendly | No (bulky) | Yes (pocket-sized) | Yes | N/A |
| Noise Level | Audible hum | Silent | Silent | N/A |
| Partner Disturbance | Common | None | Minimal | None |
| Monthly Cost | €50-100 (supplies) | €35 (subscription) | €20-40 | One-time |
| Electricity Required | Yes | No | No | No |
How Intranasal Stents Eliminate Snoring and Apnea
The Back2Sleep intranasal orthosis works on a fundamentally different principle than CPAP. Rather than forcing air through collapsed tissues, it physically maintains an open airway channel from nostril to soft palate. Made from medical-grade soft silicone, the CE-certified device is dermatologically tested and designed for nightly comfort.
Apply Lubricant
Use the included water-based gel for smooth, comfortable insertion.
Insert in 10 Seconds
Gently place the stent into one nostril until properly positioned.
Sleep Naturally
The device maintains airway patency throughout the night—silently.
Wake Refreshed
Remove easily in the morning and clean in under 2 minutes.

Real Results From Real Users
Verified experiences from Back2Sleep customers across Europe and beyond—rated 4.8/5 on Trustpilot.
"Efficient—my wife finally thanks me! After 10 years of CPAP struggles, I switched to Back2Sleep. From the very first night, no more snoring. She can finally sleep in the same room again."
Lyon, France
"I travel between Osaka and Tokyo weekly by Shinkansen. Before Back2Sleep, I was too embarrassed to sleep on the train. Now I nap whenever I want without worrying about disturbing other passengers."
Tokyo, Japan
"My AHI was 27 and I used CPAP for a decade. The mask gave me sores and the noise drove my partner crazy. Switching to this nasal device changed everything—I sleep deeply and wake energized."
Berlin, Germany
"Since I can now sleep properly, the drowsiness is gone. I used to struggle staying alert during long drives—now I maintain concentration easily. This tiny device made a massive difference."
Barcelona, Spain
"At first, I didn't love the feeling—it took about 4 nights to adjust. But the more I used it, the more I trusted it. Now I won't travel without it. My morning dry mouth is completely gone."
Brussels, Belgium
"My partner was ready to sleep in separate rooms because of my snoring. After just one week with Back2Sleep, we're sharing the bed again. It truly saved our relationship."
Amsterdam, Netherlands
Affordable Sleep Apnea Treatment Options
Choose the package that fits your needs—all with free express delivery and 15-day satisfaction guarantee.
Starter Kit
- 4 stent sizes (S, M, L, XL)
- 15-night trial supply
- Water-based lubricant included
- Detailed usage manual
- Find your perfect fit
Monthly Subscription
- 2 stents in your chosen size
- Free delivery every month
- Cancel anytime—no commitment
- Fresh devices for optimal hygiene
- Priority customer support
Annual Plan
- 12 months of stents
- Save €121 vs. monthly
- Just €24.91 per month
- Free priority shipping
- Best long-term value
Shipping: €5 within France | 48-hour express delivery available | Also available in pharmacies
Is a CPAP Alternative Right for You?
While CPAP remains essential for severe obstructive sleep apnea, many individuals with mild-to-moderate OSA can achieve excellent results with alternatives. Consider switching if you experience:
CPAP Intolerance
Claustrophobia, skin irritation, or persistent mask leaks making therapy impossible.
Mild-to-Moderate Sleep Apnea
AHI scores between 5-30 events per hour respond well to alternative therapies.
Primary Snoring
Disruptive snoring without significant apnea events often resolves with nasal stents alone.
Frequent Travel
Need a portable, electricity-free solution that fits in your pocket.
Partner Complaints
Your CPAP noise disturbs your partner more than your original snoring did.
Hidden Nasal Congestion
You breathe fine during the day but experience nighttime nasal obstruction.
Ready to Sleep Without Your CPAP?
Join over one million users who've discovered peaceful, mask-free nights with Back2Sleep intranasal stents.
Order Your Starter Kit TodayFrequently Asked Questions
Complementary Lifestyle Changes for Better Sleep
While devices like intranasal stents address the mechanical cause of airway obstruction, combining treatment with lifestyle modifications maximizes results. Research confirms these changes significantly reduce sleep apnea severity:
Weight Management
Even a 10% reduction in body weight can decrease AHI by up to 26%. Excess tissue around the neck and throat directly contributes to airway collapse.
Sleep Position Training
Side-sleeping reduces gravitational pressure on airways. Positional therapy devices or simple tennis ball techniques can help maintain lateral positioning.
Alcohol Limitation
Alcohol relaxes throat muscles excessively, worsening apnea. Avoid drinking within 3-4 hours of bedtime for noticeably better breathing.
Humidity Control
Dry bedroom air increases nasal congestion. A humidifier maintains optimal moisture levels, reducing nighttime breathing resistance.
Experience CPAP-Free Nights Starting Tonight
Over 1 million devices sold. 92% satisfaction rate. 15-day return policy. Discover why Back2Sleep is Europe's leading CPAP alternative.
Get Started With the Trial KitQuestions? Contact our sleep specialists or learn about our mission.