Hello. Thank you for asking at HCM. I went through your history and would like to make suggestions for you as follows: 1. I would almost completely agree with your treatment but one thing I would like to emphasize is all the above medications can control symptoms. Once you stop the medications, there are chances that the symptoms may return, if they are due to allergy. 2. I would like to specifically emphasize importance of technique of using inhaler. Please make sure that your technique is perfect, if it is not so, there are high chances that the drug may not reach your lungs and therefore seems ineffective. 3. For allergy, I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid exposure to them. Based on the reports of allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on your immune system and improves allergy symptoms over a long run. 4. For your skin symptoms, I would additionally suggest you to apply lotion like calamine over itchy areas. Please do not scratch where you itch, it can aggravate itching. 5. In general, I would suggest you to avoid exposure to dusts ,smokes and air pollution as much as possible. 6. Regular breathing exercises and a healthy nutrition will help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.