Hello.
Thank you for asking at HCM.
I went through your history and would like to make suggestions to you as follows:
1. Were I treating you, I would prescribe you
montelukast regularly in addition to your treatment. It helps in both nose and asthma symptoms.
2. For nose symptoms, I would suggest you
levocetirizine or cetirizine. For asthma symptoms, I would suggest you to use
salbutamol inhaler on as-and-when-needed basis.
3. Personally, I would suggest you
allergy testing which will identify the substances causing troubles to you and also to know how to avoid exposure to them.
An Allergist-Immunologist may prescribe you allergen specific
immunotherapy based on allergy report which works on your immune system to improve your allergy symptoms gradually.
4. Please avoid exposure to dusts, smokes and air pollution as much as possible.
5. I would also suggest you regular
breathing exercise and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) which will improve your lung capacity and immunity respectively and will help you in a long run.
As long as permanent/long term effective treatment, allergen specific immunotherapy may be effective in
allergic asthma. All the other medications used in treatment can only control the symptoms.
Hope above suggestions will be helpful to you.
Should you have any other query, please feel free to ask at HCM.
Wish you the best of the health.
Thank you & Regards.