Hi,
Since you have a known
allergy problem for so long you would definitely agree with me for the following:
The first and foremost treatment of allergic problems is avoidance of the allergens.
By this time you should have known the factors that instigate or enhance your problems and hence the thumb-rule is to avoid all such factors.
Make a list of all such factors. Once you avoid all such factors the symptoms, the complications therein and medications reduce drastically.
Zyrtec and nebulization treat the symptoms and not the disease.
Furthermore go for proper investigations of blood and
CT scan of nose and para-nasal
sinuses to know any development of polyps and so on and to get corrected all such things either by proper medications or surgery if needed.
You may need to change the place of residence or work if changing helps you.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr. T Chandrakant, General Surgeon