Hello, Thank you for asking at HCM. I went through your history and would like to make suggestions for your daughter as follows: I would like to know more about her like - a. since when does she have asthma? b. what is frequency of her asthma symptoms? c. what are her nose symptoms? d. does she have any other medical conditions? e. which medications does she use regularly and which ones she uses on as-and-when-needed basis? etc. For making more specific suggestions, such detailed information is necessary. At present, I would like to make suggestions from your given history as follows: 1. I would suggest her allergy testing for common air-borne allergens like house dust mites, molds, pollens, insect proteins, animal proteins, etc. This will help you to know the substances causing allergies to her as well as to know the measures to avoid them. 2. Based on allergy testing, an Allergist-Immunologist may prescribe her allergen specific immunotherapy which works gradually on immune system to improve her asthma-allergy symptoms on long term basis. 3. For symptom control, I would suggest her regular use of montelukast + levocetirizine. Opinion regarding use of inhalers can only be given after knowing details about her symptoms. 4. In general, I would suggest her to avoid exposure to dusts, smokes and air pollution as much as possible. 5. Regular exercises, including breathing exercises and a healthy diet will also help her in long run by improving her lung capacity and immunity respectively. Hope above suggestions will be helpful to her. Should you have any further query, please feel free to ask at HCM. Wish your daughter the best of the health ahead. Thank you & Regards.