Hello. Thank you for asking at HCM. I went through your history. I would like to know your age, at present I assume you are a young adult or middle-aged adult. The medications you are taking right now are commonly used for allergic rhinitis and asthma. If you are using them regularly as suggested by your doctor and still have episodes of acute breathlessness, I would suggest you to upgrade/change your asthma controller medicines, i.e., Triohale. I would highly recommend you to make sure your technique of using inhaler is perfect, as if it is not correct, drug will not be going adequately into lungs and the inhaler will not benefit as expected. As you have seasonal variations, I would suggest you to consult an Allergist who may advise you allergy testing and suggest further measures to avoid allergy causing substances. I would suggest you to have regular breathing exercises, Yoga and Pranayama along with nutritive diet rich in vitamins, minerals and anti-oxidants. Please try to avoid dusts-smokes-air pollution as much as possible. Hilly areas are free of air-pollution and smoke, but they can have pollens due to trees, at times dusty if it is a bare hilly area. Hope this will be helpful to you. Wish you the best of the health. Regards.