Hello Indu, Welcome to Healthcare Magic and thank you for writing to us. Your symptoms and progression to difficult asthma is a story shared by many and is the natural progression of allergic rhinisinusitis to asthma. You must ensure allergies are checked either in the form of skin prick testing or specific IgE against the extended aeroallergens/inhaled panel. If specific allergies are identified, then you need to optimise the asthma control with combined inhalers (long acting beta 2 agonists + inhaled steroids) like Symbicort or Seretide and continue on MontekLC. Immunotherapy against the inhaled allergens is currently the most effective way of preventing allergic progression and occasionally combined with anti-IgE therapy (Omalizumab). The anti-IgE therapy is quite expensive and would depend where you are now or how easily you can get or afford it. This must be given by physicians experienced with anti-IgE therapy. I hope this helps. Best Wishes.