Hello, Thank you for asking at HCM. I went through your history and would like to make suggestions for you as follows: 1. I would suggest you allergy testing for common air-borne allergens like house dust mites, molds, pollens, insect proteins, animal dander (if you have pet), etc. As you have morning symptoms more often, I would first think of indoor allergens like house dust mites, molds and insect proteins. This will help you identify the substance causing allergies to you as well as to know the measures to avoid them. 2. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long duration. Please note that Immunotherapy takes time to become most effective. It gradually reduces your requirement of medications. 3. For symptom relief, I would suggest you combination of montelukast and levocetirizine which will reduce your allergy symptoms. 4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health ahead. Thank you & Regards.