You can replace levocetirizine with levocetirizine- montelulast tablet, once daily at night & otrivin nasal drops 2 drops each nostril thrice daily followed by steam inhalation for nose block for a week.will adjust the medicine dose/ add more depending on the blood report.
Next Steps
Do a blood test.. serum IgE, Absolute eosinophil count & review
Health Tips
Avoid dust/ cold/ triggers