instruction: hi doctor I am years I am facing sneezing and itchy throat due to this problem I am avoiding a few foods like chicken brinjal pumpkin I face this problem in the early morning after I wake up from bad also I start sneezing when I pass through the dusty environment also I start sneezing when I was around any unnatural smell like paint wooden polish etc one doctor prescribed me montelukast and cetirizine last year and I am using the medicine whenever I face this issue it gives temporary relief to me is this medicine good for my health can I use this continuously for a long time please advise thank you
output: hello you seem to be having vasomotor or allergic rhinitis we need to diagnose it so that the treatment will address the cause however temporarily the symptomatic treatment would entail the use of steroid nasal sprays with antihistaminic and montelukast the choice of nasal spray and the antihistaminic can be done based on your work and response allergy to dust particles local flora and pollen can be overcome by finding out the offending agent and avoiding it entirely such a diagnosis can be made using blood elisa testing or skin prick testing sometimes the offending agent can be food allergen also regarding the choice of antihistaminics there are second generation antihistaminics with less sleep as a side effect some medicines like cetirizine can produce sleep and dryness of the mouth fexofenadine is slightly better that way asteroidal nasal sprays are generally safe and can be used for a long term fluticasone and mometasone are popular for further support do revert back to me in that case please attach your previous consultation papers any blood investigation reports if you can click a picture of the throat with open mouth showing the posterior pharyngeal wall it will be helpful for us to check for any postnatal drip congestion follicles nodes etc hope to see you in good health soon