Kevin's Should Be Award-Winning Allergy Strategy, Born in 1995, Revised 2010, Shared Last in 2021

Newest drug adopted a decade ago at the top. 

Caveat. I am not a medical professional, so any advice here is just from a guy who moved to a rural, farming county when he was 23, and thought his sinus infections were getting worse, because he insisted he didn’t have allergies. That was more than 30 years ago.

Start with OTC (Over the Counter): Loratadine made the rest of these unnecessary. I take it daily in my allergy seasons.

Chlorpheniramine, 4 mg , one tablet or two at bed-time, depending on severity. Available over the counter. Decongestant. (no longer take)

Guiatex La #30 - name for Entex - VERY strong decongestant, taken twice a day, with LOTS of water. (Haven’t taken in 20 years. Pre-loratadine.)

Beconase - steroid inhalant, taken two sprays in each nostril, once in a.m., once in p.m. Effective about two days after you begin, it is an antihistamine - it stops your membranes from secreting mucus when they're irritated by an allergen. It is best if you do this right after you do the nasal lavage below. (Still take sometimes. Honestly, this next thing is what makes the difference for most of us.)

(Caveat three or four. I lost count: No idea why people use a “Neti pot,” as it isn’t pressurized to get the water up there and wash stuff out. Gravity is one of my favorite things in the world - huge fan - but insufficient for getting water up into parts of my sinuses.)

MOST IMPORTANT THING - nasal lavage. Buy a rubber ear bulb. Fill a coffee cup with warmed, distilled water (no tap water or bottled water -  minerals etc. will irritate your mucus membranes further). 

Stir in half a teaspoon of salt and a quarter teaspoon of baking soda. Warm in your microwave to lukewarm (cold - BAD; hot - BURNS).  Fill the bulb, and with your head upright, while you stand over a sink (water is going all to come out one of your nostrils in a second), insert the tip into a nostril, and with whatever hand is comfortable, close the flange of that nostril to make a seal around it. Then squeeze; the water goes up, cleans the entrances to your sinus cavities, washes away the irritants, and comes out the other nose.

Then do the other side.

Do lavage as frequently as necessary; every few hours is ideal. Nasal lavage will change the allergist’s life.

Possibly Influential Thing: - When I eat fewer dairy products, cheese on the pizza, ice cream, all of them, I became a much less snotty person. My chronic sinusitis virtually vanished. For many of us, it's news that it isn't just people from Asia who have an allergy to dairy products, that in fact many of us have this allergy. Consider giving it up for a month combined with tracking your health - don't take my word for it.