### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear Doctor. I am a Service Engr dealing with Photo copiers and Printers. During my work it is unavoidable to inhale the toner (dry ink powder) while cleaning the machine and in due course my nose was blocked and i used otrivin for five years twice a day (two puffs) to clear the passage. when i get cold the pain was unbearable. So 8 months back, I went to a ENT DOCTOR & He told that i was suffering from Medica Mentosa due to otrivin usage + Allergic rhinitis due to inhalation of toner and Polyps and I was operated. Now i am feeling good but if i happen to take a fresh copy of photostat copy in my hand or if i happen to read a news paper or book printed out of low quality ink i get a itching sensation in my nose. So i came to the conclusion that i am allergic to printing ink. Doctor, Can you suggest me a medicine that is free from big side effects? I am 40 years old put up at Chennai.

### output:

Hello sir, Welcome to Chat Doctor. I would suggest two options for you. As you have to deal with photocopiers & printers daily, you can take a combination tablet of antihistamine & montelukast daily. Another option is you can use intranasal corticosteroid spray daily.Side-effects will be least with the 1st option, but if you have severe nasal blockage/other symptoms, it will be good if you use intranasal corticosteroid spray for 2 weeks and then change to oral antihistamine-montelukast tablet. I suggest you not use decongestant nasal sprays (such as origin) unless you have severe blocked nose, and that too, not for more than 3 days. You can cover your nose and mouth with mask while dealing with photocopiers & printers. Please try to avoid dusts, smoke & pollution. Daily breathing exercises & Panama will help you on a long run. Wish you best of the health. Chat Doctor. 