I had an allergy test done when I was very young (I barely remember it), though I think it typically requires a specialist (not sure). I've been taking Zyrtec for seasonal allergies for as long as I can remember. I used to take it as a syrup, but switched to the 10mg pills within more recent years. It used to be year round, now it's mostly just in the spring (sometimes in the fall, if it becomes bothersome at certain points). As for effectiveness, I personally can notice the difference when I haven't taken it; that said it does have its limitations. I will note that I am told it causes drowsiness, as you seem to have noticed, and I've always taken it just before bed.
It seems that my allergies were worse when I was younger, and for some time I took a prescription called Singulair (brand name for Montelukast). In short, this seemed to take care of a lot of the stuff that Zyrtec was less effective for. Rather than blocking histamine action like Zyrtec, it blocks leukotriene receptors. I'm not overly knowledgeable when it comes to medicine, but I'm thinking that might help. As far as OTC options, I'm not familiar with anything else.
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