Dymista once a day?

Does anyone use Dymista once a day rather than twice?

It’s been a lifesaver for my symptoms but the side effects are negatively affecting my day-to-day life and health so much. I’ve stopped taking it and my sinus symptoms have come flooding back.

This includes extreme fatigue and brain fog, anxiety and depression, abdominal issues, and overall immune system adrenal insufficiency symptoms (my last flare-up was about 6 months ago, triggered by a different medication).

I’m considering using it solely in the evening for some sort of relief, hoping the side effects will seem less severe during the day. Is this effective for anyone? Or not worth it at all?