Help! Can’t breathe out my nose!! Argh!

So every single night I get ready to go to bed and one of my nostrils is clogged. It’s not just clogged but the pressure in my sinuses bothers me too. So far I have tried:

Breathe right strips, extra strength every night

Humidifier

Peppermint/eucalyptus oil

Vick’s

Saline spray

Netti pot

I sleep with my head almost vertical

Hot steam showers at night

Benadryl

Sudafed

I know being pregnant I’m not supposed to use Afrin but I did the past 3 nights because otherwise I just lay awake for hours at like 1:00 in the morning. Idk what to do.. anyone else have other suggestions??

I’m 18 weeks with twins btw.

Thanks in advance!! The struggle is real.