I know you said OTC, but if you can’t find one you may be able to get one compounded at a compounding pharmacy. I too am sensitive to many fillers and I know how frustrating it can be
Have you tried LDN? Soliris and I were discussing MCAS offline and I found this case study on MCAS/POTs interesting as it’s a combo many on here have.
https://www.ncbi.nlm.nih.gov/pmc/articles/pmc5778345/