Question: I was taking 150 mg of sertraline for MDD and Adderall XR 25 mg. I was refferred by my LCSW therapist to a psych MD to evaluate my drugs for possible improved pharmacotherapy and review of my diagnosis. Shee started me on lamotrigine 25 mg per day x 2 weeks then instructed to up to 50 mg per day then we will reevaluate. She is not in her office now and for 2 days I have become increasingly itchy to the point of misery. No SJS rash appearance but extreme itchy under skin - started with my hand and I thought it was my dishidrotic eczema appearing, however took shoes off last night and had small hives on skin around the heel ( with intense itching, also itching at back of my head on scalp, around hairline on my neck, behind knees, under breasts ( just itching but no radh) and my pubic area inclunding labia majora and skin crease between legs and lab maj is red and raw. Last night took 50 mg of benadryl then another 50 before bed and sat in colliodal oatmeal bath for 30-40 min which helped and was able to sleep. Took Allegra this morning but starting to feel the "itchies again" & dont know what to do - am a Travel RN and am away from home ? Suggestions? continue slowly?? do i continue lamictal and treat itchynor quit lamictal if this will be consistent??

is cortisone cream ok to use?