Can't tolerate HCQ, mtx, or aza. What next?

I'm so freaking discouraged. It's been a two year journey of trying to find a medication that my body can tolerate. Azathioprine made me sick to my stomach, methotrexate made me vomit relentlessly, and hydroxychloroquine gives me aquagenic pruritis (severe itching when I come into contact with water). I'm so sad, I even tried branded HCQ Sovuna for the last month to see if that would work and I've been feeling SO MUCH better as far as lupus symptoms go, but the itch came roaring back the last three nights. I've tried four different manufacturers. 😭😭 What now? My rheumatologist has been resistant to a biologic, but I'm transitioning to care at Hopkins in a month.