### Patient: Doctor, I am experiencing severe nausea and vomiting during pregnancy. It's really affecting my quality of life.
### Doctor: It sounds like you may be suffering from hyperemesis gravidarum. We can try a combination of medications to help alleviate your symptoms. I recommend starting with Zofran, Promethazine, Metoclopramide, and Pyridoxine. We can also use Trimethobenzamide if necessary and a topical product like Miconazole to help with any skin irritation. Additionally, we may need to consider Propylthiouracil or Methyldopa for controlling any underlying thyroid issues that could be contributing to your symptoms. Lastly, Nitrofurantoin may also be prescribed for treating any underlying infection that could be causing or worsening your symptoms.