oh wow, i suffered with SEVERE migraines with all three of my pregnancies. i lost 30lbs due to a migraine in the late first/early second trimester of my first pregnancy, and i was only 114lbs to start with. yes, i was 84lbs at 17 weeks pregnant... anyhow, with severe pain, you really have to weigh your risks/benefits of medications. if tylenol will help you, by all means, TAKE IT! if that's all it takes, you are fortunate. yes, it's ideal to not take any meds, but pain is also stressful for your body and your baby. i was not fortunate enough for tylenol to do it for me, it took a while to find my magical elixir(turned out to be stadol by the way). but, we went into my subsequent pregnancies prepared. although it seems against all logic, hydrocodone is quite safe during pregnancy, and i kept a low-dose vicodin on hand, and would take half when i felt one coming on - to avoid the out of control spiral that occurred with my first child. i think later in the pregnancy, my OB-GYN preferred fioricet, and i also had a stadol nasal spray on hand in the event that nothing else could touch the pain(i think i only used that once each during my 2nd and 3rd pregnancies). my point is, and i HOPE you are not anything like me with the migraines, check with your OB-GYN, they need/want to know about this type of thing - they will want to see you most likely, check your blood pressure, rule out any other issues, and let you know how/when to do more than what you're doing. additionally, a nice cold can of coke is helpful for some(while caffeine is a trigger for others), i know one lady that swears by warm water mixed with lemon juice. a BIG factor in headaches is dehydration - so make sure you're getting plenty of water. i hope you are feeling better really soon, headaches are tough! also, if finances allow, look into a prenatal massage or accupuncture.