Earlier this month I was interviewed by the Wall Street Journal. I know…crazy, right? They reached out asking for my take on Tylenol (in light of the current US administration linking autism to acetaminophen use during pregnancy) simply because I had written a blog post about my holistic medicine cabinet as a simplistic mama years ago.
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And while the Wall Street Journal article reiterated that my family hasn’t used Tylenol for years and that I think there are safer and more effective options to try first for things like headaches, fever, and pain, there was a point I made during my interview that didn’t quiiiiiite make the article (surprise, surprise) that I thought I’d share here –
*Steps on soapbox*
Neither medications nor neurodevelopmental disorders are my speciality…but women’s health is. And women’s health issues remain under-researched, under-funded, and underestimated despite the endless information at our fingertips. So of course a woman is going to reach for Tylenol when she’s led to believe it’s her only option, or worse, thrown a shrug and told “that’s just the way it is”. And I don’t blame her!
Let’s be honest – no matter why someone would take acetaminophen in whatever stage of life, it’s not addressing the underlying problem. It’s masking the symptoms and making them bearable. But if we’re going to slam the quick fixes and bash the temporary solutions, we need to show up with additional answers so that women aren’t left feeling helpless and hopeless, especially during pregnancy.
So that’s exactly what I did here.
As a pelvic floor physical therapist, I’m in the business of helping women alleviate (or preferably avoid) the things that have them reaching for Tylenol in the first place, especially when it comes to pelvic and pregnancy-related pain. I’m also a nerd for all things holistic health and firmly believe in having accessible and effective alternatives for when symptoms do arise.
Where you stand on taking Tylenol doesn’t matter to me. I firmly believe we’re all doing the best we can (for our bodies & our babies) with the information we have in the season we’re in. But if you’re still reading this, then I know there’s at least one thing we agree on – that women deserve more appreciation, more acknowledgement, and more answers for everything our amazing bodies do. If you can say “amen” to that, then keep reading, friend.
Reasons Tylenol isn’t in our medicine cabinet (that *ahem* have nothing to do with autism)
My distrust in things like…well…western medicine, big pharma, and the government in general started after being told birth control was my only option for managing endometriosis and realizing that was not the case. Then the COVID-19 pandemic took place shortly after that time, and I’ve slowly but surely become someone who looks at the ingredients, studies the inserts, and does loooooong internet deep dives before believing anything is “safe and effective”.
RELATED POST: 6 Reasons I’m Thankful for My Endometriosis Diagnosis
That being said, my stance on Tylenol started far before the autism and acetaminophen allegations in 2025. As I was learning to live with endometriosis, then trying to get pregnant, then becoming a mama despite said endometriosis, my affinity towards the holistic, all-natural lifestyle was born, and I’ve been a “crunchy mom” (as the Wall Street Journal article called me) ever since.
RELATED POST: How I Got Pregnant Despite My Endometriosis Diagnosis
Now…did we turn to Tylenol when my daughter was in the ER for an asthma attack? Yes! Because she had a fever that wouldn’t subside, I didn’t have our go-to remedies on hand, and they refused to transport her to a children’s hospital via ambulance until her temperature was under control. But there are multiple reasons neither I nor anyone in my family use acetaminophen except for as a last resort, and I want to share the facts that impacted my decision to no longer keep it in our medicine cabinet.
It doesn’t fix the underlying problem. The Tylenol website itself says that acetaminophen “works by elevating the body’s overall pain threshold so you feel less pain, and lowers your fever by helping the body eliminate excess heat”. In other words, it tricks the brain into thinking the problem is gone rather than addressing the problem causing the fever or pain in the first place. IMO, that doesn’t quite cut it, especiallyyyyyy during a time as important as pregnancy.
Not every symptom needs to be suppressed. Modern medicine has led us to believe that every symptom, especially ones of discomfort, needs to be suppressed. But what if rather than inhibiting these symptoms, we used them as signs and signals that our body needs support. Aside from dangerously high temperatures that can be harmful to a growing baby, I can’t think of a single pregnancy-related symptom that would do better with repressing over remedying.
Artificial dyes & flavors. Depending on the type of Tylenol we’re talkin’ about, some contain artificial dyes and flavors that have been linked to side effects like allergic responses, respiratory issues, hyperactivity in children, and even cancer. These features were one of the main reasons I stopped taking Tylenol in the first place, and my decision was solidified the more I learned about the medication.
It alters brain chemistry. If this medication works by blunting pain signals to the brain, it should be no surprise that other brain functions are interrupted as well. I’ve stumbled across multiple research articles that show acetaminophen use can alter brain chemistry and temporarily impair things like a person’s response time, awareness of social issues, and even appropriate emotions.
It’s toxic to the liver & inhibits immunity. Tylenol depletes the body of glutathione, an antioxidant that boosts immune function, helps the liver metabolize and eliminate toxins, repairs & rebuilds damaged cells, and aids in energy production. I don’t know about you, but those all sound like things a pregnant woman could use more of…not less.
There are simply safer options. While many doctors continue to shout from the rooftops that there is nothing safer than Tylenol for fever and pain during pregnancy, I beg to differ. In fact, the rest of this blog post shares 25 acetaminophen alternatives, many of which come with few warnings or side-effects because they’re simply that low to no-risk.
If we truly need it, we know where to get it. As I mentioned before, there are times when you’ve gotta do what you’ve gotta do, and there’s no shame or blame in resorting to acetaminophen as a last resort. The good news is that, for most people, getting Tylenol is as easy as driving a few miles to the nearest convenience store or clicking a button for same-day Amazon Prime delivery.
A quick disclaimer before we begin
If you scroll down to the bottom of any of my blog posts, you’ll see a disclaimer that the content provided here is not to be taken as medical advice and that I might be a doctor but I’m not your doctor. And ^^that^^ all most definitely applies even more-so during pregnancy. But beyond the legal requirements I have to include to cover my you-know-what, there are two sentiments I share with every patient in my clinic that I want you to hear before reading any further –
You know your body better than I ever will.
Always listen to your body over listening to me.
Do I love that you’re looking into and learning more about Tylenol alternatives? Do I wish this information was as readily available as acetaminophen on the shelves? Yes to all of the above! But you get to ultimately decide what’s best for your body and your baby, and now you get to do so with even more answers and alternatives under your belt.
Tylenol alternatives for headache during pregnancy
There are many reasons for headaches during pregnancy, and the causes range from things you can’t control like blood volume and hormone changes to things you can like dehydration, low blood sugar, posture, and stress. While reaching for Tylenol might seem like the most accessible answer, there are alternatives out there that are ultimately just as easy and definitely more effective. Sometimes a little Sherlock Holmes action is all it takes to recognize the circumstances surrounding headaches, get to the bottom of them, and even avoid them altogether.
PS – Headaches can be a symptom of more serious issues like blood clots and preeclampsia (high blood pressure during pregnancy), and these red flags cannot be ignored. If you are having frequent and/or severe headaches, be sure to bring this up to your medical provider for further testing.
STAY HYDRATED
The brain is 80% water and needs to stay hydrated to feel good and function properly. Underlying dehydration is a common cause of headaches during pregnancy and can be easily avoided by drinking enough fluid. Pregnant women should aim to drink two-thirds of their body weight in ounces of liquid (if you weigh 150 pounds, that would be 100 ounces of liquid) and two-thirds of that should be water. The other one-third can be coffee, tea, juice, etc. Consider adding electrolytes (these are my favorite & this link gets you 20% off) to at least one of your water bottles to help your body absorb the fluid you’re drinking.
EAT ENOUGH (GOOD) FOOD
We’ve all heard that the daily energy requirements during pregnancy are equivalent to that of running a marathon, so it’s no wonder that many women don’t get enough calories and nutrients to support their bodies in this season, aaaaand headaches are often a side-effect. Eating smaller meals more regularly throughout the day is one way to balance blood sugar. Another is to make sure your meals are packed with fat and protein as these macronutrients help maintain steady blood sugar levels and can, therefore, avoid the headaches that arise from blood sugar crashes.
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PRIORITIZE REST & AVOID STRESS
Easier said than done, I know, but we’ve already established that pregnancy is a period of life where hormones are runnin’ high along with energy demands, blood flow, body changes, and the anxiety that comes with caring for a human being that you love but ultimately have no control over. To avoid the headaches that are triggered by stress & sleep deprivation, give yourself permission to prioritize rest as much as possible in this season – take the nap, get in the bath, go to bed early, and keep the calendar clear(er). I can tell you from experience that no one questions a pregnant woman who’s tired…so take advantage of it!
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CHECK YOUR POSTURE
As the belly and breasts grow during pregnancy, the body’s center of gravity moves forward and the head & shoulders tend to follow suit. This forward head posturing puts stress on the neck and jaw muscles and can be a primary cause of headaches. Whenever possible, try gently squeezing your shoulder blades down and back (like you’re putting them in your back pocket) and setting your head back (like you’re giving yourself a double chin) to put your ears in line with your shoulders. Check and reset this as much as possible throughout the day to avoid unnecessary muscle tension.
RELATED POST: The Importance (& Power) of Posture for Pelvic Health
CUT BACK ON BLUE LIGHT
Blue light is a wavelength on the visible spectrum that’s more intense and penetrating than other wavelengths. It can cause eye strain, photosensitivity, a decrease in melatonin production, and increased activation in areas of the brain that are involved in pain perception – aka, blue light is a headache waiting to happen. Consider cutting back on screen time as much as possible, adjusting the hue & brightness of your screens when able, and using blue light blocking glasses as often as you can.
HEAT & COLD
A classic that’s stood the test of time…and for good reason. Either heat or cold (depending on what normally works for you or what your body’s craving in the moment) can be applied to the head, neck, temples, shoulders, or over the eyes to relieve headaches by soothing aggravated structures and reducing inflammation. We always have this hot pack and cold packs ready to go, and they can be used during pregnancy with zero hesitation.
FACIAL GUA SHA & CUPPING
You’ll be hard pressed to find a blog post here that doesn’t mention my infatuation for facial gua sha and cupping. From how I use it in the sauna to the routine I swear by while taking a bath, I’m obsessed with these tools as a part of my skincare routine for smoothing fine lines, reducing puffiness, and increasing lymphatic drainage and blood flow. But I also LOVE them for decreasing pain and tension in the head, neck and jaw. How To: Apply a serum to the area you plan to massage, then start with the gua sha tool and lightly “scrape” away tension at the head, temples, sinuses, jaw, or neck. Follow by using the cups to gently suction, slide, and release over those same areas to release tissue tightness. (PS – Use code DRDAVIS at checkout with any of ^^these^^ products for 10% off).
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HOMEOPATHY
When I tell people I no longer have things like Tylenol, Ibuprofen, or Benadryl in my medicine cabinet, their follow-up question is often “well then, what do you have?”…and my answer is *drumroll please* homeopathy. Homeopathy uses highly diluted “substances” from plants, minerals, and animals to stimulate and support the body’s healing process. While there is minimal scientific evidence to support homeopathy, let’s be honest – there’s minimal evidence to support anything that doesn’t make big pharma big money. I use and trust homeopathy because I’ve seen it work again and again for myself and my family. When it comes to headaches, these tablets or this oil roller are what I use.
[THESE] 3 ESSENTIAL OILS
I don’t consider myself an “essential oils girlie”, but there are a few things I find they work really well for (other than making my bedroom smell like a spa), and headaches are one of them. Research even shows that applying peppermint essential oil is as effective as taking Tylenol for headaches! If plain ol’ peppermint is too strong for you, this head ease blend or headache & migraine aide blend also work great. These rollers are great for keeping in your work desk, your purse, or yes…your medicine cabinet, and applying to the hairline, temples, behind the ears, jawline, and neck (just be sure to keep it away from your eyes) when headaches arise.
PHYSICAL THERAPY, ACUPUNCTURE, & CHIROPRACTIC CARE
There are multiple treatments and modalities available to manage headaches during pregnancy, and if none of the at-home, DIY remedies above are working, [this] is where I would go next. Medical professionals who specialize in optimizing spinal alignment, improving nervous system function, increasing strength, and decreasing muscle tension can all help with headaches. Choose the style of conservative care that’s best for you based on accessibility as well as your comfort & confidence level.
RELATED POST: How to be Bold In Your Health: A Guide to Getting the Medical Care You Deserve
Tylenol alternatives for fever during pregnancy
Whenever I talk about fever, I like to start by reminding people that a rise in body temperature is not bad…in fact, it’s a good thing as this is the body’s way of fighting off and killing harmful viruses and bacteria. Rather than chemically stopping a fever with Tylenol and taking away the body’s primary defense mechanisms, my favorite acetaminophen alternatives help manage temperature while still allowing the proper inflammatory & immunity processes to take place for faster healing.
PS – A fever of 102.2℉ is considered unsafe during pregnancy, especially in the first trimester as this can increase the risk of birth defects. Obviously do not hesitate to contact your doctor and/or take whatever you feel is necessary to keep you and your baby safe.
STAY HYDRATED
Yep, here we are talking about hydration again…because the body literally needs water to function, *especially* when you have a fever. As soon as I feel sick (fever or not), the first thing I do is increase my water intake and add electrolytes (here’s my favorites again & don’t forget this link gets you 20% off). As body temperature rises, this results in sweating and fluid loss. Drinking water with electrolytes helps prevent dehydration, regulate body temperature, support immune function, and flush out toxins.
TRY [THESE] TINCTURES
Tinctures are a concentrated liquid extract made by soaking herbs, flowers, or plants in a solvent. The solvent extracts the active compounds from the plant and creates a solution that can be used for medicinal purposes. Anytime someone in our family shows a single sign of sickness (or has been around someone who’s sick), the first tincture we reach for is echinacea to help support immune function. Then for fever specifically, lemon balm or temperature tamer are our favorites. How To: Fill a small glass (we use a shot glass) with approximately 2 ounces of water or juice, add the amount of tincture according to the label, then drink as needed, up the amount listed on the bottle.
TAKE A BATH (2 WAYS)
While the scientific community states that baths do not relieve fever, I’ve found the exact opposite to be true from personal experience. A warm bath (not too hot or too cold) can help regulate body temperature, and added ingredients can aid in drawing out heat, supporting the body’s immune function, and replenishing lost minerals.
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Full-blown detox bath. This one is our go-to as soon as there’s a sign of sickness. How To: Pour one cup of epsom salt or magnesium flakes, ½ cup of (aluminum-free & organic) baking soda, ½ cup of bentonite clay, and 2-5 drops of essential oils for fever (like lavender, eucalyptus, or chamomile) into a warm bath and soak for 10-30 minutes. Baking soda helps regulate pH levels in the body, bentonite clay has a negative electro-magnetic charge that helps pull positively charged “things” from the body, and essential oils have different benefits depending on which ones you choose. (PS – If the idea of a detox bath intrigues you but ^^that^^ sounds like a lot of work, Primally Pure makes a sea soak [use code DRDAVIS at checkout for 10% off] that is basically a pre-mixed version of everything listed above. Drop in a few handfuls as your bath fills for the same detoxifying benefits.)
Apple cider vinegar bath. This is the bath we use once someone has a fever. Apple cider vinegar (ACV) is acidic and can help draw out heat and lower body temperature. It’s also rich in minerals and antioxidants that the body needs during fever and illness. How To: Pour one cup of raw, unfiltered, organic ACV into a warm bath and soak for ten minutes. Repeat throughout the day as needed. (PS – If soaking in ACV is not your thing, you can soak a washcloth in two parts water, one part ACV and apply it to your forehead, neck, and/or shoulders for the same benefits.)
HOMEOPATHY
Above I talked about homeopathy for headaches, but let’s quickly review what it is. Homeopathy uses highly diluted “substances” from plants, minerals, and animals to stimulate and support the body’s healing process. While there are many single-medicine homeopathic options, I find it can be difficult to know which ones to take depending on the type of fever you have. Oscillococcinum is always the first thing I reach for (even against COVID & the flu), but I’ve also seen this fever reducer work wonders to naturally manage body temperature.
THE WET SOCK TREATMENT
This one might make you think I’m crazy, but trust me when I say that this simple remedy has become a staple in the Davis home. How To: Take a thin pair of cotton socks and soak them in cold water (or use the two parts water, one part apple cider vinegar solution described in the bath section above for extra benefits). After ringing out the socks so they’re damp but not dripping wet, put them on your feet right before going to bed. Cover the wet socks with dry wool socks or a towel, then leave them on overnight or until the socks are dry. Why does this work? The body reacts to the cold socks by increasing blood circulation and therefore stimulating the immune system as well as drawing heat away from the body towards the cold feet where the temperature can be released.
ACUPRESSURE
Acupressure is based on the traditional Chinese medicine practice of acupuncture, except it’s more accessible because you simply put pressure on the body’s acupoints rather than needles. How To: Using your thumb, pointer finger, or acupressure tool, apply moderate pressure to the specific points that help fever for 1-2 minutes at a time, then repeat as needed throughout the day. The acupoint that’s effective for fever and safe during pregnancy is LI (large intestine) 11 – the outside tip of the elbow crease when the arm is bent.
RELATED POST: Yes (!!!), You Can Use Acupressure for Pelvic Pain – Here’s How
Tylenol alternatives for pain during pregnancy
*Sigh*…here we are…my bread and buttah! Part of being a pelvic floor physical therapist means I specialize in and spend a lot of time helping women with pregnancy-related pain – back, sacroiliac, and hip pain, abdominal pain, round ligament and groin pain, pelvic, vaginal, and rectal pain (aka – allllllllll the common culprits that have women reaching for Tylenol as the “safest” way to alleviate symptoms).
While Tylenol might provide fast relief, it doesn’t address the underlying causes of said symptoms, and *surprise, surprise* they’ll just keep coming back. All it takes is proactivity, plus a little practice & patience here and there to see true and lasting healing, and I can’t wait to share my top tips for enjoying a pain-free pregnancy (from both personal & professional experience).
THROW [THIS] BOOK AWAY
I received more than three copies of “What to Expect When You’re Expecting” after announcing I was pregnant with Lolo girl, and no offense to the amazing women who gifted them to me, but I threw away every single one. While the author does an amazing job of laying out…well…what to expect & all the possible scenarios that come with pregnancy and birth, how to handle them (the more important part, IMO) is not only lacking, but oftentimes incorrect. There are so many other amazing books & resources out there, do yourself a favor and steer clear of this one.
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TRADE STRETCHING FOR STRENGTHENING
During pregnancy, the body is flooded with a hormone called relaxin. Relaxin targets the joints and ligaments that hold them together to create space in the pelvis for a growing baby and ultimately a vaginal birth. This joint and ligament laxity is a primary cause for many common pregnancy-related pains, and the best way to support the musculoskeletal system during this time is to provide stability through strengthening (not more length through stretching). The good news is that you don’t need to lift super heavy or become a gym rat for pain relief (although I support both during pregnancy) – these simple core strengthening exercises and these easy hip strengthening exercises are all you need to see success.
RELATED POST: PS – Deep Core Strengthening Is Easier (& More Essential) Than You Think
STOP DOING KEGELS & RELAX YOUR PELVIC FLOOR
If I could give pregnant women only one piece of advice, it would be this. Pelvic floor tension is common during pregnancy due to adjusting anatomy, altered bladder & bowel habits, and increased pressure in the pelvis. Muscle tension “down there” is not only a contributing factor to many pregnancy-related pains, it can also cause complications during vaginal delivery and make postpartum healing more difficult. A few specific stretches, breath work, and a little something I call the “mini kegel – let it go” are all it takes to relax the pelvic floor and relieve pain (& you can find a free guide to all of them here).
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FOCUS ON POSTURE
We already addressed the importance of posture for headaches, and the same strategy applies here. As the belly grows during pregnancy, the body’s center of gravity moves forward and the spine and pelvis tend to follow suit. This anterior pelvic tilt posturing puts stress on the back, hip, and pelvic muscles and can be a primary cause of pain. Whenever possible, try finding a neutral pelvic posture by engaging the core and glute muscles to put your hips in line with your shoulders, knees, and ankles. Check and reset this as much as possible throughout the day to avoid unnecessary muscle tension.
RELATED POST: The Importance (& Power) of Posture for Pelvic Health
TRY A SACROILIAC JOINT (SIJ) BELT
Remember that hormone relaxin and how it makes the ligaments and joints loosey-goosey during pregnancy? While relaxin does not discriminate and can affect the body from head to toe, the low back and pelvis are the main areas of increased mobility to create room for a growing baby and a vaginal birth. As the sacroiliac joints (in the back of the pelvis) and pubic joint (in the front of the pelvis) start to move more, the shearing of these bones and secondary tension in the muscles surrounding them can become painful. A sacroiliac joint (SIJ) belt helps hold these structures together. This is not a belly band that supports the baby, rather a compression-like brace worn lower (at the level of the pubic bone and top of the butt crack) that stabilizes the pelvic joints and allows the adjacent muscles to relax. While you can wear it at any time, I especially recommend it with walking, prolonged standing, and even exercise as needed.
AVOID SINGLE LEG ACTIVITIES
We’ve talked at length about relaxin *check* and how it creates extra mobility in the pelvic joints and ligaments *check*. On top of staying strong in the core and hips and wearing an SIJ belt, another trick to decrease strain through these structures is to limit and even avoid single leg activities as much as possible. Standing on one leg puts an asymmetrical force through the pelvis and can stress the joints and ligaments even more. So what does this look like in real life? Take shorter steps while walking, try not to always lean towards one leg while standing (this one is hard!), be careful with how you get in and out of cars (especially taller trucks), modify your workouts, and take stairs a little slower. These tiny tweaks and moving with a little more intention can make a massive difference in low back, pelvic, and hip pain during pregnancy.
KINESIOTAPE
Kinesiotape is an elastic and waterproof tape that, depending on how you apply it, is used to provide support and stability to muscles and ligaments, reduce pain and inflammation, and promote circulation and lymphatic drainage. As long as you don’t have an allergy to adhesive, kinesiotape can provide incredible and sometimes instant relief for things like round ligament pain, low back pain, sacroiliac joint pain, and even swollen feet. Once applied, you can wear kinesiotape for up to four days, but remove sooner if it’s falling off or causing skin irritation. You can even shower and do all daily activities with it on. Use these taping techniques as often as needed, I just recommend giving the skin a 2-3 day break before reapplying the tape.
PELVIC FLOOR PHYSICAL THERAPY, ACUPUNCTURE, & CHIROPRACTIC CARE
Just like there are multiple treatments and modalities available to manage headaches during pregnancy, the same can be said for other aches and pains. And if none of the at-home, DIY remedies above are working, [this] is where I’d go next. Medical professionals who specialize in optimizing spinal alignment, improving nervous system function, increasing strength, and decreasing muscle tension can all help with pregnancy-related pain. Choose the style of conservative care that’s best for you based on accessibility as well as your comfort & confidence level. (And if pelvic floor PT is the speciality you decide on, I’m here and ready to help with both in-person or virtual appointments.)
HOMEOPATHY
If you’re looking for the same quick Tylenol-style relief while trying any/all of the strategies above for pain, homeopathy is my favorite way to achieve it. Just to remind you one more time, homeopathy uses highly diluted “substances” from plants, minerals, and animals to stimulate and support the body’s healing process. Arnica in either pellet or gel form is the remedy I recommend most often for muscle and joint discomfort.
Give me a fresh blog post over a WSJ interview any day, please & thank you
The Wall Street Journal interview was cool and all, but honestly? Showing up here on the blog every(ish) week, sharing real solutions with women who are ready to try something different…that’s the work that actually matters to me. If you believe women deserve better than band-aid fixes and want to be part of a community that’s all about getting to the root cause of our health issues, you’re in the right place. Keep reading these blog posts, sending them to your friends, asking questions, and advocating for yourself. That’s how we change things.
– Amanda
Disclaimer: The content provided here does not constitute medical advice, nor is it a substitute for personalized healthcare. I’m a doctor, but I’m not your doctor. If you have concerns about a medical condition, diagnosis, or treatment, you should consult with a licensed healthcare professional.
Disclosure: Some of the links above are affiliate links, meaning, at no additional cost to you, I will earn a commission if you click through and make a purchase. No pressure, but I have a feeling you’re gonna like what I’ve taken the time to put my recommendation behind.
