It is best to avoid taking Disprin (aspirin) at 20 weeks of pregnancy unless your doctor has specifically prescribed it. Aspirin at pain-relief doses is generally not recommended during this stage. For pain relief, paracetamol is a much safer alternative. Because your headache is severe, I highly recommend reaching out to your obstetrician or midwife to get checked out.
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Is it safe to take Disprin for a severe headache if I am 20 weeks pregnant and my blood pressure is normal at 127/83?