Narcotics are given to break the cycle a headache pain that is out of the ordinary and where no other identifying ailment can be found to be causing the problem--especially if you have been to the hospital. 24 dose is not likely to cause addiction problems unless you already have an addiction problem. However, if you are actually still functional with the headache, then that would explain why that route has not been taken, but there are better pain meds (other than Tylenol) that might have been tried. When you said ungodly, I was thinking of the kind of headache that basically immobilizes you from doing anything-- moving, eating, sick in bed moaning type of headache.