i would ask this patient if they are aware of the principles of good sleep hygiene (believe it or not they exist! ). they include: establishing a regular sleep pattern (basically go to bed and arise about the same time daily even on weekends) make the bedroom comfortable for sleeping (no noise light comfortable temperature) engage in relaxing activities before bedtime avoiding exercise 2-4 hours before bedtime avoid eating at least two hours before bed and avoid using caffeine alcohol or nicotine for at least 4-6 hours before bed. tylenol pm contains diphenhydramine and it should be taken only if needed. if you are using it for more than 14 days you should see your healthcare provider for further evaluation.
i often take tylenol pm to fall asleep. is this a problem?