Question Title: Addiction to Tylonol PM & Harmful Effects of Daily Asprin

For almost two years now, I have been addicted to earplugs as the only way I can fall asleep. About 2 months ago, I started having to take Tylonol PM in order to stay asleep and not wake up in the very early hours of the morning, unable to fall back asleep. I currently take only one tablet each night, but am very worried about the longterm effects on my stomach, etc. I have been having diarrhea and constipation alternately, and am wondering if that is related. I also seem to be late on my period (2 weeks - NOT pregnant!). Are you aware of any health risks with continual use of this drug? (Note, the more important, underlying reason of why I need the earplugs and medication is also being addressed, but nobody can help me with my inquiries...) Thank you!

Sara

Dear Sara,

Tylenol PM contains diphenhydramine (an antihistamine) and acetaminophen (an anti-inflammatory). It does not contain aspirin. Low daily doses of these 2 compounds are generally not harmful, although the purpose of the acetaminophen is to reduce pain and if someone is not in pain there is no reason to take a daily dose of any anti-inflammatory. In such cases, diphenhydramine alone will help with sleep.

You should talk to your personal physician about the various physical symptoms and complaints you are having.

Good luck!

Steve Adelman, M.D. (a.k.a. DrSteve)

This information is for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.