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I don't know about Tylenol PM. Check with your OB on that.
A coworker of mine had to go on Ambien during her pregnancy to get some sleep.
Good luck to you and the quest for sound sleep! I sure miss it.
Tylenol Pm is nothing but Tylenol and benadryl. If both are on your "safe" list- then you can take it.
FWIW- I got the go ahead from my OB to take it whenever I need it. Just DO NOT take more than two pills every 6 hours.
I would also check with your OB to see if you can take it- just to be sure.
Also currently suffering from slepless nights, I think it's just your body preparing you for when the baby gets here. :]