Is it ok to use Tylenol pm while on Accutane?

Thank you for your question. Accutane is processed through the liver, and a side effect of the medication is elevated liver enzymes. I generally recommend to avoid other liver toxic substances such as alcohol, certain vitamins and protein supplements, and Tylenol or acetaminophen because it, too, is hard on the liver. I highly recommend you consult with your prescribing physician regarding your question and concerns about treatment. Take care and good luck.