Can you take extra strength tylenol (acetaminophen) while pregnant, two pills at a time? and what the regular dosage says?

Probably: Tylenol (acetaminophen) exposure is common in pregnancy but shouldn't involve more than the recommended dose. Toxicity of tylenol (acetaminophen) is easy so caution is warranted. There are some issues of tylenol (acetaminophen) use in pregnancy with blood pressure elevations and preterm labor as well. Isolated and irregular use is probably safe, but no medication can be presumed safe in pregnancy.