Abstract

We thank Kasner for his comments on the Paracetamol (Acetaminophen) In Stroke (PAIS) trial.1 Kasner wondered whether the costs and efforts of a second study—aiming to confirm our post-hoc finding of a potential beneficial effect of high-dose paracetamol in patients with a baseline body temperature of 37·0°C to 39·0°C—will counterbalance the alleged small benefit of this treatment. Furthermore, he noted that there is sufficient evidence to prescribe paracetamol in patients with acute stroke and high body temperatures, and, therefore, this approach does not warrant further study.

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