Combined or alternating therapy is more effective against fever, but is this the question?

Authors’ conclusions: dual may be superior to single therapy for treating fever in children and getting children afebrile at 4 and 6 hours. High dose ibuprofen was somewhat superior to acetaminophen at 4 hours, but not at 6 hours. Reviewers’ commentary: alternating, and especially combined treatment, can produce the impression that fever suppression is of critical relevance, when the objective should be treating discomfort. It could also be a source of incorrect dosing. For these reasons, combined or alternating antipyretic treatment, though probably more effective, it proves unnecessary for failing to demonstrate their clinical utility.

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Publication Details

Published
2025-06-02
DOI
https://doi.org/10.60147/7903be1c
Primary Topic
Thermal Regulation in Medicine
Type
article
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article

Combined or alternating therapy is more effective against fever, but is this the question?

M.a Jesús Esparza, David Pérez
Thermal Regulation in Medicine
article

Combined or alternating therapy is more effective against fever, but is this the question?

M.a Jesús Esparza, David Pérez
article en

Abstract

Authors’ conclusions: dual may be superior to single therapy for treating fever in children and getting children afebrile at 4 and 6 hours. High dose ibuprofen was somewhat superior to acetaminophen at 4 hours, but not at 6 hours. Reviewers’ commentary: alternating, and especially combined treatment, can produce the impression that fever suppression is of critical relevance, when the objective should be treating discomfort. It could also be a source of incorrect dosing. For these reasons, combined or alternating antipyretic treatment, though probably more effective, it proves unnecessary for failing to demonstrate their clinical utility.

Vol. 27(106)
Openalex Percentile: Top 82%
Thermal Regulation in Medicine
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Combined or alternating therapy is more effective against fever, but is this the question? — M.a Jesús Esparza, David Pérez · (2025) | TGRS Research Map | TGRS