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Its guideline says antipyretics should be considered when a feverish child appears distressed, not to lower a temperature. In critically ill adults, paracetamol for fever changed nothing.
US and UK guidelines converge: a brief seizure during a fever in a young child rarely needs scans or blood tests, and paracetamol and ibuprofen do not stop them recurring.
A meta-analysis of 16 studies and a daily-temperature cohort agree: tooth eruption brings gum irritation, drooling and fussiness, and at most a slight temperature rise — not a true fever.