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Influence of Pain and Discomfort in Stroke Patients on Coping Strategies and Changes in Behavior and Lifestyle
 
 
Systematic Review
Peer-Review Record

Opioid Antagonist in the Treatment of Ischemic Stroke

Brain Sci. 2021, 11(6), 805; https://doi.org/10.3390/brainsci11060805
by Juan Fernando Ortiz 1,*, Claudio Cruz 1, Amrapali Patel 2,*, Mahika Khurana 3, Ahmed Eissa-Garcés 1, Ivan Mateo Alzamora 1, Taras Halan 4, Abbas Altamimi 5, Samir Ruxmohan 6 and Urvish K. Patel 7
Reviewer 1: Anonymous
Reviewer 2: Anonymous
Brain Sci. 2021, 11(6), 805; https://doi.org/10.3390/brainsci11060805
Submission received: 13 May 2021 / Revised: 1 June 2021 / Accepted: 8 June 2021 / Published: 18 June 2021
(This article belongs to the Section Neurorehabilitation)

Round 1

Reviewer 1 Report

Ref: brainsci-1239584

Title: Opioid Antagonist in the Treatment of Ischemic Stroke

The subject of the paper is not new. There already exist a paper – Peyravian et al. 2019.

The paper is incomplete. I understand that the Authors wanted to point the clinical value of opioid antagonists. Nevertheless, there should be included the latest in vitro and in vivo and studies. For example, there are other papers which should be included e.g. Auttila et al. 2018; Sheng et al. 2018, Yang et al. 2011 and much much more.

 

Other comment:

  1. Materials and methods – Search Strategy - Was the search only in the context of naloxone? There is some inconsistency with figure 1 where is naloxone, naltrexone, nalmefene.
  2. Please correct the name of the Author – CzÅ‚onkowska not CzÅ‚onkowske

Author Response

Dear reviewer,

 

please see the attachment

Author Response File: Author Response.pdf

Reviewer 2 Report

The manuscript is well organized and potentially be interested. However, authors should discuss potential mechanisms of opioid antagonists in the treatment of stroke (both molecular and cellular), as well as animal models and future outlooks. 

Author Response

Dear reviewer I re organized the document, and I include a section on animal and in vitro studies. and the section of future outlooks in the end discussed only the opioids mechanism, which gives the reader a better understanding of the topic. I include on the in vitro and animals studies section, papers of the last 10 years.

please see the sections 4.3 and 4.4

Round 2

Reviewer 1 Report

The authors responded to all my objections / doubts. After corrections made, I recognize the improvement of the manuscript.

Reviewer 2 Report

I do not have further comments.

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