Erwin Saavedra gave Bolivia the lead from the penalty spot on 10 minutes after a long VAR review.

Paraguay dominated throughout but the game changed deep into first half stoppage time when Bolivia's Jaume Cuellar was sent off for a second booking.

Alejandro Romero Gamarra restored parity just past the hour mark and Romero put Paraguay in front three minutes later.

Romero sealed the win 10 minutes from time as Paraguay enjoyed almost 80 percent possession and had more than 30 shots.