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Correspondence
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Volume 359:1853 October 23, 2008 Number 17
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Antiemetic Properties of the Antiepileptic Drug Levetiracetam

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To the Editor: Chemotherapy-induced nausea and vomiting is an important problem in patients with brain tumors. Because of the high prevalence of seizures, most patients are given antiepileptic drugs. Motivated by a case report,1 we investigated whether levetiracetam can suppress chemotherapy-induced nausea and vomiting.

We retrospectively evaluated 161 patients with glioblastoma who had undergone radiation therapy and started adjuvant chemotherapy; 66 patients were taking levetiracetam and 95 were not (for all numerical data, see Table 1 in the Supplementary Appendix, available with the full text of this letter at www.nejm.org). In a univariate analysis, use of levetiracetam and older . . . [Full Text of this Article]




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