Aplastic anaemia depression

Adverse effects include nausea, epigastric distress, aplastic anaemia, vomiting, diarrhoea, peptic ulcer, depression, neutropenia, hypothyroidism, skin rash and urticaria. 

Adverse effects include nausea, vomiting, anorexia, gastric bleeding, diarrhoea, dizziness, frontal headache, confusion, depression, psychosis, hallucination, leukopenia, epigastric distress and rarely aplastic anaemia. 

Bone marrow depression includes aplastic anaemia, leukopenia, agranulocytosis, thrombocytopenia. 

Toluene, also known as methylbenzene, is the simplest member of the series known as alkylbenzenes, where an alkyl group, e.g. CH3, is directly attached to the benzene ring. As the use of benzene as a nonpolar solvent has long been prohibited because of its adverse effect on the central nervous system (CNS) and on bone marrow, as well as its carcinogenic property, toluene has replaced benzene as a nonpolar solvent. Although it has a CNS depressant property like benzene, it does not cause leukaemia or aplastic anaemia. 

Chloramphenicol can cause two forms of bone marrow depression. One is serious and irreversible, and can result in fatal aplastic anaemia, whereas the other is probably unrelated, milder and reversible, and appears to occur at chloramphenicol serum levels of 25 micrograms/mL or more. This occurs because chloramphenicol can inhibit protein synthesis, the first sign of which is a fall in the reticulocyte count, which reflects inadequate red cell maturation. This response to chloramphenicol has been seen in animals healthy individuals, a series of patients with liver disease," and in anaemic patients being treated with iron dextran or vitamin Bj2. 

Anaemia due bone narrow depression e.g. aplastic and hypoplastic anaemia. 

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