Occasional gastrointestinal adverse effects of antihistamines include nausea, vomiting, diarrhoea, or epigastric pain. Palpitations and arrhythmia have been reported occasionally with most antihistamines. Antihistamines sometimes causes rashes and hypersensitivity reactions (including bronchospasm, angioedema, anaphylaxis) and cross-sensitivity to related drugs may occur. Blood disorders, including agranulocytosis, leucopenia, hemolytic anemia, and thrombocytopenia, although rare, have also been reported. Other reported adverse effects include convulsions, sweating, myalgia, paraesthesias, extrapyramidal effects, tremor, sleep disturbances, depression, confusion, tinnitus, hypotension, and hair loss.