Although aliphatic nitro compounds, aliphatic nitrates, and aliphatic nitrites have several features in common (nitrogen‐oxygen grouping, explosiveness, methemoglobin formation), there are significant differences in their toxic effects. Some of their attributes are summarized. The esters of nitric and nitrous acid, whose nitrogen is linked to carbon through oxygen, are very similar in their pharmacological effects. Both produce methemoglobinemia and vascular dilatation with hypotension and headache. These effects are transient. None of the series has appreciable irritant properties. Pathological changes occur in animals only after high levels of exposure and are generally nonspecific and reversible. The nitric acid esters of the monofunctional and lower polyfunctional alcohols are absorbed through the skin. Information is not available on the skin absorption of alkyl nitrites. Members of both groups are well absorbed from the mucous membranes and lungs. Heinz body formation has been observed with the nitrates but not with the nitrites.
Nitro compounds, like nitrates and nitrites, cause methemoglobinemia in animals. Heinz body formation parallels this activity within the series. Although some members are metabolized to nitrate and nitrite, there is no significant effect on blood pressure or respiration. As with the lower nitrates and nitrites, anesthetic symptoms are observed in animals during acute exposures, but these occur late. The prominent effect is irritation of the skin, mucous membranes, and respiratory tract. This is most marked with chlorinated nitroparaffins and nitroolefins. In addition to respiratory tract injury, cellular damage may be observed in the liver and kidneys. Skin absorption is negligible except for the nitroolefins.
The nitramines have entirely different activity. RDX is a convulsant for humans and animals. Skin absorption, irritation, vasodilatation, methemoglobin formation, and permanent pathological damage are either insignificant or absent after repeated doses.
Transient illness has been associated with the industrial use or manufacture of these materials, but fatalities and chronic intoxication have been uncommon. Some members of each group present extremely high fire and explosion hazards.
