Chloramphenicol, an antibiotic used to treat bacterial infections, is also implicated in several conditions, including aplastic anaemia that progresses to leukaemia. The modulatory potential of leaf extract of Annona muricata on chloramphenicol-induced lymphoma (CIL) in female Wistar rats was investigated. Forty-eight adult female rats with an average weight of 186 g were randomized into 6 groups of 8 rats each. Rats in Group 1 served as the positive control. Each rat in Groups 2-6 was orally administered with 250 mg/kg bodyweight chloramphenicol once daily for 28 days. The rats were given access to basal diet and water. After 28 days, blood-film analyses were carried out from each of the groups. The presence of blast and lymphoproliferative cells in Groups 2-6 confirmed CIL. Groups 1 and 2 rats received distilled water, while Groups 3-6 received 500, 1000, 1500, and 2000 mg/kg, respectively, of A. muricata for another 28 days. The animals were anesthetized, blood was collected from the retro-orbital venous plexus for determination of haematological indices; oxidative stress markers; lactate dehydrogenase, superoxide dismutase, catalase, glutathione, malondialdehyde, cardiac markers; Troponin-1, myoglobin, cancer indices; C-reactive protein, carcinoembryonic antigen, Alpha-fetoprotein. There was significant (p<0.05) amelioration of impaired haematological indices in the treated groups when compared to Group 2. Troponin-I and myoglobin were significantly (p<0.05) lowered in the treated groups when compared to Group 2. Oxidative stress markers and cancer indices were increased in Group 2, but significantly (p<0.05) ameliorated in Groups 3-6. Therefore, A. muricata has the potential to modulate adverse effects of CIL.