The abuse of cough syrups containing antihistamines and codeine is being increasingly noted. The abuse of antihistamines alone has also been reported. The use of antihistamines alone or in combination with other substances of abuse may predispose individuals to develop psychiatric symptoms or syndromes as a part of intoxication, withdrawal or as co-morbid conditions. We present two case reports to highlight the occurrence of co-morbid psychopathology in association with antihistamine abuse and dependence.Case I used high doses of pheniramine for about 2 years and became suspicious of his wife; he even doubted the paternity of his yet-to-be-born child. The associated behavioural abnormalities suggested that he was acting out on the delusion. He also had seizures associated with the intake of a high dose of pheniramine. Case II had multiple substance use, and dependence on alcohol and pheniramine. He demonstrated abnormal behaviour suggestive of psychosis and organic brain syndrome that persisted for a few days and remitted on discontinuation of the substances. These two cases demonstrate the occurrence of psychotic syndromes associated with heavy pheniramine use. The psychopathology can vary from an independent psychotic syndrome to an organic brain syndrome-like disorder.

Background: The unmonitored surge in the usage of Internet recently has led to Internet Addiction. Internet is a classical instrument known to stimulate addictive behaviour which is on the verge of developing into a considerable public health emergency in the future in a densely populated country like India. Adolescents are more susceptible to this as they spend more time browsing the web. This cross sectional study intends to find out the co-morbidities associated with Internet Addiction in students of health sciences in India.Methods: The study was conducted in an Indian Medical and Dental College. 900 students were randomly selected to fill up the questionnaire. 618 students fulfilled the selection criteria. Young’s Internet Addiction Test was used for assessing the prevalence of Internet Addiction. The Rosenberg self-esteem scale was used to measure the self-esteem.Results: 19.5% students were not addicted to Internet. 61% of students were mildly addicted while 19.5% students were moderately addicted. Significant association was found between academic performance and Internet Addiction. Also, Internet Addiction had no significant association with Self- Esteem and Obesity.Conclusions: Proper screening methods should be used for prompt detection and management of Internet Addiction and awareness should be made about the same. It should be given more attention and students should be made to understand about healthy and safe practices to use internet. There is a need of an improved questionnaire which can provide us better understanding of internet usage by people in terms of amount of time and purpose of using the internet.

Background: There has been marked rise in use of internet over the last decade, with increasing internet use people are more prone to psychological disorders. This has markedly hit the population of young adults as they are the ones who maximum use internet. These users are also prone to develop Attention deficit hyperactive disorder(ADHD) and other behavioural problems.Methods: The study was conducted by the Department of Psychiatry, 900 (design effect=2) students were randomly selected (620 from Medical College and 280 from Dental College). Out of 900, 618 students answered the questionnaire completely which included Young’s Internet Addiction Test (IAT) and the Adult ADHD Self-Report Scale (ASRS-v1.1). Subjects who came positive for ASRS were asked to undergo a test for DSM-V. Independent t-test was used to assess the outcomes and p<0.05 was considered significant.Results: The mean age of the participants were 20.03±1.45 years. It was found that people from age group 19-20 were addicted the most (240 students), coming next were from age group 21-22 (162 students). The prevalence rate of self-reported ADHD symptoms using the ASRS screener was 20.2%. Out of these ADHD suspects 39(31.45%) were moderately addicted and 73(58.87%) were mildly addicted, and this association was found to be statistically significant (p<0.001).Conclusions: Thus, with modernization it is seen that internet use has dramatically increased, which has various kinds of behavioural, psychological, mental effects on one's life. Moreover, students who were more addicted to internet were found to be more susceptible to ADHD.

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