01212nas a2200217   4500000000100000008004100001653003900042653002300081653000900104653002100113653003000134100001300164700001300177700001600190700001400206245008200220300001200302490000700314520065900321022001400980       2017                            d10aNeglected tropical diseases (NTDs)10aSnake envenomation10aADHD10aNeurotoxic venom10aRecreational envenomation1 aShukla L1 aReddy SS1 aKandasamy A1 aBenegal V00aWhat kills everyone, gives a high for some - Recreational snake envenomation.  a106-1080 v253 a<p>There are multiple reports of recreational snake envenomation describing psychotropic effects in absence of any adverse effects. This is in contradiction with known effects of snake venom. We report a case of a young male who subjected himself to repeated envenomation by a snake purported to be 'Indian Cobra' and experienced a 'high'. However, a direct identification of snake revealed it was a benign 'Rat snake'. We attempt to explain the reported psychological effects as a result of high expectation of rewarding experience, strong suggestion, personality traits and most importantly the dangerous nature of willfully receiving snakebites.</p>
  a1876-2026