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However, people who have used the drug have reported the following effects: Relaxed, feeling happy Feeling alert Fast heart rate and palpitations High blood pressure Red face and feeling warm Sweating 3 People who use betel nut for the first time, and people who have used it before who take a large amount or a strong batch, may experience the following: Tremors Dizziness Upset stomach, diarrhoea, vomiting Psychosis 4,5 Long-term effects Regular, heavy use of betel nut may eventually cause: Discolouration of teeth and gums, sometimes turning them reddish-brown Mouth ulcers and gum disease Oral cancers or sub mucous fibrosis (a pre-cancer condition) Stomach ulcer Heart disease 7 Needing to use more to get the same effect Dependence on betel nut Financial, work and social problems Tolerance and dependence People who regularly use betel nut can become dependent on the drug

Phillip Morris observed the tobacco industrys own words establish this fact

And walk by any office, or school in mid-afternoon, and the workers and students are lined up on the sidewalk, puffing away

Fillers: Puerto Rican Puro (Finca Neo Jibaro)