‘Quai' local name for beetle leaf, is had with Areca nut and slaked lime. It is a common practice in Assam and Meghalaya in India. Areca nut is the fourth most common addiction found globally following tobacco, alcohol and caffeine. But also considered to be a ‘fruit of divine origin’ in Hindu ceremonies. The chemical composition of the nut contains a number of psychoactive alkaloids that lead to stimulation of the central nervous system, alertness and gives a feeling of euphoria. It can lead to cancer and issues in the digestive system on oral consumption. Although it has its own dark side, the extract of the nut has been used for medicinal uses to relieve hunger and abdominal pain. It is also used in making veterinary medicines to eliminate intestinal parasites like tapeworms.