Source: Wikipedia
The practice of chewing Betel Nut spans the area from south east Asia (Thailand, Cambodia, etc.) to PNG and the Solomon Islands. Combining the Areca nut and the Betel leaf for their psychoactive properties seems to have been around for at least four thousand years, according to archeological findings in Indonesia, the Philippines, and Thailand.
The effects typically are the same as a cup of coffee. That said, it does have a fairly strong carcinogenic effect, especially the processed/dried forms. The preparation is a cut nut wrapped in a leaf, with lime.
In PNG, the nut is usually consumed fresh, not in its dried forms.
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