Dr. I am 32 years male. I just wanted to quit pan masala. My friend told me to take acomprol. Just before 20 days I have taken 3 acomprol tabs. Last 3 days I am felling uneven heart beat, my face colour become changed into red, felling some one hammering over my head. I am in serous problem please help me out. I drink once in a week last Saturday and sunday taken just 30 ml alcohol after 2 minutes those abnormal things happened. I do not what to do.

Dr. Saul PereiraPsychologist46yrs exp

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Acomprol should never be taken with alcohol and must be prescribed by a doctor. You are playing dangerously by taking this medication without doctor's prescription and monitoring. Chewing tobacco is really harmful especially because it is known to cause oral cancer and oral submucous fibrosis (SMF). Since it is an oral habit there are many substitutes that can be used to replace the oral stimulation. Of course, since it is a stimulant you cannot get the same effect and that is worth the loss to give up this very addictive habit. A dense fibrous tissue is deposited in the submucosal layer of the soft palate and cheek, causing disabling symptoms like trismus. It contains betel nuts, tobacco, lime, catechu and permitted spices and flavors. The first four substances damage the sensitive mucosa, causing constant irritation and micro trauma to the mucosa. Chemicals present act as a toxin. The phenol in the betel nut, with its caustic burning effect, destroys the mucosa, causing oral ulcers. The betel nut also contains tannins, which act as astringents, precipitating protein and damaging the mucosa. Altogether, this substance is known to be physiologically addictive. You can use replacements like nicotine chewing gum (if you want the stimulant effect, especially in the beginning) or ordinary chewing gum, hard candy and any other orally satiating substance, especially when the urge is very strong. You would have got conditioned to the habit to different times of the day and different situations. You must particularly avoid those occasions and occupy yourself with something else attractive. You should get regular exercise, eat healthily, and get a good night’s rest every day. Visit a dentist and clean up your teeth and gums to wipe out all the reminders and damages of the habit. You may also get a thorough oral check up and treatment for any damages incurred. If he is unable to give it up on his own, he needs to be admitted into a rehabilitation center nearby until he is completely out of it. They will have him deal with all other issues also and so his anger outbursts will also get attention. The anger may or may not have anything to do with the addiction but still it is better he deals with it in the course of his therapy. 

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