 Reported to have both stimulant and relaxation effects, it is sold throughout South Asia and some Pacific regions in small, individual-sized foil packets/sachets and tins that cost between 2 and 10 rupees each.It is widely consumed in India, Pakistan, Bangladesh, and the Madhesh region of Nepal.Gutka is consumed by placing a pinch of it between the gum and cheek and gently sucking and chewing, similar to chewing tobacco.