The areca nut is the seed of the areca palm (Areca catechu), which grows in much of the tropical Pacific (Melanesia and Micronesia), Southeast and South Asia, and parts of east Africa. This seed is commonly referred to as betel nut so it is easily confused with betel leaves that are often used to wrap it (paan). The term areca originated from a South Asian word[1] during the 16th century, when Dutch and Portuguese sailors took the nut to Europe. Consumption has many harmful effects on health and is carcinogenic to humans. Various compounds present in the nut, most importantly arecoline (the primary psychoactive ingredient which is similar to nicotine), contribute to histologic changes in the oral mucosa. As with chewing tobacco, its use is discouraged by preventive efforts.