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Because no FDA-approved medications exist for stimulant addiction, therapy is the main clinical tool available

16 Due to the increased risk of oral cancer, as well as the risk of OSF becoming malignant, betel quid users must receive routine oral cancer screenings and extensive documentation of soft tissue lesions

During the test, the doctor can take samples of tissue that can be checked for cancer or other problems

Although it is considered a modified risk tobacco product (MRTP) it is still addictive and contains several chemicals that are known carcinogens.This is why a 2025 review article cautioned that the MRTP classification for Copenhagen Classic Snuff could contribute to public misperception and emphasized the need for post-market surveillance and discouraging initiation by non-users