According to the Global Adult Tobacco Survey, covering 22 countries, 248 million people use smokeless tobacco in the form of gutka, iqmik or snus. A whopping 82% of them are in South-East Asian countries, majorly in India and Bangladesh. In India, 21.4% of all adults consume tobacco in smokeless form, which is a leading cause of gum disease, tooth decay, and cancer, as these products contain more than 30 carcinogens. Since smokeless tobacco products are consumed in a variety of formulations, including those with flavouring agents and alkaloids, it is challenging to regulate the use of these products.