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It may occur without cause, or it may be triggered by: Alcohol withdrawal Emotional stress Exposure to cold Medicines that cause narrowing of the blood vessels (vasoconstriction) Stimulant drugs, such as amphetamines and cocaine Cocaine use and cigarette smoking can cause severe spasms of the arteries

Use Alternatives : Keep your mouth busy with sugar-free gum or healthy snacks

Gutka and Paan Masala Domestic Movement Several Indian states (Maharashtra, Delhi, Bihar, Gujarat, others) ban gutka and flavoured paan masala under state-level food safety orders

Inhalers: Nicotine vapor (not smoke) absorbed through the mouth and throat lining