Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Taking gutkha is harmful but restricting the same in the hospital will not be sufficient. Infact proper de-addiction needs to be planned. You may contact your doctor and call for a psychiatry consultation in the hospital. The patient will need motivational interviewing initially and ones he is motivated he can leave the nicotine under the cover of nicogum and bupropion. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.