The stimulant effect of arecoline is the reason betel nut is so widely used.

It creates alertness, suppresses fatigue, and produces a mild euphoria.

For people engaged in physically demanding labor — agriculture, fishing, construction — the fatigue suppression is valuable.

For people who need to maintain alertness under boring or taxing conditions, the stimulant effect is attractive.

For people who are hungry, the hunger-suppression effect is appealing.

The comparison to caffeine is apt: both are stimulant alkaloids that act through receptor systems in the brain to produce alertness and reduced fatigue.

Arecoline is generally considered to have stronger effects than caffeine and a higher addiction potential, though comparing across these compounds is complicated by the different ways they are consumed and the different populations that use them.