to N. virginiana. In modern times, makhorka is still sometimes smoked by peasants and farmers due to its high availability and being almost free for them. Vietnam The plant is called Thuốc lào in Vietnam, and is most commonly smoked after a meal on a full stomach to "aid indigestion", or along with green tea or local beer (most commonly the cheap bia hơi). A "rít" of thuốc lào is followed by a flood of nicotine to the bloodstream inducing strong dizziness that lasts several seconds. Heavy cigarette smokers have had trouble with the intense volume of smoke and the high nicotine content; side effects include nausea and vomiting. There are many “brands” of tobacco, most of which are specific to the region in which they are grown. Some of these “brands” are mellow in flavor and effect, some are more energizing, and some are known for their relaxing properties. Water pipes can be found everywhere, and are a fixture of local tea booths, eateries, and cafes. It is common to find a table with a small box of tobacco at these establishments from which anyone can help themselves to a bowl during a tea or work break. Travelers have made the mistake of hitting these pipes too hard on their first attempt, leading to them passing out, much to the delight and amusement of the locals. It is not uncommon for locals to offer the pipe to a foreigner in hopes of seeing the powerful effect the tobacco has on the uninitiated. The main difference between smoking thuốc lào and the use of other tobaccos is in the method of consumption, in that thuốc lào is consumed with a water pipe. The smoker is presented with either a bamboo pipe called a điếu cày (English: "farmer's pipe") or a ceramic hookah called a điếu bát. It may also occasionally be smoked in a more uncommon pipe known as a điếu ống. The pipe is filled with an appropriate amount of water and a small amount of thuốc lào is pressed into the bowl. One then ignites the tobacco and inhales to create a body of smoke inside the pipe, before exhaling the smoke, reversing the process of air in the pipe by blowing into it to pop out the tobacco. The smoker then sharply inhales, usually tilting the pipe upwards to an almost horizontal position (but not completely, as