 [ Symptoms ] pulmicort flexhaler not covered by medicare advantage plan need cheaper alternative [ Disease ] nicotine is a powerful stimulant and you can definitely get reactions while your anxiety may be more complicated than just nicotine it would obviously be best for you not to smoke anymore there are medications that can help but you will need to see your medical provider to have them prescribed the effects of the nicotine exposure should be waning each day so it is unlikely that you will have any permanent effects again since anxiety can be much more complex as to the causes seeing your health care provider would be advised