I don't have issues with smoking. I smoke maybe once a week, usually if my pain level gets too high and I can't take it anymore. I used to be a heavier smoker and I didn't have any issues with it. Since I lost my job in 2015 I slowed down cause we just didn't have the money since my husband would smoke all the time. I got used to just smoking when in too much pain. tbh I'd rather be alert and awake so I could do things, but that's just me.