You have to know for yourself if you can control smoking and limit it to once a month. If you don’t have a tendency to get addicted and continue it further then once a month (1-2 cigarets) should be fine.

Any kind of nicotine usage reduces the efficacy of the medications. I Suggest consult a psychiatrist for alterations in medications

I really appreciate your efforts for trying to understand this thing. As a Psychologist I'm not qualified to tell you the combined effect of salts in this medicine and smoke on your body. Other medical practitioners can better guide you on this. But as a psychologist let me help you to understand the other side of the story. 1. What's the reason behind smoking once in a month  ? Because if you're having craving then it can be throughout the entire month 2. Any particular feelings or emotions you experience while smoking once in a month  ? 3. Any particular date or day on which you smoke once in a month ? 4. What goes through your mind when you smoke once in a month  ? 5. Any fixed place where you go and smoke once in a month  ? If you can find out the answers to these questions or the underlying reason behind your smoking once in a month. I'm sure you can stop smoking once in a month too. Obviously to understand the reason behind it in better way, you can always take professional help (Counselling Sessions)

Thanks for reaching out for help. As you seem to be taking anti depressant and anti anxiety medication, it is advisable to not smoke at that time. This can be better answered by a general physician or the doctor who prescribed the medicines to you.

Have you tried homeopathy or naturopathy before trying allopathy. You can work on healing your mi d with yoga and meditation. Mind management training’s.

Please avoid smoking , while on medication

Hello.. you’ll have to consult a medical practitioner for this query. Sorry for not being able to help out in this.