A member asked:

Do cigarettes diminish the effects of clonazepam?

7 doctors weighed in across 3 answers

Yes: Nicotine in cigarettes is a stimulant that will increase heart rate, blood pressure and anxiety. Nicotine counters the calming effects of clonazepam. Ask your doctor for ways to help you quit smoking. Best wishes.

Answered 4/28/2016

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Dr. James Rotchford answered

Specializes in Addiction Medicine

It depends: Stimulants like nicotine can help some relax. Others can be agitated by nicotine. Dose can make a difference.

Answered 9/19/2015

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Dr. Glenn Burns answered

Specializes in Emergency Medicine

Probably so: Clonazepam is metabolized by a different CYP enzymes than nicotine, thus the blood levels are not effected. However, the calming effect of clonazepam is caused by activating GABA receptors in the brain. Nicotine binds to these same receptors but results in lower intensity of activation. So the net is less effect from the clonazepam. Nicotine also causes neural excitation, further countering it

Answered 9/19/2015

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