It is highly recommended to avoid both alcohol and smoking while on anxiety medication. Beer (alcohol) is a central nervous system depressant that can interact dangerously with your medication, leading to extreme drowsiness, dizziness, and worsened anxiety. Nicotine in cigarettes is a stimulant that can increase your heart rate, mimic or trigger panic attacks, and interfere with how your body metabolizes your medication, making it less effective. Combining these substances with your treatment can hinder your recovery and worsen your overall condition. Please consult your prescribing doctor for advice specific to your prescribed medication.