Living with anxiety and poor sleep for many years can be very exhausting, and even though medicines like Frisium 5 mg and Nexito 10 mg may help many people, ongoing sleep problems can still happen if stress, daily habits, or tobacco use continue to affect the body and mind. Tobacco, even in small amounts throughout the day and night, can disturb sleep quality, increase anxiety, make the mind more restless, and reduce the calming effect of sleep medicines because nicotine acts as a stimulant. One of the most important steps to improve your sleep and anxiety is to gradually reduce and eventually stop tobacco use with proper support if needed. Along with this, try to maintain a fixed sleep schedule by sleeping and waking up at the same time every day, avoiding mobile phones or TV for at least one hour before bedtime, reducing tea or coffee in the evening, and creating a calm sleeping environment. Light exercise, yoga, meditation, deep breathing, and relaxation techniques during the day can also help reduce anxiety naturally and improve sleep quality over time. Do not increase or stop your medicines on your own, because sudden changes can worsen anxiety, sleep problems, or cause withdrawal symptoms. Since your symptoms have continued despite treatment for several years, it would be a good idea to revisit your psychiatrist for a proper review of your medicines, sleep patterns, stress levels, and tobacco dependence. Sometimes adjusting the dose, changing medicines, or adding counselling or cognitive behavioural therapy can provide much better long-term relief. In many people, combining medical treatment with lifestyle changes and stress management gives the best improvement in both anxiety and sleep.