Birth control questions

Anyone on here that smokes (nicotine) and is on a combo birth control pill?

I used to be on the combo pill for a few years in my teens in which I did smoke cigarettes- my dr didn’t seem to be concerned about the risks at all.

I’m in my early 30’s now and I no longer smoke, but I vape regularly. I wanted to het back on birth control mainly bc my Vyvanse and Adderall do not work for $hit during a portion of my luteal phase- few days before period starts, and a couple days after it starts.

She gave me norethindrone, but I’ve been to nervous to try it. It doesn’t contain estrogen, and that’s what I’m looking for. I read online it makes your body basically act as if it’s only in luteal phase. I read a lot of stories of women having bad side effects mainly mentally/emotionally.

Anyone use nicotine and still on a combo pill? My dr isn’t very helpful on this. My psychiatrist is super helpful, but she obviously can’t help w/ my birth control situation. My dr just wants me to try the pills she gave me, but it’s been a couple months and I just don’t want to risk it.