Whatever problems you have now will still be there, regardless if you are smoking or quit.
You sound as if you are ready so I wish you luck and if you need support, we are here for you.
As for the patch and taking an RX, I'm not sure what type of drug you are referring to. If it's an anxiety pill (wellbutrin, xanax, etc.) then that should be okay. If you are referring to Chantix, then no, you can't mix them.
Good luck and we are her for support!