So I suffer from bad anxiety, especially health anxiety (as well as depression, PTSD, and a few others) and I take klonopin to manage my anxiety. 

I'm also a chronic pain sufferer. I had an injury almost 3 years ago that left me in consistent pain. I take a low grade opioid to manage the pain. 

The trouble I have is I'm consistently suffering from anxiety, but when the pain gets bad, I have to take a Tramadol or two to try and manage the pain. 

I was always told not to take my klonopin anytime near the time I take the opioids, but when I take the Tramadol, it peaks my anxiety. I'm always in an anxious state, however when I take the pain meds it peaks me through the roof into a panic attack. 

I'm supposed to start a regime of Prozac, however I haven't taken them yet because the pharmacy said not to take pain meds with antidepressants as well.

I'm in a world of pain and or anxiety based on which medication I take at that particular time. It's hard to decide to deal with pain or anxiety from time to time. 

Does anyone go through similar situations? Does anyone take similar medications and how do you handle them? I'm pulling my hair out trying to balance these conditions, and I'm slowly losing the fight. Any advice is helpful! I just took a klonopin for my anxiety so I'm going to try and sleep, so if I don't reply to any possible comments, I will tomorrow. 

TL;DR. Trying to manage anxiety and chronic pain. Also balance taking the meds needed for both of them.