Darn Internet connection. I just lost my whole reply. I really need to get away from caffeine and possibly the Vyvanse which was prescribed for my ADHD, but my sleep has been so awful that I chug coffee all day which of course exacerbates the sleep issue. I also take Tramadol but usually only once per day in between my other meds when I need it. I researched medication interactions and tramadol does not combine well with them so I try to leave 3-4 hours between my other meds and the Tramadol. I don't know if that strategy is a good one, but that is what I use. I also take clonazepam which is mostly effective. I have no idea what my anxiety is about, but in the past and even sometimes now all my muscles tighten up to the point where I feel like someone is choking me--not pleasant. Not a fan of gabapentin so won't ever use that.