### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been in treatment for pain resulting from degenerative disc desease, arthritis, raynauds desease, myofacia pain syndrome and fibromyalgia. I have been going through a lot of UA s and accusations of being an alcoholic and using methadone (unprescribed). I am a 60 year old woman and have been on social securtity for 9 yrs due to these and emotional difficulty that prevent sleep (diagnosed with PTSD and anxiety disorder). I worked for 40 yrs as an accountant. My physical illness for the most part and my emotional illness is from physical and emotional abuse endured as a child and a marriage of 15 years. I took clonazepam for the anxiety, but it was withdrawn a year ago. I take 30mg oxycodone three times a day,but they are now threatening me with dismissal due to the methadone reading in my UA. what are the FDA rules on pain medicines like mine. I cannot endure this stress for long and cannot deal with the thought of no way to reduce the pain. I am not an addict,nor have I ever been on unprescribed medicines.

### output:

His had gone through your query. You seem to have multiple medical problem. Psychiatric co-morbidity is common in long physical illness. Yes clonazepam can be used to reduce stress and anxiety. Clonazepam is anxiolytic medicines. It is also useful in sleep problem. SSRI is advisable in PTSD. In SSRI paroxetine and Escitalopram can be useful. Avoid alcohol and methadone for better health. Both can worsen anxiety and precipitate psychological illness. Need to consult psychiatrist and discuss your illness for further evaluation. I hope I have answered your query. Thank you.