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What Causes Intermittent Chest Pain?

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Posted on Tue, 23 May 2017
Question: Hello, I am taking 10 mg of abilify in the morning and 1 mg of klonopin two times a day. Yesterday I also took 10 mg of lexapro in the morning for the first time, and I had chest pain all day long. The chest pain was intermittent, on and off. I got an EKG done last night and it came back perfectly normal. And my blood pressure and pulse rate was normal as well. I have had chest pain when I have tried every other depression medication in the last week like lithium, zoloft, SAM-e which is an over the counter depression medication, and a homeopathic depression medication. I also had chest pain when I listened to some music for depression that raises serotonin and dopamine levels. So do you think that since I had the chest pain with everything, it is more likely because of anxiety and panic attacks and that I was worried about the side effects or do you think it would be related to my heart? I read that lexapro can cause deadly side effects like chest pain, chest tightness, and that it can lengthen the QT interval and cause an irregular heartbeat. So do you think this chest pain I had yesterday was any of these things or do you think it was just anxiety and panic attacks since my EKG and blood pressure and pulse was normal. Do you think I should continue the lexapro? I also read an article where it says that the combination of abilify, celexa which is a medication very similar to lexapro, and klonopin can cause death. Here is the article where it says that: http://www.ehealthme.com/sdi/celexa/abilify/death/
If you scroll down, it says that out of the 16 people who had death with abilify and celexa, 3 of them were taking klonopin. So given that lexapro and celexa are isomers, that is the exact combination I am taking: lexapro, abilify, and klonopin. So do you think it is safe to continue the lexapro provided that I had chest pain all day yesterday, and do you think the combination of abilify, lexapro, and klonopin will cause death after reading this article?

I forgot to mention that I was not having chest pain at the time when they did the EKG so would any problems still show up in the EKG?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (32 minutes later)
Brief Answer:
I think it is anxiety related

Detailed Answer:
Dear XXXX,
Thanks for using Health care magic.

I read your query and understand your concerns.

As it is related to everything which helps in depression, it can be conclusively stated that the pain is related to anxiety rather than heart related ailment.

As answered in the past about death due to combination of medication which you are taking is just a coincidence which article failed to describe. If you go for such poorly written articles we have to ignore all positive things which science brings to us.

I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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What Causes Intermittent Chest Pain?

Brief Answer: I think it is anxiety related Detailed Answer: Dear XXXX, Thanks for using Health care magic. I read your query and understand your concerns. As it is related to everything which helps in depression, it can be conclusively stated that the pain is related to anxiety rather than heart related ailment. As answered in the past about death due to combination of medication which you are taking is just a coincidence which article failed to describe. If you go for such poorly written articles we have to ignore all positive things which science brings to us. I hope this helps you. If you have more questions feel free to write back to me. Thanks and regards.