Question: I have been experiencing sudden warming sensation for about 10 days now. It occurs in my upper chest and spreads throughout my arms and head. Sometimes I break into a cool sweat. No real pain, just very odd for me and concerning. It has happened while I was asleep, moving around the house, and just now I was doing some mild moving on a minitrampoline. I told my doctor about this last Wednesday. I am female, 62, and have had palpitations off and on for about 4 years. Doctor thinks its anxiety and I have been taking the generic for Lexapro (20 Mg). Also I take Synthroid (.075 mg), and just started Crestor last Wed. (Total cholesteral is 265 with high LDL). Heart disease runs in family. Have had testing of heart last summer and cardiologist says its ok. I have not had an artery scan for plaque. I use a Vagifem supplement for dryness, had a hysterectomy in 2009. Don't know if this is hormonal, heart diseases, anxiety, or some other malady. Thanks for listening! Also, I drink from 3-5 cups of coffee a day and have been sedentary lately. I've been sleepy and lethargic while on Lexapro. Relaxed but lazy feeling too.

Thank you very much, Dr. XXXXXXX This episode that occurred tonight was longer than the others over the past 10 days. Actually, I started taking escitalopram last September at 10 mg and the dosage was increased to 20 mg perhaps in February. I take my Synthroid (75 mg) and the Lexapro (generic) first thing each day. I had been feeling very lethargic, sleepy and unmotivated and told my doctor about that when I saw him last Wednesday. He said to decrease the Lexapro by skipping a day then taking it at 20 mg again for 3 days, skip a day and repeat taking it for 3 more days. But my first warming sensation had occurred about 10 days ago (3 of them in less than 12 hours. It was the day of my oldest daughter's wedding so nerves could have been involved. So I skipped my dose this past Thursday, took it again for 3 days, and skipped this morning. I had a period of this yesterday morning around 10. Both of these times it came on after I had eaten and was moving around. I began taking the Lexapro last September after having heart palpitations for a couple of years. I've worn a heart monitor twice. Both doctors (GP and Heart) say my heart is fine. I have the high cholesterol and have had two cousins die from a heart attack this past couple of years (ages 46 and 65). I want to make sure there is no blockage. Also, I wonder if I'm taking too much medicine (of one type or both) and now I take Crestor. I agree that getting some tests redone or added is a good idea to get to the bottom of the problem to prevent further complications. What do you think? Thank you again.