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Hello Kathy,   Don't muck around with any chest pain.  You need an ECG test to make sure not yr heart.   Might be yr. lungs.  If nothing on ECG of your heart - get chest xray to see if it is your lungs.  Methotrex. and other rheumatoid drugs are immuno supressants and can give you respiritory infections and serious lung infections.   Try omega 3 fish oil or krill oil for rheumatoid.  Have just started this.  I had bad experience on methot. - I had this cough not going away and chest pain too.  Was an infection (Aspergillus fungus) in lungs.  I cannot have any immuno supressant drugs again and sadly most of them thus far are immuno supressant drugs including the newer Remicade, Arava, Enbrel, Tocilizumab, Mabthera etc.   Ask yourself after all this time if the drug is really working for you ?   It does for some but nothing for others.   Ask Rheumy if y can go off it to see if there is any difference in your pain.  You can always go back on it again if you think it was working.