<s>[INST] I am 50 years old , 250 lbs and 6ft  and do not exercise. Also have a little high blood pressure. I take 20 mg of ic lisinopril and 25 mg of paroxetine cr.  For the last 2 weeks i have had left arm pain not terrible pain. i also have felt a little tingle in my left fingers specifically my pinky and ring finger but just today and yesterday.  Also i have had a headache for 2 days. I dont get headaches. my father had heart trouble a pace maker and defibulator and was a diabetic. [/INST] Hi, If your pain arises during physical activity for example climbing stairs, then you should see a doctor to rule out heart problems. If it changes with movements, with position, and becomes worse on palpation, then most probably it is a neuromuscular pain, in this case take Ibuprofen 400 mg three times a day, if it doesn't disappear in three days or Ibuprofen doesn't work at all, then see a doctor. Take care </s>