62  years old female pateint 
she has  lower limbs edema nd   eye  puffness 
she hasDM    ON METFORMIN 
She is on HTN    on EXFORG   160/6
ECHO was   done and showed  noral study 


plan 
switch   exforg  to  codiovan 
add j  dee  50000  once weekly 
add concor   5 mg once 
after  1   month 