today he came for follow up 
creaatinine  4,4 

meication 
cadex 4 gm 1x2 
carvidelol  12.5 mg 1x2 
hydralazin 50 mg 1x2 
calcium  600 mg  1x3 
hold  alfa  due to high phopshorus 
nexium  40 mg once [
plavic  75 mg once 
liponil  40 mg once 
lasix  40 mg ocne 

plan 
add  l  carnitin 
add  biosolve 
rtc after  one month 
continue   aransp 
hold  iron due to constipation 

thanks 