60   Yearsw old male pateint 
for the last   3  years   creatinien  1,6-7   but last  years   2.4  after   ramadan 
he sought medical  advice    by d r  bourini and   ryad  saed   and visited italy 

and  then  he  said  it  is  due to  NSAID 
MEDICATION 
WBC   5.2   HGB       12.5  PLT      153
CREATININE   2.25     NA  138   K      43.  CL      105    UREA    63    URIC ACID    7,32
URINE ANALYSIS   NOR
URINE PCR  10
ANCA   C3  C4    ESR   ALL WITHIN NORMAL 

MEDICAITGON 
JARDIANCE   10 MG ONCE 
ATACAND  8 MG ONCE 
CARVIDELOL    12.5 MG 1X2 
SITAGLU 50 MG ONCE