44    years   old female pateint  
knonw to have hypertneison for the last   9  years 
after  preeclampsia 
after   9  months  of pregnancy   her  blood pressure  was  180/90 
concor  5mg once   failed 
amicor  5 mg  failed 
atacand  plus 16/12,5 


for the last   1  years   she    generalzed weakness and  she  sought medical advice   by dr  raba3  and she  backed c/o  generalzed weakness 

plan 
add   vasadipin  160/5 
concor     2.5 
j dee 
betastin 
deflazacort 
