today he came  for  follow up 
creatrinine  1.7 
he  didnot report  any imprvement  with betniga 
i  asked him to  repeat the treatetm  for another one  month 

his  blood pressure  reading  around  140.70
i prefer  to add  more  cadex 

rtc after   2  months 
call me  after one week  for the   blood  pressure  monotoring 