67   years old male pt 
stone  former 
bph   and he has  been maintained   on  omnic  ocase 
  he has  chronic kidney disease  with base line   1,4    12/2024 

recently   new  labs  were  done and showed   3,03 
further   evalaution showed   hgb  10 
renal us  s  was done and showed 

medication 
valsadipin  160/10/25
concor  5 
alloril  100 
tjiotard  100 
symbicort  inhaler 
omnic  ocase 

plan 
stop  valsadipin 
ad   amciro 
add   cadex 
ivf   500 mg   once  dailyu