she  received   2  doses of  rituximab 
18/3      1/4 

c/o 
bone pain 
genraled weakness 
uncontrolled  blood pressure 
no lower limbs edema 
generalzed weakness 


medications
valsadipin   160/12.5 
carvidelol  12.5  2x2 
empsa  10 mg once 
prograf  1x2 

liponil  40 mg once 


plan 
make  prograf    1x2 
never  back to steriod  
jamission magnesium   once daily 