what were the four most frequently prescribed drugs that were prescribed to the male patients 40s within the same hospital visit after they had been diagnosed with severe sepsis until 2103?
select t3.drug from ( select t2.drug, dense_rank() over ( order by count(*) desc ) as c1 from ( select admissions.subject_id, diagnoses_icd.charttime, admissions.hadm_id from diagnoses_icd join admissions on diagnoses_icd.hadm_id = admissions.hadm_id where diagnoses_icd.icd9_code = ( select d_icd_diagnoses.icd9_code from d_icd_diagnoses where d_icd_diagnoses.short_title = 'severe sepsis' ) and strftime('%y',diagnoses_icd.charttime) <= '2103' ) as t1 join ( select admissions.subject_id, prescriptions.drug, prescriptions.startdate, admissions.hadm_id from prescriptions join admissions on prescriptions.hadm_id = admissions.hadm_id where admissions.subject_id in ( select patients.subject_id from patients where patients.gender = 'm' ) and admissions.age between 40 and 49 and strftime('%y',prescriptions.startdate) <= '2103' ) as t2 on t1.subject_id = t2.subject_id where t1.charttime < t2.startdate and t1.hadm_id = t2.hadm_id group by t2.drug ) as t3 where t3.c1 <= 4