For people on dialysis with anemia due to CKD
Recipe Ideas for You
If you have chronic kidney disease and are on dialysis, your care team may suggest certain food choices for you. The recipes below can help you manage your diet and are approved by the National Kidney Foundation.
Leroy’s Country Biscuits and Gravy
"Down-home cooking from me to you!"
1 1/2 cups flour
2 teaspoons baking powder
2 tablespoons margarine
1/3 cup liquid non-dairy creamer
1/3 cup water
6 oz ground beef
1/2 teaspoon sage
1/2 teaspoon pepper
1/2 teaspoon basil
1/2 teaspoon garlic powder
2 tablespoons margarine
2 tablespoons cornstarch
1 cup liquid non-dairy creamer
- For biscuits, combine flour and baking powder in a bowl.
- Cut in margarine until mixture resembles coarse meal.
- Add creamer and water, mixing to form a dough. Knead on a floured surface 10 times.
- Roll dough out and cut into 8 biscuits.
- Bake on a greased baking sheet at 450°F for 10 to 12 minutes until golden.
- For gravy, mix ground beef with spices in a bowl. Brown beef in a skillet over medium heat. Drain. Set aside.
- In the same skillet, melt margarine over low heat.
- In a small bowl, mix cornstarch with 1/4 cup creamer until smooth.
- Add remaining creamer and stir until smooth. Add to margarine in skillet and cook over low heat, stirring constantly, until mixture thickens and bubbles.
- Add beef and heat thoroughly. Serve over biscuits.
Analysis (per serving):
- Calories 524
- Carbohydrates 51 g
- Protein 13 g
- Fat 31 g
- Sodium 525 mg
- Potassium 311 mg
- Phosphorus 393 mg
Renal and Renal Diabetic Exchanges:
- 1 Meat
- 2 Starch
- 1 Non-Dairy Milk Substitute
- 4 Fat
THESE RECIPES ARE PROVIDED FOR GENERAL INFORMATION AND ARE NOT INTENDED AS MEDICAL ADVICE, DIAGNOSIS OR TREATMENT, AND ARE NOT A SUBSTITUTE FOR CONSULTATIONS WITH QUALIFIED HEALTH PROFESSIONALS WHO ARE FAMILIAR WITH YOUR INDIVIDUAL MEDICAL NEEDS.
IMPORTANT INFORMATION ABOUT EPOGEN®
EPOGEN® (epoetin alfa) is a prescription medicine used to treat a lower than normal number of red blood cells (anemia) caused by chronic kidney disease (CKD) in patients on dialysis to lessen the need for red blood cell transfusions.
EPOGEN® has not been proven to improve quality of life, fatigue, or well-being. EPOGEN® should not be used in place of emergency treatment for anemia (red blood cell transfusions).
Using EPOGEN® can lead to death or other serious side effects.
For all patients who take EPOGEN®, including patients with cancer or chronic kidney disease:
- Your healthcare provider should prescribe the smallest dose of EPOGEN® that is needed to reduce your chance of getting red blood cell transfusions.
- You may get serious heart problems such as heart attack, stroke, heart failure, and may die sooner if you are treated with EPOGEN® to reach a normal or near-normal hemoglobin level. If your hemoglobin level stays too high or goes up too quickly, this may also lead to these serious problems. Serious health problems may happen even if you take EPOGEN® and do not have an increase in your hemoglobin level. Your doctor should monitor your hemoglobin regularly.
- You may get blood clots at any time while taking EPOGEN®. If you are going to have surgery, talk to your healthcare provider about whether you will need a blood thinner to lessen the chance of blood clots during or following surgery.
Call your healthcare provider or get medical help right away if you have symptoms of blood clots such as:
- Chest pain
- Trouble breathing or shortness of breath
- Pain or swelling in your legs
- Arm or leg feels cool or appears pale
- Sudden confusion or trouble with speech
- Sudden numbness or weakness in your face, arm, or leg
- Sudden trouble seeing
- Sudden dizziness or trouble with walking or balance
- Loss of consciousness (fainting)
- Your hemodialysis vascular access stops working
For patients with cancer:
Your healthcare provider has received special training through the ESA APPRISE Oncology Program in order to prescribe EPOGEN®. Before you can begin to receive EPOGEN®, you must sign the patient–healthcare provider acknowledgment form. When you sign this form, you are stating that your healthcare provider talked with you about the risks of taking EPOGEN®.
These risks include that your tumor may grow faster and you may die sooner if you choose to take EPOGEN®.
You should not take EPOGEN® if you:
- Have cancer and have not been counseled by your healthcare provider regarding the risks of EPOGEN® or if you have not signed the patient–healthcare provider acknowledgment form before you start EPOGEN® treatment.
- Have high blood pressure that is not controlled (uncontrolled hypertension).
- Have been told by your healthcare provider that you have or have ever had a type of anemia called Pure Red Cell Aplasia (PRCA) that starts after treatment with EPOGEN® or other erythropoietin protein medicines.
- Have had a serious allergic reaction to EPOGEN®.
Pregnant women, breastfeeding women, and babies should not receive EPOGEN® from multidose vials.
EPOGEN® may cause other serious side effects:
- High blood pressure. High blood pressure is a common side effect of EPOGEN® in patients with chronic kidney disease. Your blood pressure may go up or be difficult to control with medicine while taking EPOGEN®. This can happen even if you have never had high blood pressure before. Your healthcare provider should check your blood pressure often.
- Seizures. Seizures have occurred in patients taking EPOGEN®. If you have a seizure, get medical help right away.
- Antibodies to EPOGEN®. Your body may make antibodies to EPOGEN® that can block or lessen your body’s ability to make red blood cells and cause you to have severe anemia. Call your healthcare provider if you have unusual tiredness, lack of energy, dizziness, or fainting.
- Serious allergic reactions. Serious allergic reactions can cause a rash over your whole body, shortness of breath, wheezing, dizziness and fainting due to a drop in blood pressure, swelling around your mouth or eyes, fast pulse, or sweating. If you have such a reaction, stop using EPOGEN® and get medical help right away.
While you are on EPOGEN®, tell your healthcare provider if you are pregnant or breastfeeding, or are planning to become pregnant or breastfeed.
Common side effects of EPOGEN® include:
- Joint, muscle, or bone pain
- Soreness of mouth
- Redness and pain in the skin where EPOGEN® shots were given
These are not all of the possible side effects of EPOGEN®. Tell your healthcare provider about any side effects that bother you or do not go away.
You are encouraged to report negative side effects of prescription drugs to the US Food and Drug Administration (FDA). Visit or call 1-800-FDA-1088.