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Food Substitutions
How to Adapt Your Favorite Dishes
People with chronic kidney disease face many dietary challenges, not the least
of which is to eat enough protein and calcium without getting too much
phosphorus. Try these substitutes to decrease the phosphorus in your diet:
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Use non-dairy creamer or milk substitutes, such as rice milk, on cereals and in
creamed soups, puddings and other recipes that call for milk. (Note: Some of
these products will not set when made into pudding or custard.)
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Italian sauces should be eaten in small quantities because they can be high in
sodium, phosphorus, and potassium. Instead of filling up on pasta with meat
sauce, a good choice would be salad, bread, and pasta with garlic and butter.
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Use imitation sour cream on fruits or in dips to replace yogurt.
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For breakfast, have an omelet with low-potassium vegetables or eggs any style,
toast with jelly or a pastry. Avoid cured meats such as sausage, bacon or lox;
hash browns; and fast-food breakfast sandwiches.
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You don’t have to give up dessert. Just substitute sherbet or sorbet for ice
cream, fresh fruit for dried fruit, or a plain cookie rather than a chocolate
cookie.
Learn more about healthy eating while living with hyperphosphatemia by talking
to your doctor and dietitian, and by consulting the
patient organizations devoted to kidney disease.
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Important Safety Information
- During clinical trials, the most common side effects of FOSRENOL were gastrointestinal, and included nausea, vomiting, and diarrhea. Nausea and vomiting generally lessened over time as patients continued with their treatment.
- Patients who stopped treatment usually reported gastrointestinal side effects as the reason for stopping. Other side effects reported in trials included dialysis graft complications, headache, abdominal pain, and low blood pressure.
- Although studies were not designed to detect differences in risk of bone fracture and mortality, there were no differences demonstrated in patients treated with FOSRENOL compared to alternative therapy for up to 3 years.
- The duration of treatment exposure and time of observation in the clinical program were too short to conclude that FOSRENOL does not affect the risk of bone fracture or mortality beyond 3 years.
- While lanthanum has been shown to accumulate in the GI tract, liver, and bone in animals, the clinical significance in humans is unknown.
- If you suffer from acute stomach ulcer, colon inflammation and colon ulcers, Crohn's disease, or bowel obstruction, it is important to know that patients with these conditions were not included in FOSRENOL clinical studies — please discuss with your doctor.
- Don't take FOSRENOL if you are nursing or pregnant, or if you are under 18 years of age.
FOS-00086 08/08
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