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Orlistat

Brand names: Xenical, Alli (over the counter)

Orlistat blocks some of the fat you eat from being absorbed to help with weight loss.

Brand namesXenical, Alli (over the counter)
Type of medicineFat-absorption blocker (weight loss medicine)
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

Eating high-fat meals causes oily stools and urgency.

What it's used for

  • Weight loss with a reduced-calorie, low-fat diet

How to take it

  • Take it with each meal containing fat (or up to 1 hour after).
  • Take a daily multivitamin at bedtime, at least 2 hours apart.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Oily spotting
  • Gas with discharge
  • Urgent or more frequent bowel movements
Call your provider todayYellow skin or eyes or dark urine
Call your provider todaySevere belly pain or kidney stone pain

Warnings

  • It lowers absorption of vitamins A, D, E, and K.

Other medicines, foods, and alcohol

  • Separate levothyroxine by 4 hours.
  • It can lower cyclosporine and some seizure medicine levels.
  • Warfarin effect can change.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Not used in pregnancy.

Missed doses, overdose, and storage

If you miss a dose

Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.