120 mg TID show no additional benefit OTC (Alli): Up to 60 mg PO q8hr with each fat containing meal Only effective as an adjunct to caloric restriction, increased physical activity, and behavioral modification Also see Administration and Cautions (drug interaction overview) Flatulence Fatty/oily stool Increased defecation Fecal incontinence Nausea Vomiting Reduced absorption of fat soluble vitamins and beta-carotene Liver failure Oxalate nephropathy Leukocytoclastic vasculitis If a meal is missed or contains no fat, dose should be omitted Daily fat intake (30% of calories), carbohydrate, and protein should be evenly distributed over 3 main meals Note: Multivitamin supplement (including vit A, D, E, K) is recommended Postmarketing reports of severe liver injury with hepatocellular necrosis or acute hepatic failure with some cases resulting in liver transplant or death History of hyperoxaluria or calcium oxalate nephrolithiasis; cases of oxalate nephrolithiasis and oxalate nephropathy with renal failure have been reported Substantial weight loss can increase risk of cholelithiasis Exclude organic causes of obesisty (eg, hypothyroidism), before prescribing therapy May increase gastrointestinal events when taking a diet high on fat ( Pregnancy Category: X; weight loss offers no potential benefit to a pregnant woman and may result in fetal harm; a minimum weight gain, and no weight loss, is currently recommended for all pregnant women, including those who are already overweight or obese Lactation: Not recommended; not known if orlistat is distributed in breast milk Take with each fat-containing meal (during or up to 1 hr after the meal) The patient should be on a nutritionally balanced, reduced-calorie diet that contains ~30% of calories from fat Daily intake of fat, carbohydrate, and protein should be distributed over 3 main meals If a meal is occasionally missed or contains no fat, omit the orlistat dose The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. buy tretinoin 025 online XENICAL is indicated for obesity management including weight loss and weight maintenance when used in conjunction with a reduced-calorie diet. XENICAL is also indicated to reduce the risk for weight regain after prior weight loss. XENICAL is indicated for obese patients with an initial body mass index (BMI) ≥30 kg/m2 or ≥27 kg/m2 in the presence of other risk factors (e.g., hypertension, diabetes, dyslipidemia). It is not known if XENICAL is present in human milk. Caution should be exercised when XENICAL is administered to a nursing woman. The most commonly observed adverse events (incidence of ≥5% and twice that of placebo) were oily spotting, flatus with discharge, fecal urgency, fatty/oily stool, oily evacuation, increased defecation and fecal incontinence. 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This medicine is part of your weight loss plan you set up with your doctor. This medicine should be used together with a low calorie diet and an increase in your physical activity. Your doctor will guide you with your weight loss program and will give you regular check ups. I do not have a prescription If you do not already have a prescription for Xenical then please visit Pharmacy2U's Online Doctor Weight Loss Consultation page. Click the following link for more information on Xenical (Orlistat) Pharmacy2U can only dispense a Prescription Only Medicine (POM) if your order is accompanied by a valid UK prescription issued by your Doctor, Consultant or other medical practicioner. Details of where to send the prescription will be issued with your unique order number at the confirmation page. This medication is used with a doctor-approved exercise, behavior change, and reduced-calorie diet program to help you lose weight. 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