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Brand Name : Xenical
Generic Name : Orlistat
What is the most important information I should know about Xenical
Xenical may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of Xenical.
Do not take more of this medication than has been prescribed for you. Doses greater than 120 mg three times a day have not been shown to provide any additional weight-loss benefit
What is Xenical
Xenical blocks some of the fat that you eat from being absorbed by your body.
Xenical is used in the management of obesity including weight loss and weight maintenance when used with a reduced-calorie diet
Xenical may also be used for purposes other than those listed in this medication guide
What should I discuss with my healthcare provider before taking Xenical
Do not take Xenical without first talking to your doctor if you have
chronic malabsorption syndrome (an inability to absorb food and nutrients properly), or
gallbladder problems
You may not be able to take Xenical if you have any of the conditions listed above
Before taking Xenical, talk to your doctor if you
have a history of kidney stones
have diabetes
have anorexia or bulimia
take any other weight-loss medicine, or
take cyclosporine (Sandimmune, Neoral)
You may not be able to take Xenical, or you may require a dosage adjustment or special monitoring during your treatment if you have any of the conditions listed above
Xenical is in the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take Xenical without first talking to your doctor if you are pregnant
It is not known whether Xenical passes into breast milk. Do not take Xenical without first talking to your doctor if you are breast-feeding a baby
How should I take Xenical
Take Xenical exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you
Take each dose with a full glass of water
Xenical is usually taken with each main meal that contains fat. Xenical can be taken during meals or up to one hour after a meal
Each time you take Xenical, your meal should contain no more than about 30% of calories from fat. Evenly divide your daily intake of fat, carbohydrates, and protein over three main meals a day. Talk to your doctor about following a healthy eating plan
If you miss a meal, or if you have a meal without fat, you can skip your dose of Xenical for that meal also
If Xenical is taken with any one meal that is very high in fat, there is an increased chance of digestive side effects
Do not take more of this medication than has been prescribed for you. Doses greater than 120 mg three times a day have not been shown to provide an additional weight-loss benefit
Xenical may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of Xenical
Store Xenical at room temperature away from moisture and heat
What happens if I miss a dose
Take the missed dose up to one hour after a meal. If more than one hour has passed since your last meal, skip the dose you missed and take only your next regularly scheduled dose as directed. Do not take a double dose of this medication
If you miss a meal, or if you have a meal without fat, you can skip your dose of Xenical for that meal also
What happens if I overdose
Seek emergency medical attention
Symptoms of an Xenical overdose are not known
What should I avoid while taking Xenical
Each time you take Xenical, your meal should contain no more than about 30% of calories from fat. Evenly divide your daily intake of fat, carbohydrates, and protein over three main meals a day. Talk to your doctor about following a healthy eating plan
What are the possible side effects of Xenical
Stop taking Xenical and seek emergency medical attention if you experience a rare allergic reaction including shortness of breath; closing of your throat; swelling of your lips, tongue, or face; or hives
Other, less serious side effects are more likely to occur. Continue to take Xenical and talk to your doctor if you experience
oily spotting
oily or fatty stools
orange or brown colored oil in your stool
gas with discharge, an oily discharge
an urgent need to go to the bathroom
an inability to control bowel movements, or
an increased number of bowel movements
The bowel changes listed above are a natural effect of blocking fat and indicate that Xenical is working. They generally occur early in treatment, particularly after meals containing higher amounts of fat than are recommended. These symptoms are usually temporary and lessen or disappear as you continue treatment and keep to your recommended diet of meals containing 30% fat
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome
What other drugs will affect Xenical
Do not take Xenical without first talking to your doctor if you are taking any of the following medicines
cyclosporine (Neoral, Sandimmune), or
warfarin (Coumadin)
You may not be able to take Xenical, or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above
Xenical may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of Xenical
Drugs other than those listed here may also interact with Xenical. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines including vitamins, minerals, and herbal products
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