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Xenical

Generic Name: orlistat (OR lih stat)
Brand Names: Xenical

Xenical : Important Information

• 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 orlistat.
• 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

• Blocks some of the fat that you eat from being absorbed by your body.
• Used in the management of obesity including weight loss and weight maintenance when used with a reduced-calorie diet.

What to Discuss before Using

• Do not take this medication without first talking to your doctor if you have:
  • a chronic malabsorption syndrome
  • gallbladder problems
• You may not be able to take this medication if you have any of the conditions listed above.
• Before taking orlistat, talk to your doctor if you:
  • have a history of kidney stones
  • have diabetes
  • have anorexia or bulimia
  • take any other weight-loss medicine
  • take cyclosporine (Sandimmune, Neoral)
• You may not be able to take this medication, or you may require a special dosage or monitoring during your treatment if you have any of the conditions listed above.
• In the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take without first talking to your doctor if you are pregnant.
• It is not known whether medication passes into breast milk. Do not take without first talking to your doctor if you are breast-feeding a baby.

Xenical Dosage Method

• Take 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.
• Usually taken with each main meal that contains fat. Can be taken during meals or up to one hour after a meal.
• Each time you take this medication, 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.
• If medication 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.
• 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 orlistat.
• Store at room temperature away from moisture and heat.

Miss a dose: Problems?

• 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 for that meal also.

Overdose?

• Seek emergency medical attention.
• Symptoms of an overdose are not known.

Avoid During Treatment

• 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 orlistat.
• Each time you take this medication, 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.

Xenical Side Effects

• Stop taking this medication 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 this medication and talk to your doctor if you experience:
  • oily spotting
  • gas with discharge
  • an urgent need to go to the bathroom
  • oily or fatty stools
  • an oily discharge
  • an increased number of bowel movements
  • an inability to control bowel movements
  • orange or brown colored oil in your stool
• The bowel changes listed above are a natural effect of blocking fat and indicate that this medication 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 to avoid while undergoing treatment

• Do not take this medication without first talking to your doctor if you are taking any of the following medicines:
  • cyclosporine (Neoral, Sandimmune)
  • warfarin (Coumadin)
• You may not be able to take this medication, or you may require a special dosage or monitoring during your treatment if you are taking any of the medicines listed above.
• Before taking this medication, tell your doctor if you are taking any of the following medicines to lower cholesterol:
  • atorvastatin (Lipitor)
  • cerivastatin (Baycol)
  • fluvastatin (Lescol)
  • lovastatin (Mevacor)
  • pravastatin (Pravachol)
  • simvastatin (Zocor)
• You may require a dosage adjustment or special monitoring during treatment if you are taking any of the cholesterol-lowering medicines listed above.
• 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 orlistat.
• Drugs other than those listed here may also interact. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines.

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Xenical (Orlistat) comes in capsules to be taken orally generally three times daily during each main meal that contains fat. Xenical (Orlistat) is to be taken exactly as directed by the doctor.  Xenical (Orlistat) is to be stored at room temperature away from light and moisture.

Xenical (Orlistat) is an inhibitor of gastric and pancreatic lipases and enzymes that play a pivotal role in the absorption of dietary fat. Xenical medication is used along with a doctor-approved reduced-calorie diet, exercise, and behavior modification program to help lose weight for significantly overweight persons. Xenical (Orlistat) helps to prevent regaining weight previously lost. Xenical (Orlistat) works by blocking some of the fat normally digested by the intestine. Xenical (Orlistat) plays an important role in cardiovascular risk reduction.