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Orlistat

Published: July 26, 2026Updated: August 25, 2026

Orlistat is a weight management medication that blocks fat absorption in the intestines, prescribed for overweight or obese adults and adolescents aged 12 years and older.

Quick summary

Orlistat is a prescription and over-the-counter weight loss aid that prevents fat absorption from food.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ATC
A08AB03
RxNorm
251170
Generic
Orlistat
Class
atc-a08
Brands
Xenical, Alli
Availability
otc
Pregnancy
B
Lactation
caution
Half-life (h)
2
Onset (min)
0
Duration (h)
0
Routes
oral
Forms
capsule
Regions
United States, United Kingdom, Canada, Australia, Germany, France, Italy, Spain, Japan, South Korea, China, India, Brazil
Monitoring
liver function tests, stool fat analysis, blood pressure, heart rate, nutritional status

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Orlistat is indicated for weight loss in individuals with a BMI of 30 or greater, or those with a BMI of 27 or greater who have weight-related health conditions such as hypertension, diabetes, or dyslipidemia.

Orlistat inhibits gastrointestinal lipases (enzymes that break down fats), preventing approximately 30% of dietary fat from being absorbed. The undigested fat is excreted in stool rather than stored.

Orlistat should be used alongside a balanced, reduced-calorie diet with no more than 30% of calories from fat. Common side effects include gastrointestinal issues such as oily stools and frequent bowel movements, especially with high-fat meals. Patients should take fat-soluble vitamin supplements at least 2 hours apart from orlistat dosing. Not recommended during pregnancy or for patients with chronic malabsorption syndrome.

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy