Orlistat (Xenical) Rx Only
Generic for Xenical · Gastrointestinal lipase inhibitor for weight management
from $0.79
- Prescription required. We do not dispense without a valid U.S. Rx.
- Pickup today in Los Angeles or get local delivery.
- Insurance accepted: Most major plans (Anthem, Cigna, Aetna, UnitedHealthcare).
- Reviewed by licensed pharmacists.
How ordering Orlistat (Xenical) works
- Send us your prescription (upload, prescriber e-faxes, or transfer from another pharmacy).
- We verify your Rx, check interactions, and reach out if anything needs attention.
- Choose pickup or delivery at checkout. Most orders ready the same day.
Important safety information (summary)
Do not use if
- You have chronic malabsorption syndrome or cholestasis.
- You’ve had a serious allergy to orlistat or capsule ingredients.
- You are pregnant; weight-loss medicines are not recommended in pregnancy.
Common side effects
Oily/loose stools, gas with discharge, urgent bowel movements, more frequent stools—often lessen with lower fat intake. Possible decreased absorption of fat-soluble vitamins (A, D, E, K).
Use & counseling
Take with meals containing fat (or up to 1 hour after). If you skip a meal or it has no fat, skip the dose. Take a daily multivitamin at bedtime (≥2 hours after orlistat).
This page is informational and not a substitute for medical advice. See full information below.
What is Orlistat?
Orlistat (brand: Xenical) is a gastrointestinal lipase inhibitor for chronic weight management, used along with a reduced-calorie diet. Dispensed by Serv-U Pharmacy only with a valid prescription.
Uses
- Chronic weight management in adults with BMI ≥30 kg/m², or ≥27 kg/m² with risk factors (e.g., hypertension, diabetes, dyslipidemia)
- Used as part of a comprehensive plan that includes diet, activity, and behavior support
Only your clinician can determine if orlistat is appropriate for you.
How it’s taken (follow your prescription)
Typical dosing: 120 mg by mouth with each main meal containing fat (during the meal or within 1 hour after). If a meal is missed or contains no fat, skip that dose. Swallow capsules whole with water.
| Form | Strengths (examples) |
|---|---|
| Capsules | 120 mg (Rx) |
Take a multivitamin containing A, D, E, K and beta-carotene at bedtime (or ≥2 hours after orlistat). Pharmacist counseling is available at checkout.
Warnings & interactions
- GI effects: Oily spotting, fecal urgency—reduce dietary fat to help.
- Fat-soluble vitamins: Supplement daily; separate by ≥2 hours.
- Cyclosporine: Avoid or separate by ≥3 hours and monitor levels (absorption may decrease).
- Levothyroxine: Separate by ≥4 hours; monitor TSH for hypothyroid symptoms.
- Warfarin: May affect vitamin K—monitor INR more closely.
- Kidney stones (oxalate): Rare risk; report flank pain or blood in urine.
- Liver injury: Rare postmarketing reports—seek care for severe abdominal pain, jaundice, dark urine.
- Pregnancy/Breastfeeding: Not recommended in pregnancy; discuss risks if breastfeeding.
Storage
Store at room temperature away from moisture and light. Keep out of reach of children.
FAQ
What’s the difference between Xenical and alli? Both contain orlistat. Xenical is 120 mg (prescription), while alli is 60 mg (OTC). This page covers the Rx 120 mg product.
Do I need vitamins? Yes—take a daily multivitamin with A, D, E, K at bedtime (or ≥2 hours after orlistat).
Can I still eat fat? Yes, but keep a reduced-calorie, lower-fat diet. High-fat meals increase GI side effects.
Do you accept my insurance? We accept most major plans. Enter your details at checkout to see your copay.
Sources & review
- FDA Prescribing Information for Orlistat (Xenical)
- NIH MedlinePlus: Orlistat
- Clinical guidance for adult obesity pharmacotherapy
Medically reviewed by Judy Doyle, PharmD — Licensed Pharmacist (NPI 1699814004) · Last updated
Price & insurance estimator
Reviewed by our pharmacist
Judy Doyle, PharmD — Licensed Pharmacist (NPI 1699814004).
Orlistat blocks about a third of dietary fat from being absorbed. Success hinges on diet: spreading calories and fat evenly across meals minimizes GI effects and improves adherence. We’ll review timing with vitamins, spacing from levothyroxine or cyclosporine, and monitoring if you’re on warfarin. Thoughtful use alongside lifestyle changes can deliver steady, sustainable weight loss.
How to spot a legitimate online pharmacy
- Requires a valid U.S. prescription for Rx medications.
- Displays state pharmacy license and physical address.
- Has NABP Digital Pharmacy or state board verification.
- Secure checkout; clear privacy practices (HIPAA).
- Offers pharmacist consultation.
Verify licenses with your state board or NABP listings.