alli
OTC AvailableOTC Oral Capsule — Lipase Inhibitor

alli

Orlistat 60mg

by Haleon (GSK Consumer Healthcare)

The only FDA-approved over-the-counter weight loss treatment — no prescription required

From$39.50$0.47/capsule
HIPAA-compliantUS-licensed physiciansDiscreet delivery
alli medication

5.1 kg

Average weight loss at 12 months (diet + alli vs diet alone)

FDA approval studies, 2007

25%

Of consumed dietary fat blocked from absorption

Orlistat pharmacology data

50%

More weight lost vs diet alone

Comparative clinical data

1973

FDA-approved since (prescription version)

FDA approval database

How It Works

Mechanism of Action

Orlistat inhibits pancreatic and gastric lipase — the enzymes responsible for breaking down dietary fat. When these enzymes are blocked, fat cannot be digested and absorbed. Instead, approximately 25% of consumed fat passes through the digestive system undigested and is excreted.

Dosage Guide

Always follow your prescribing physician's specific instructions. The schedule below is a general guide.

1
With each main meal1 capsule (60mg) up to 3x daily

Take one capsule with water with each main meal containing fat, or within 1 hour after the meal

2
Maximum daily dose3 capsules per day (180mg)

Do not exceed 3 capsules per day. If a meal is skipped or contains no fat, skip the dose

3
Dietary requirementLow-fat diet essential

Fat intake per meal should be no more than 30% of calories. High-fat meals cause significant GI side effects

Key Benefits

No prescription required — available over-the-counter
Non-systemic — works entirely in the gut, not absorbed into bloodstream
Proven since 1999 with strong safety record
Encourages healthier low-fat eating habits (GI effects discourage fatty meals)
Suitable for patients with multiple medication contraindications

Side Effects

Common Side Effects

  • Oily/spotting discharge
  • Frequent or hard-to-control bowel movements
  • Oily stools
  • Oily spotting on underwear
  • Gas with discharge
  • Stomach pain

Rare but Serious

  • Liver injury (rare — report yellowing of skin/eyes)
  • Kidney stones
  • Pancreatitis
  • Rectal bleeding

Seek immediate medical attention if you experience any serious adverse effects.

Frequently Asked Questions

Who Is This For?

  • Adults aged 18+ with BMI ≥25 kg/m²
  • As an adjunct to a reduced-calorie, lower-fat diet
  • Patients who prefer a non-prescription option
  • Patients with mild to moderate overweight

Not Suitable For

  • Patients with cholestasis or malabsorption syndrome
  • Patients on anticoagulants (warfarin) without monitoring
  • Pregnancy or breastfeeding
  • Patients with known kidney stones or hyperoxaluria

Starting from

$39.50

$0.47/capsule

Reviewed by a licensed US physician

How It Works

1
Complete online consultation
2
Doctor reviews within 24 hrs
3
Prescription issued if approved
4
Discreet home delivery
HIPAA-compliant & secure
US-licensed prescribing physicians
NABP-accredited US pharmacies
SSL encrypted checkout

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