- Frequently Asked Questions.
This web page contains some common questions about Xenical capsules.
It does not contain all the available information.
It does not take the place of your doctor or pharmacist.
All medicines have risks and benefits.
If you have any concerns about taking Xenical ask your doctor
What is XENICAL?
XENICAL is a weight control medication for the management of
significant obesity. XENICAL targets the absorption of fat in
your body rather than suppressing your appetite. Dietary fats
are large molecules which need to be broken down by enzymes
called lipase's before they can be absorbed into the body. When
taken with a meal, XENICAL interferes with the activity of these
enzymes. This allows about 30% of the fat eaten in the meal
to pass through the gut undigested. Your body therefore cannot
convert these excess calories to fatty tissue or use them as
a source of energy. This will therefore help you to reduce your
weight, maintain your lower weight and minimize any weight regain.
is a prescription weight-control medication useful for the long-term
treatment of significant obesity. XENICAL can also help to improve
risk factors, such as high blood pressure, high cholesterol
and high blood sugar which, if not treated, could lead to other
diseases such as hypertension and diabetes.
When should XENICAL not be used?
You should not take XENICAL if you are allergic to orlistat
or to any of the other substances the capsule contains. Also,
you should not use XENICAL if your doctor has diagnosed that
your uptake of essential nutrients is lower than it should be
(called chronic malabsorption syndrome) such as with tropical
sprue and idiopathic steatorrhea.
XENICAL is not intended to be used in children.
should I be especially careful while taking XENICAL?
Inform your doctor before starting treatment with XENICAL if
Suffer from chronic malabsorption syndrome;
Are allergic to other medicines, foods or dyes;
Are taking other medicines, including those you have obtained
without a prescription.
Because weight loss has many beneficial effects, it may also
affect the dose of medication taken for conditions such as high
cholesterol or diabetes. Be sure to discuss these and other
medicines you may be taking with your doctor. Losing weight
may mean you need adjustments to these medications. As with
any weight-control program, over-consumption of fat and calories
may reduce the effect of any weight loss effect.
medicine can cause harmless changes in your bowel habits, such
as fatty or oily stools, due to the elimination of undigested
fat in your faeces. The possibility of this happening may increase
if XENICAL is taken with a diet high in fat. In addition, your
daily intake of fat should be distributed evenly over three
main meals because, if XENICAL is taken with any one meal very
high in fat, the possibility of gastrointestinal effects may
has no known effect on your ability to drive a car or operate
substances may interact with XENICAL?
Before starting treatment, make sure your doctor knows if you
are taking other medicines (including those not prescribed by
your doctor). This is important as using more than one medicine
at the same time can strengthen or weaken the effects of the
medicines. XENICAL does not affect most commonly prescribed
medicines. However, it increases the effect of some lipid lowering
medicines therefore your doctor may change the doses of this
medicine XENICAL reduces the absorption of supplements of some
fat soluble nutrients, particularly beta-carotene and vitamin
E. You should therefore follow your doctor's advice in taking
a well balanced diet rich in fruit and vegetables.
XENICAL be taken during pregnancy or while breast-feeding?
The safety of XENICAL has not been established in pregnant women
therefore XENICAL should not be used during pregnancy unless
the potential benefit outweighs the potential risk. Discuss
this with your doctor. You should not breast-feed your infant
during treatment with XENICAL as it is not known whether XENICAL
is secreted in human milk.
should XENICAL be taken?
The recommended dose of XENICAL is one 120 mg capsule taken
with each of the three main meals per day. It can be taken during
the meal or up to one hour after the meal is consumed. XENICAL
should be taken with a well-balanced, calorie controlled diet
that is rich in fruit and vegetables and contains an average
of 30% of the calories from fat. Your daily intake of fat, carbohydrate
and protein should be distributed over three meals. This means
you will usually take one capsule at breakfast time, one capsule
at lunch time and one capsule at dinner time. To gain optimal
benefit, avoid the intake of food containing fat between meals,
such as biscuits, chocolate and savory snacks.
only works in the presence of dietary fat. If you miss a main
meal or if you have a meal containing no fat, you do not need
to take that particular dose of XENICAL. Tell your doctor if
you have not taken your medicine exactly as prescribed. Otherwise,
your doctor may think that it was not effective or well tolerated
and may change your treatment unnecessarily.
and route of administration
Your medicine should be swallowed with water.
and how does treatment with XENICAL end?
XENICAL is suitable for long-term treatment or as instructed
by your doctor.
loss normally starts within 2 weeks and continues for 6 to 12
months on XENICAL treatment. XENICAL will then help you to maintain
this new lower weight and also help prevent weight being put
on again. Losing even small amounts of weight and keeping it
off produces additional health benefits for you especially when
you are at risk from other diseases such as cardiovascular disease
and diabetes. The improvement in risk factors (such as reduction
in high blood pressure, normalizing blood sugar levels and lowering
cholesterol levels) is usually noticed within one month of starting
therapy and should be maintained during the course of XENICAL
to be taken in case of overdose
If you take more capsules than you have been told to take, or
if someone else takes your medicine, contact a doctor, pharmacist
or hospital as you may need medical attention.
if I miss a dose?
If you forget to take your medicine at any time, take it as
soon as you remember provided this is within one hour of your
last meal, then continue to take it at the usual times. Do not
take a double dose. Do not change the prescribed dose yourself
unless your doctor tells you to.
are the possible unwanted effects of XENICAL?
Along with its desired effects, a medicine may cause some unwanted
effects. Tell your doctor as soon as possible if you do not
feel well while you are taking XENICAL. The majority of unwanted
effects related to the use of XENICAL result from its local
action in your digestive system.
urgent or increased need to open the bowels
flatulence (wind) with discharge,
oily discharge and oily or fatty stools.
symptoms are generally mild, occur at the beginning of treatment,
go away after a short period of time and are particularly experienced
after meals containing high levels of fat. Normally, these symptoms
disappear if you continue treatment and keep to your recommended
you are concerned about these or notice other effects not mentioned
on this web page you should inform your doctor about it.
should XENICAL be stored?
The blister packs of XENICAL should be stored below 25ºC
and protected from moisture.
not take the capsules after the expiry date shown on the pack.
all medicines out of the reach of children.
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