How is Alli taken?
One 60-milligram Alli pill is taken within an hour of a fat-containing meal up to three times a day. Daily fat intake should be distributed over the three main meals and should be no more than 30 percent of total calories. The manufacturer recommends a fat intake of about 15 grams a meal.
If you eat a meal that contains no fat, then you don't need a dose of Alli. If you take Alli with a high-fat meal, you will likely experience more-severe gastrointestinal side effects.
Alli can reduce the absorption of fat-soluble nutrients, including beta carotene and vitamins A, D, E and K. Take a multivitamin at bedtime and at least two hours after your last dose of Alli.
Does Alli have side effects?
The active ingredient in Alli, orlistat, causes gastrointestinal side effects related to undigested fats passing through your digestive system. They generally subside over time and with appropriate use of the medication. These side effects include:
- Abdominal pain or discomfort
- Oily discharge from the anus
- Gas with oily anal discharge
- Oily stools
- More-frequent bowel movements
- Urgent or hard-to-control bowel movements
Other possible side effects include:
- Back pain
- Upper respiratory infection
When shouldn't you take Alli?
Before taking Alli, talk with your doctor about possible interactions with other medications, particularly if you take medications for any of the following conditions:
- Thyroid disease
- Irregular heartbeat
- Cardiovascular disease
It's also important to check with your doctor if you've had:
- Gallbladder problems
- Kidney stones
- Irritable bowel syndrome
Alli isn't recommended if you:
- Are at a healthy weight
- Have had an organ transplant
- Are taking cyclosporine (Neoral, Sandimmune, others)
- Have problems already absorbing food
- Are pregnant or breast-feeding
How long do I need to take Alli?
A weight-loss plan with diet, exercise and drug therapy is generally considered successful if you lose about 1 pound (0.5 grams) a week during the first month and have lost 5 percent or more of the pre-treatment body weight within one year.
If the treatment is successful, you are more likely to keep weight off or lose more weight if you continue with the diet, exercise and drug treatment plan.
Most weight loss with the medication occurs within the first few months. If you have adhered to the diet and exercise plan and have not lost at least 5 percent of your initial body weight within a few months, continuing the medication may be of little benefit.
If you haven't lost 5 percent of your body weight within a year on the plan, discontinuing the drug would be a reasonable choice. The risks, side effects and cost associated with taking the medication likely override any potential benefit.
How does Alli fit into a healthy weight-loss plan?
Alli isn't an easy answer to weight loss. Losing weight and keeping it off require a commitment to eat a healthy diet and get regular physical activity.
Work with your doctor to evaluate the potential benefits and risks of Alli or any other weight-loss drugs. As a team, you and your doctor can create the right weight-loss plan for you.
Feb. 06, 2018
See more In-depth
- Frequently asked questions Alli. MyAlli.com. https://www.myalli.com/alli-faq/. Accessed Sept. 6, 2017.
- Orlistat (Xenical) prescribing information. Hoffmann-La Roche, Inc., South San Francisco, Ca. https://www.gene.com/download/pdf/xenical_prescribing.pdf. 2016.
- Orlistat (Alli) prescribing information. GSK Consumer Healthcare, Warren, N.J. https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/021887Orig1s009lbl.pdf. 2017.
- Orlistat. Facts & comparisons eanswers. http://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed Sept. 14, 2017.
- Khera R, et al. Association of pharmacological treatments for obesity with weight loss and adverse events: A systematic review and meta-analysis. JAMA. 2016;315:2424.
- Orlistat. Micromedex 2.0 Healthcare Series. http://www.micromedexsolutions.com. Accessed Sept. 14, 2017.
- Bray GA. Obesity in adults: Drug therapy. https://www.uptodate.com/contents/search. Accessed Dec. 23, 2017.
- Position of the Academy of Nutrition and Dietetics: Interventions for the Treatment of Overweight and Obesity in Adults. Journal of the Academy of Nutrition and Dietetics. 2016;116:129.
- FDA Drug Safety Communication: Completed safety review of Xenical/Alli (orlistat) and severe liver injury. U.S. Food and Drug Administration. https://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm213038.htm. Accessed Jan.25, 2018.