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Orlistat is used to help obese people lose weight and keep the weight off while eating a reduced-calorie diet. Orlistat decreases the amount of fat that is absorbed from your diet.
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If you miss a dose, take it within one hour following the meal that contains fat. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
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Since orlistat can cause decreased absorption of some fat-soluble vitamins, you may need to take a daily multivitamin that contains normal amounts of vitamins D, E, K and beta-carotene. Take the multivitamin once per day at least 2 hours after your dose of orlistat unless otherwise directed by your physician or other healthcare professional.
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The side effects seen with orlistat are related to the reduced absorption of fat from your diet. Gastrointestinal (GI) side effects may last for less than one week, but have occurred for up to 6 months or longer. Maintaining an appropriate diet can help decrease side effects. The use of orlistat for greater than 2 years has not been studied.
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Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
Orlistat is taken by mouth and swallowed with a drink of liquid. You can take orlistat with each main meal that contains about 30% of the calories from fat. Or you can take the capsule one hour after the meal. Do not take your medicine more often than directed. If you occasionally miss a meal or have a meal without fat, you can omit that dose of orlistat. Doses greater than 120 mg three times per day have not been shown to increase weight loss.
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