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What is Xenical like?
Xenical (orlistat) has been specially designed for the treatment of obesity in people with serious health issues that may be contraindications for taking other medicines of that kind. You may need to be taking Xenical if you are obese and have high blood pressure, heart disease, high cholesterol or diabetes. This medicine works by interfering with the way fat is absorbed in your intestine basically blocking the absorption and making sure the excessive amount of fat consumed with food leaves the body with stools. This drug is supposed to be taken only with meals that contain fat. You will also need to plan your meals and keep to a certain diet, as well as exercise regularly. Your doctor or your dietician will be able to provide all the necessary recommendations to make sure you benefit from the treatment as much as possible.
Things to discuss before starting Xenical treatment
Make sure you tell your doctor if you have any of the following medical conditions known to affect your treatment in a certain way: inflammation or swelling of the pancreas, thyroid disease, a history of gallstones, type 1 or type 2 diabetes anorexia nervosa, underactive thyroid, organ transplant, chronic malabsorption syndrome, gallbladder disease, liver disease, bulimia, kidney stones, or cholestasis. Also, report any other ones that you think may be important to mention to make sure your treatment is successful and there are no serious health consequences. The conditions mentioned may affect the success of your treatment - and that means they do need to be reported to your health care provider to make sure something is done about them to provide the maximum efficiency of your treatment.
Using Xenical to benefit most
Every capsule of Xenical will need to be taken three times a day with a meal or right after it. In case you happened to miss a dose of Xenical and it has been more than an hour - you can skip the dose, as it is not going to work for you anyway. If your meal does not contain any fat you can skip a dose of Xenical as well - as it's efficient only when a certain amount of fat is consumed. However, you will need to keep count of how much fat you consume during the day and make sure your meals contain equal amounts of proteins and fat for getting maximum benefits from the treatment. You will need to avoid foods that generally contain a lot of fat and try to switch to those that are likely to contain less of it, as well as be aware of fat content in the foods you eat when dining out. The following foods will need to be avoided: fish, salad dressings, baked items, whole-milk products, meat, poultry, prepackaged, processed, and fast foods. This medicine is also known to decrease the absorption of fat-soluble vitamins and beta-carotene, so your health care provider may recommend taking some supplement to make sure you do not get any health problems because of taking Xenical.
Drug interactions with Xenical
Your health care provider will need to be notified of any drugs you are taking at the moment that have been reported to cause interactions, as otherwise there is a risk you may not get all the benefits of taking Xenical. There may be a number of interactions that can be avoided if you do everything as prescribed. Make sure you discuss with your doctor the possibility of taking any other prescription or over-the-counter medications you think you need to be taking. The following drugs will be important to mention if you are planning to take them any time soon: glipizide, oral insulin or diabetes medications, other medications for weight loss, metformin, glyburide, medications that suppress the immune system, blood thinners, digoxin, medications to control blood pressure, medications for thyroid disease, cyclosporine, or levothyroxine. This list is not complete, and there may be some other medications you may be taking - so please make sure you tell your doctor about them as well.
Xenical side effects
The side effects you get and their intensity cannot be foreseen - so you will always need to make sure you take the right amount of Xenical in order to avoid some of those. However, in many cases, side effects you may experience appear regardless of how you take Xenical - and some of them actually mean you are not doing something right and therefore are not benefitting from the treatment as much as you could. The following side effects can indicate that: severe or continuous abdominal pain, difficulty breathing or swallowing, weakness, hives, jaundice, dark urine, itching, clay-colored stools, loss of appetite, and rash. The serious side effects mentioned are unlikely to disappear on their own and need to be discussed with your health care provider as soon as you can - unlike the mild side effects you may also get but that are not expected to get severe. Such mild side effects as sneezing, vomiting, back pain, diarrhea, anxiety, flu symptoms, irregular menstrual periods, gas with oily spotting, rectal pain, urgent need to have a bowel movement, difficulty controlling bowel movements, oily spotting on underwear or clothing, increased number of bowel movements, mild skin rash, headache, oily or fatty stools, problems with your teeth or gums, nausea, stuffy nose, stomach pain, stomach pain, pain or discomfort in the rectum, loose stools, or headache generally do not need to be reported.