One Alli tablet should be taken three times a day with meals, as with orlistat and Xenical. As part of a healthy eating and fitness regime, Alli is thought to help you lose one extra pound for every two pounds you lose naturally. Some people also experience some abdominal pain, diarrhoea, anxiety and incontinence. If you experience any side effects that are prolonged or troublesome you should speak to your pharmacist or doctor.
LloydsPharmacy Online Doctor can prescribe Orlistat and Xenical to people with a BMI over 28, provided that they have filled out a confidential questionnaire detailing their medical history and any current medications. In our weight loss clinic, both Orlistat and Xenical come in 28 or day courses supplying three tablets per day. Orlistat is available on the NHS, but is typically only prescribed to people with a BMI over 28 who have exhausted other weight loss techniques.
For more information on losing weight, visit our weight loss pills page. From the LloydsPharmacy site, Alli is available in single, twin or triple packs of day courses. Click here to learn more. LloydsPharmacy also offers a Medicated Weight Loss service. This service includes ongoing advice and support alongside a prescribed medication, which is a daily injection. Find out more. You can also read more about losing weight healthily here.
Online Doctor Mon-Fri: 9am-5pm Sat: 9am-1pm. Contact us. By clicking submit you agree to our privacy policy and terms and conditions. Click and collect in as little as 60 mins Choose collection at checkout and you can usually collect your treatment in as little as 1 hour from your local LloydsPharmacy.
Men's health Main menu Men's health Erectile dysfunction Erectile dysfunction subscriptions Hair loss Premature ejaculation. Customer services Phone: Mon-Fri: 9am-5pm Sat: 9am-1pm. On this page. They were just anxious to know where they could procure a similar pill. Gerry Ryan often spoke about diet pills. They worked for him, but made him anxious. On his death, some commentators wondered if their use might have sparked a heart attack.
It certainly occurred to Suzanne Horgan. All diet pills have huge side-effects; the effects can be worse than the weight problem. Many women who attend weight watchers have previously tried diet pills. But when people stop the diet pills, the weight usually returns and sometimes they put on even more. Pills don't help you to make good lifestyle choices. Margaret Fahy took her first diet pills at She'd married, had her first baby, moved from London to remotest Mayo and her weight had ballooned to 14 stone.
My GP put me on Xenical orlistat which works by decreasing the absorption of dietary fat. I felt sick when I ate anything and I had the most severe stomach cramps. I felt lethargic. I had no energy and I had the most terrible diarrhoea.
I'd be in the middle of Penneys and would suddenly have to go to the toilet. Often I wouldn't make it. I took the pills for three months, but they weren't working for me. I lost about five pounds. Get the best home, property and gardening stories straight to your inbox every Saturday. Enter email address This field is required Sign Up. Margaret then tried exercise. She toned up and dropped two dress sizes, but she didn't lose weight.
So her GP tried her on Reductil. This was , when it was perceived as a new wonder drug. With Reductil I did cut down my portion sizes. I didn't eat as much, but I suffered from panic attacks. I had severe headaches and had terrible mood swings. I had post-natal depression and the pills made that worse. I'm surprised my marriage lasted -- those first years were horrendous!
Margaret came off the pills after two months. She then became pregnant, had her second son, Owen, and six months after his birth became pregnant with her third. After Rory's birth in , Margaret, now and-a-half stone, returned to her doctor in despair. But it was back to mood swings and panic attacks.
I'd have palpitations at the dinner table. We assumed that three capsules per day were used. The cost for orlistat includes 3 months of treatment for all in the first 3 months and 9 additional months treatment for those who respond at 3 months. In the base-case calculation, we assume that all patients in the study who did not discontinue all treatment continue with a calorie-reduced diet for the whole month period. We have assumed that a patient participating in the programme for 12 months will visit the GP twice at the start of the programme and in month 3 and the dietitian four times baseline, months 3, 6 and As these costs are common to both arms they have no bearing on the cost-effectiveness evaluation.
The incremental cost of orlistat plus a calorie-controlled diet vs calorie-controlled diet alone placebo is estimated in the following steps:. The acquisition cost of orlistat is calculated for orlistat responders and non responders and for calorie-controlled diet alone placebo.
The weighted average cost of an average orlistat patients is calculated using known percentages of responders and nonresponders and cost data from steps i — ii , in addition to adding the cost of the dietary programme. The cost of an average patient on a calorie-controlled diet placebo is calculated using data on diabetes savings and cost of dietary programme.
The incremental cost is obtained from the difference in average costs between orlistat plus calorie-controlled patients and calorie-controlled diet alone placebo patients. In the model, orlistat nonresponders are allocated the weight loss associated with placebo nonresponders because the model assumed orlistat nonresponders stopped treatment after 3 months. This differed from the clinical trial where treatment continued, irrespective of response. We assumed three capsules of orlistat were taken daily which is generous since, on average, patients take 2—2.
To test the robustness of our analysis we carried out a sensitivity analysis looking at the effects of:. After 12 months, patients receiving orlistat had lost Orlistat responders lost As a result of weight loss in the week period, the model predicted that orlistat responder patients had a 0. Placebo-treated patients had a 0. The net utility gain in the orlistat arm was 0.
This was lower than the base-case because of a higher QALY gain for orlistat. The most critical assumptions were duration of sustained effect and daily dose. For example, the lowest cost per QALY arose when it was assumed that patients took only 2. This resulted in lower drug costs. The highest cost per QALY arose when it was assumed that all weight was regained within the first year post treatment as the QALYs gained were lower with orlistat. This analysis demonstrates the cost-effectiveness of orlistat in the general obese nondiabetes population, if after 3 months, only responders continue treatment with orlistat.
The The importance of dietary control is demonstrated by the average 7. We believe we were conservative in the assumptions used in our analysis since, for example, we considered the mean dose of orlistat to be three tablets daily in reality it is 2—2. Orlistat's cost-effectiveness has been examined in different patient groups and in different countries including the UK, 39 in Belgium 40 and the US 41 and not unexpectedly the ICERs vary, due in part to differences in health-care costs across the countries and patient characteristics.
These and others have been described in a recent review. It has been suggested that resources within the Irish health-care system are far from adequate to prevent the occurrence of obesity or to treat already obese individuals. Our analysis suggests that orlistat represents one efficacious and cost-effective approach. Dietary habits of the Irish population: results from Slan Annual report Differential long-term effects of intentional weight loss on diabetes and hypertension.
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