Alli, or orlistat, is used with an individualized low-calorie, low-fat diet and exercise program to help people lose weight, says MedlinePlus.com. Alli is available over-the-counter at local pharmacies and retail stores. It works by helping to block some of the fat absorption from foods. There are some side effects associated with Alli that users should be aware of.
Diarrhea and Loose Stools
Patients taking Alli may experience diarrhea and loose stools. Eating meals that are high in fat may increase the risk of these side effects. These side effects may occur temporarily until the body adjusts to Alli, but some people will experience these effects for the entire time that they take Alli. Some patients have difficulty controlling their bowel movements, says MedlinePlus.com. Severe diarrhea can lead to dehydration, which may be dangerous. Patients should increase their daily fluid intake to maintain adequate hydration. Severe diarrhea should be brought to the attention of a health-care provider.
Gas and Spotting
Alli may cause an increase in gas, which may be accompanied by oily spotting. Patients may notice oily spotting on their underwear or clothing, according to MedlinePlus.com. If this side effect becomes bothersome they should be brought to the attention of a physician.
Headache and Anxiety
Some patients may experience headache or anxiety while taking Alli. These side effects may diminish over time as the body adjusts to Alli. Patients should consult their physician regarding the use of an over-the-counter pain reliever such as acetaminophen for the relief of headache pain and discomfort. Severe headache or anxiety should be brought to the attention of a physician prior to taking another dose of Alli.
Irregular Menstruation
Women taking Alli may be at risk for irregular menstruation. Menstrual periods may change in frequency and duration. They can become lighter or heavier and spotting can occur. Any changes in menstruation should be brought to the attention of a gynecologist.



Member Comments