
Xenical (orlistat) - an inhibitor of gastrointestinal lipases which prevents mastering by an organism of a quantity of fat containing in eaten products. The Xenical is applied at adiposity treatment, in particular, to reduction and body conservation of mass in a combination to a low-calorie diet. The Xenical also can be applied in the cases which have been not provided in the yielded review.
What it is necessary to discuss with the doctor before reception a xenical?
At all do not take over a xenical, preliminarily not having consulted at the doctor in following cases:
- At a chronic malabsorption syndromes (the depressed adsorption)
- At diseases of urinary bladder.

The Xenical is contraindicative to the people suffering from listed above diseases.
Before reception xenical necessarily consult at the doctor, if you:
- Suffer is renal-stone illness,
- Suffer diabetes,
- Suffer from an anorexia or a bulimia,
- Take over any other agents for growing thin
- Take over sandimmune (ciclosporin, neoral).
In these cases xenical it is impossible to accept (or it is necessary to reduce a dosage or to accept a medicine under observation of the doctor).
On classification FDA (Control on sanitary inspection behind quality of foodstuff and medicines of the USA), xenical falls into categories B. It means, that xenical should not harm health and development of not born child. However this medicine is not recommended to be taken over in pregnancy, preliminarily not having consulted at the doctor.

It is not known, whether gets xenical to breast milk, therefore at breastfeeding before reception xenical also it is necessary to consult at the doctor.
How correctly to take over xenical?
The xenical should be accepted in full conformity with the instruction or instructions of the doctor. If you do not perceive the instruction, revert behind the help to the pharmacist, the nurse or the attending physician.
It is necessary to wash down each tablet with a full glass of water.
The Xenical is accepted routinely with each meal containing fat, during meal or not later than in one hour after meal, on 120 mg by 3 times a day.
The Xenical should be taken over only with meal in which fat provide no more than 30 % of calories.
Daily reception of fats, carbohydrates and proteins should be allocated between three basic food intakes. As the medicine xenical reduces an adsorption of some fat-soluble vitamins, for maintenance of their adequate entering in an organism patients it is necessary to accept the multivitamin drugs keeping fat-soluble vitamins.

The reception admission xenical if food intake or nutrition have been passed is supposed did not contain some fat.
If xenical to accept with meal with very high maintenance of fat, the risk of appearance of side effects and digestive infringements increases.
At all do not exceed the prescribed dose of a medicine. Excess of a standard dose (120 mg in 3 times a day) does not additional result to an lose of weight.
The Xenical can reduce mastering of some solvable vitamins in fat. To provide an organism with necessary nutrients, the doctor often prescribes the multivitamin additives keeping vitamins D, E, K and beta carotene. It is necessary to take over such vitamin additives of time a day, at least two hours prior to or after reception xenical. To store xenical follows at ambient temperature in a dry cool place.
What happens if to pass a drug intake?
The passed dose should be accepted within an hour after meal. If after meal has passed more than one hour, pass reception xenical and take over the following dose on a usual graph. Never take over a double dose to make up for lost time.
Reception xenical can be passed, if food intake or nutrition have been passed did not contain some fat.
What possible side effects xenical?
Immediately stop to accept xenical and revert behind the help to the doctor if have found the unusual allergic response which exhibiting is the dyspnea, a swelling of lips, tongue or the face, and also an rash and other.

Other, less serious side effects, occur a little bit more often. Continue to accept a medicine, but consult at the doctor if will find in itself one of following exhibiting:
- Oily abjections from a rectum;
- flatulence;
- Imperative desires to a defecation;
- A steatorrhea;
- Defecation increase;
- A fecal incontinence
- Orange or brown oily abjections in a feces.
Listed above change of a normal defecation are natural result of blocking of fat and specify in efficiency of action xenical. As a rule, these phenomena have transient character and arise in the first 3 months of treatment when fat maintenance in food exceeds 30 %.
Also occurrence and other by-effects which have been not listed in given article is not excluded. If will notice an unusual or especially unpleasant by-effect, address to the doctor.
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