Interaction charts on this desk are for reading, not for writing a prescription or filling a bottle. Open the orbit disclaimer
Orbit · Orbit · Endocrine / metabolic
Last reviewed · 14 min read · Updated
Orbit card
| Onset | GI effect with the first fatty meal |
|---|---|
| Duration | Per meal; local gut action |
| Food | With fat-containing main meals only |
| Alcohol | No direct block; watch diet drift |
Orbit · orlistat (Xenical 120 mg). Interaction desk at Laugavegur 28 - educational, not a weight clinic.
Orlistat can lower cyclosporine. Shared breakfast swallows are how transplant charts drift. Labels want separation and level checks, not a combined ritual.
The Caelum lock is prescription Xenical 120 mg three times daily with fat-containing main meals. Alli 60 mg is OTC and not this script. Doubling 120 mg buys oil, not extra labeled loss.
If fat grams are the question, the fat orbit is the diary. This page is the absorption-gap chart.
The Caelum lock is generic orlistat 120 mg, ninety capsules. Alli 60 mg is not this script. Vitamin and cyclosporine gaps stay in the chart.
Caelum does not dispense.
Generic orlistat 120 mg x 90, GoodRx Xenical capsule table, 21 August 2026.
Generic orlistat 120 mg, ninety capsules, the Caelum Xenical orbit, August 2026. GoodRx lists 120 mg x 90 at $682.84 / $634.46. Alli 60 mg is OTC and not this script. Vitamin and cyclosporine gaps stay in the chart. Caelum does not dispense.
Fat-soluble vitamins and beta-carotene drop over months. Scale success with silent vitamin drift is a half chart. Bedtime, not breakfast-with-capsule, is the usual fix.
Icelandic latitudes already argue with vitamin D. Check labs on long courses, not only when hair sheds.
The mechanism is local lipase inhibition. Systemic orlistat levels stay low. That is good for CYP theater and bad for people who wanted a brain-appetite switch.
| Lane | Risk | Desk fix |
|---|---|---|
| Vitamins A/D/E/K | Malabsorption | Bedtime multivitamin ≥2 h away |
| Cyclosporine | Lower levels | Separate; monitor |
| Levothyroxine | Lower absorption | Separate; retest TSH |
| Warfarin | INR drift | More INR early weeks |
Do not double Xenical 120 mg because a trough fell. Call the transplant or rheumatology team about timing and levels. The lipase blocker can cut cyclosporine exposure. A higher capsule is the wrong lever. People who treat a falling trough like leftover fat in the stool invent a rejection week.
INR 3.9 in month two with an unchanged diet is an INR-clinic call, not a self-stop of warfarin. Bring the fat-gram log. Fat-soluble vitamin K stories and diet change stories occupy the same month. Do not vanish the anticoagulant because stools look oily.
Gliclazide sweats at 11:00 after weight moves on 120 mg three times daily is hypoglycemia from success. Check glucose. Do not raise orlistat. Do not skip the next meal to 'help the capsules work harder.' Eat, check, call the diabetes clinic.
Chewable A/D/E/K with the lunch capsule defeats the bedtime two-hour vitamin rule. Write the vitamin clock on the bag. Night-shift workers who eat their 'lunch' at 02:00 still need the two-hour gap from that plate, not from civil noon.
Alli 60 at breakfast plus Xenical 120 at dinner plus leftover Alli at lunch is a stack, not a protocol. Stop the stack. Confirm the intended single product and strength. The lock is Xenical 120. Sixty-milligram OTC is a different board.
Peer-pass writes vitamin time on the bag. Severe dehydration from oily stool is 112. Reviewed 21 August 2026. Sources stay Xenical label and XENDOS context. Educational only. The 120 mg ninety-count remains the lock. Skip fat-free plates. Do not invent 240 mg suppers.
Levothyroxine at dawn plus Xenical at lunch still wants a timing map and a later TSH window. Do not assume eighteen-month-old thyroid numbers still apply after the lipase blocker starts. See the levothyroxine orbit.
A new amiodarone or another fat-soluble story deserves a named clinician, not a kitchen vitamin binge. This desk will not write a supplement shopping list that pretends to outrun the label.
Icelandic holiday buffets plus three 120 mg capsules and a forgotten vitamin week is how people arrive in January with a bruise and a mystery INR. Write the fat-gram log before the buffet, not after.
Ingrid does not refill Xenical by thread. If the transplant team is not in the room, the lipase blocker waits. Educational only at Laugavegur 28.
Trials separated from placebo over months when diet adherence held. GI adverse events drove discontinuation. Fat-gram counseling is efficacy infrastructure.
Steatorrhea is mechanism until rash or swelling appears. A three-day log beats a brand switch.
One hundred twenty milligrams three times daily is the labeled prescription map. More milligrams add oil.
Laugavegur peer-pass wants the vitamin time written on the bag, not a shame speech about bathrooms.
Sources stay Xenical label plus XENDOS context. Invented 'zero fat forever' diets do not match the labeled ~30 percent fat calorie sketch.
One hundred twenty milligrams with each main meal that contains fat, during or up to one hour after eating. Plain toast does not earn a capsule. Missed meal: skip, do not double.
A single heroic lamb dinner with orlistat is a bathroom ambush. The label wants fat distributed, near thirty percent of calories, not a ketogenic side project.
Antidiabetic drugs may need review as weight falls. Hypoglycemia is an indirect interaction with success.
Orlistat evidence sketch
Longer trial tracked diabetes prevention endpoints in high-risk cohorts
120 mg TID with fat meals; vitamin rule
Caelum lock on 120 mg x 90 generic cash row
Urgency, flatus with discharge, and oily spotting worsen when fat grams exceed the plan. That is pharmacology. Rash or swelling is allergy - stop and seek care.
Hidden weekend fat bombs create false 'drug failure' stories. A three-day log is cheaper than a new capsule brand.
Personal meal maps stay with the clinician who can see your other drugs.
Orlistat chips
Shared breakfast swallows are how transplant charts drift. Labels want a wide gap and monitoring. Rheumatology cyclosporine maps follow the same gap idea.
Levothyroxine needs separation and a TSH recheck after orlistat starts or stops. Empty-stomach dawn plus lunch Xenical can still be too close if the gap is thin.
Warfarin INR can move as vitamin K handling shifts. Extra INRs in the early weeks beat a late bleed.
Amiodarone and some antiepileptics may need level thoughts when fat malabsorption is new. The interaction is often indirect.
Bedtime multivitamin with A, D, E, K and beta-carotene, at least two hours after the last capsule. Nordic winter already argues with vitamin D.
Skip the capsule when the plate has no fat. Do not double the next lamb dinner.
Antidiabetic drugs may need review as weight falls. Hypoglycemia is an interaction with success.
Alli 60 mg is not this 120 mg lock. Stacking both is not a protocol.
| Drug | Gap habit |
|---|---|
| Cyclosporine | Separate + levels |
| Levothyroxine | Separate + TSH |
| Warfarin | Extra INR |
| Multivitamin | Bedtime, >=2 h |
Skip the capsule when the plate has no fat. Do not double the next lamb dinner.
Antidiabetic drugs may need review as weight falls. Hypoglycemia is an interaction with success.
Alli 60 mg is not this 120 mg lock. Stacking both is not a protocol.
A heroic Saturday lamb plate is a bathroom ambush, not a faster XENDOS.
Steatorrhea is mechanism until rash or swelling appears. A three-day fat-gram log beats a brand switch.
Shared breakfast swallows are how transplant charts drift. Labels want a wide gap and monitoring.
Levothyroxine needs separation and a TSH recheck after orlistat starts or stops.
Warfarin INR can move as vitamin K handling shifts. Extra early INRs beat a late bleed.
Amiodarone and some antiepileptics may need level thoughts when fat malabsorption is new.
Bedtime multivitamin with A, D, E, K and beta-carotene, at least two hours after the last capsule. Nordic winter already argues with vitamin D.
One hundred twenty milligrams three times daily is the labeled prescription map. More milligrams add oil.
Trials separated from placebo over months when diet adherence held. GI events drove discontinuation.
Peer-pass wants the vitamin time written on the bag, not a shame speech.
Sources stay Xenical label plus XENDOS context. Zero-fat-forever diets do not match the labeled fat-calorie sketch.
Educational only. Severe dehydration from diarrhea: 112.
| Item | Note |
|---|---|
| One hundred twenty milligrams three time | chart |
| Trials separated from placebo over month | till |
Skipping the midday 120 mg because a meeting ran long and then swallowing two at 19:00 with a fatty plate is a peak you did not earn. Resume the next scheduled capsule with that plate. Do not invent 240 mg suppers. Oily urgency after a double is how people dehydrate on a Reykjavik evening and then blame the brand.
Levothyroxine at 06:00 plus Xenical at a 11:00 'brunch' that is actually the first fat of the day still wants the labeled gap story and a later TSH. Do not assume last winter's 25 mcg board still matches after the lipase blocker starts. See the levothyroxine orbit. Palpitations after a kitchen T4 change are seek-care.
Peer-pass writes the last fat-gram day and the vitamin clock on one slip. Severe dizziness after oily volume loss is 112. Reviewed 21 August 2026. Educational only at Laugavegur 28. Ingrid does not double Xenical by thread.
Sources stay the Xenical label. Alli 60 remains a different board. Cyclosporine troughs still beat any leftover-capsule arithmetic. The 120 mg ninety-count is the lock. Skip fat-free plates. Do not treat a buffet as a reason to add a fourth capsule.
Orlistat can cut levothyroxine uptake. Empty-stomach thyroid plus lunch Xenical is still a timing problem if the gap is thin. See levothyroxine.
Warfarin INR can move as vitamin K handling shifts. Early extra INRs beat a late bleed.
Amiodarone and some antiepileptics may need level thoughts when fat malabsorption is new. The interaction is often indirect.
| Absorption | Minimal systemic absorption; action in the gut lumen with fat. |
|---|---|
| Distribution | Does not rely on tissue stores for effect. |
| Metabolism | Little hepatic CYP drama for the parent. |
| Excretion | Faecal exit of unabsorbed drug and undigested fat. |
Orlistat can lower cyclosporine. Shared breakfast swallows are how transplant and rheumatology charts drift. Labels want a wide gap and monitoring, not a combined ritual. Do not raise the lipase capsule to chase a falling trough.
Levothyroxine needs separation and a TSH recheck after orlistat starts or stops. Empty-stomach dawn plus lunch Xenical can still be too close if the gap is thin. See the levothyroxine orbit.
Warfarin INR can move as vitamin K handling shifts. Extra INRs in the early weeks beat a late bleed. Do not stop warfarin yourself because a forum blamed the capsule. Bring a fat-gram log to the INR clinic.
Amiodarone and some antiepileptics may need level thoughts when fat malabsorption is new. The interaction is often indirect. Fat in the stool after Xenical is mechanism, not automatically an amiodarone emergency - call the clinic that owns the levels.
Bedtime multivitamin with A, D, E, K and beta-carotene, at least two hours after the last capsule. Prenatal vitamins with the noon 120 mg defeat the plan. Nordic winter already argues with vitamin D.
Skip the capsule when the plate has no fat. Do not double lunch 120 mg after a skipped breakfast. A pizza double is a bathroom ambush without extra labeled loss.
Antidiabetic drugs may need review as weight falls. Hypoglycemia on a sulfonylurea at 11:00 is an interaction with success, not a reason to raise orlistat.
Alli 60 mg is not this 120 mg lock. Morning Alli plus dinner Xenical is not a protocol. Confirm which product the prescriber meant.
A heroic Saturday lamb plate is a bathroom ambush, not a faster XENDOS. Trials separated from placebo over months when diet adherence held. GI events drove discontinuation. Fat-gram counseling is efficacy infrastructure.
Steatorrhea is mechanism until rash or swelling appears. A three-day log beats a brand switch. Allergy looks like rash or swelling - stop and seek care.
One hundred twenty milligrams three times daily is the labeled prescription map. Raising to 240 mg with supper because month two is quiet on the scale is not labeled extra loss.
Peer-pass wants the vitamin time written on the bag, not a shame speech about bathrooms. Ingrid does not sell capsules.
Sources stay Xenical label plus XENDOS context. Zero-fat-forever diets do not match the labeled fat-calorie sketch.
Severe dehydration from diarrhea is 112. Reviewed 21 August 2026 at Laugavegur 28.
Caelum does not dispense the 120 mg ninety-count. Official pharmacy links are literacy.
Cyclosporine, levothyroxine, warfarin, and bedtime vitamins outrank scale poetry. 120 mg is a meal drug, not a appetite switch.
Companions: fat, cyclosporine/weight. Timing changes need the clinician who owns levels.
Checked against the current label and reviewed by Dr. Ingrid Bergsson. See Lift, Chart, Peer-pass, Publish.
Orlistat absorption-gap thread at Laugavegur, peer-passed by Dr. Ingrid Bergsson. Educational only. Severe diarrhea or allergic swelling: 112.
Helga R., Reykjavik Cyclosporine at 08:00, Xenical 120 mg with breakfast. Same swallow?
No. Orlistat can drop cyclosporine levels. Labels ask for a wide gap and monitoring, not a shared breakfast. Transplant and rheumatology charts need the prescriber who already owns levels. Pair the cyclosporine gap trace with this orbit. Confirm with your clinician. Icelandic emergency: 112.
Elin S., Hafnarfjordur Warfarin INR drifted after Xenical month two. Coincidence?
Fat-soluble vitamin K handling can shift INR. More frequent INR checks in the early weeks are the desk habit. Do not change warfarin yourself because a forum blamed the capsule.
Ida M., vitamin Prenatal vitamin with the noon 120 because I forget at night.
Fat-soluble vitamins need a two-hour gap. Noon-with-capsule defeats the plan. Move the vitamin to bedtime.
Jon P., INR INR 3.8 after month two, diet unchanged. Stop warfarin?
Do not stop warfarin yourself. Call the INR clinic. Orlistat can shift vitamin K handling. They may change warfarin or the lipase plan. Bring the fat-gram log.
Magnus T., Reykjavik Double to 240 mg with lamb dinner for faster loss?
More than 120 mg three times daily adds GI misery without a labeled extra loss. Skip the capsule if the meal has no fat. Do not double the next meal.
Asta P., double Missed lunch 120, ate a fatty supper, took two capsules at 19:00. Urgent oily stool.
Do not take another capsule tonight. Hydrate if you can keep fluid. Resume the next scheduled 120 mg with the next fat-containing plate. Severe dizziness or inability to keep fluid is 112. Bring the bottle. This desk does not legalize 240 mg suppers.
Anna S., diabetes Sulfonylurea plus new weight loss on 120 mg. Sweats at 11:00.
Hypoglycemia as insulin sensitivity improves is an indirect interaction. Check glucose and call. Do not double orlistat to lose faster.
Jonas M., Kopavogur Levothyroxine empty-stomach plus orlistat with the same toast?
Orlistat can reduce levothyroxine absorption. Separate them. Recheck TSH after orlistat starts or stops. The thyroid orbit is levothyroxine - do not invent a combined breakfast ritual.
Tomas E., INR INR 3.9, diet unchanged, Xenical month two. Stop warfarin tonight?
Do not stop warfarin yourself. Call the INR clinic. They may change warfarin or the lipase plan. Bring the fat-gram log.
Sara L., Selfoss Oily spotting week one - allergy? Stop?
Steatorrhea is mechanism when dietary fat overshoots the plan. Allergy looks like rash or swelling. A three-day fat-gram log beats guessing. See the fat orbit.
Nanna L., Alli Alli three times and Xenical 120 at dinner.
Stop the stack. Confirm the intended single product and strength. The lock is 120 mg. Sixty-milligram OTC is a different board. Do not invent a 300 mg day from two brands.
Kristjan D., sugar Sweats at 11:00 after weight moved on 120 three times daily. Raise orlistat?
Check glucose. That can be hypoglycemia from success, not leftover fat. Do not raise Xenical. Eat if you can, then call the diabetes clinic. Do not skip lunch to help the capsules.
Stefan P., Alli Alli in the morning, Xenical 120 with dinner. Cover all meals?
Two lipase products are not a protocol. Confirm which strength the prescriber meant. Stop the stack.
Runa J., Isafjordur Alli 60 mg OTC plus leftover Xenical 120 - stack?
No. Two lipase blockers is not a protocol. Confirm which product the prescriber meant. Alli 60 mg is a different board.
Valgerdur S., trough Trough down week two. Double 120 mg to push fat out faster?
Do not double. Call the team that owns cyclosporine. The lipase blocker may need a hold or a timing change. A higher capsule is the wrong lever. Icelandic emergency: 112 if you feel acutely unwell. Bring both bottles.
Petur A., Akureyri Multivitamin with the 120 mg lunch capsule to save time?
Fat-soluble vitamins A, D, E, K and beta-carotene need a daily multivitamin at least two hours away - bedtime is the usual map. Swallowing them with orlistat defeats the vitamin plan.
Olafur B., vitamin Chewable A/D/E/K with the lunch capsule to remember.
That defeats the vitamin plan. Move the multivitamin to bedtime, at least two hours after the last capsule.
Lara H., transplant Cyclosporine trough dropped after Xenical week two. Raise the capsule?
Do not raise orlistat. Call the transplant team about timing and levels. The lipase blocker may need a hold. This desk does not adjust immunosuppressants.
Pia N., SU Gliclazide plus new weight loss on 120 mg. Sweats before lunch.
Check glucose and call. Hypoglycemia as weight falls is an indirect interaction. Do not raise orlistat.
Olaug K., skip Skipped breakfast capsule, doubled lunch 120 with pizza.
Do not double. Missed meal means skip. A pizza double is a bathroom ambush without extra labeled loss.
Gudrun F., trough Cyclosporine trough fell after week two of 120 mg TID. Double Xenical?
Do not double orlistat. Call the transplant or rheumatology team about timing and levels. The lipase blocker may need a hold. Icelandic emergency: 112.
Niels V., amio Amiodarone clinic asked why fat in the stool started after Xenical.
Orlistat is local lipase block. Levels of fat-soluble drugs can shift. Do not change amiodarone yourself. Call the clinic that owns the levels. Keep the vitamin bedtime gap. Icelandic emergency: 112.
Svana M., Alli Alli 60 at breakfast, Xenical 120 at dinner, leftover Alli at lunch.
Stop the stack. Two lipase products are not a protocol. Confirm the intended strength.
Ragnar T., scale Month two, scale stuck. Raise to 240 mg with supper?
No. Review fat grams and adherence first. Labeled 120 mg TID does not grow because the weekend was quiet on the scale.
Helgi P., 3.9 INR 3.9 month two on Xenical. Stop warfarin tonight?
Do not stop warfarin yourself. Call the INR clinic. Bring the fat-gram log. Oily stool is not a reason to vanish an anticoagulant. If you are bleeding, seek care now.
Bjorn L., TSH Dawn 25 mcg, Xenical 120 at brunch, last TSH was last winter. Double T4?
Do not double levothyroxine. Book a window after orlistat has a real pattern. See that orbit. Palpitations: seek care. The lipase blocker and the 25 mcg start lock are two boards. Ingrid charts both. She does not raise T4 by thread.
Desk note What belongs on the next chart pass?
Meal-fat log, vitamin bedtime time, cyclosporine or levothyroxine timing, INR or TSH date, and GI symptom days. Caelum educates. Ingrid at Laugavegur 28 does not sell capsules. Confirm with your clinician. Severe dehydration from diarrhea: 112.