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Orlistat is authorised in the world under the following brand names: Alli, Xenical.

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Information Gathering
1. Gather essential information about the patient’s symptoms, including:
a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) Patient is concerned about her weight and overall appearance. She has never been obese, but she is slightly overweight and wants to lose approximately 15 pounds over the next month or two.
b. description of any factors that seem to precipitate, exacerbate, and/or relieve the patient’s symptom(s) Patient tends to snack on sweets, particularly in the afternoon and when she studies at night.
c. description of the patient’s efforts to relieve the symptoms Patient has tried several diets over the past 6 months, but she has not been successful in losing weight.
2. Gather essential patient history information:
a. patient’s identity Heidi McMaster
b. patient’s age, sex, height, and weight 15-year-old female, 5 ft 5 in, 165 lb
c. patient’s occupation High-school sophomore
d. patient’s dietary habits She typically skips breakfast because she “doesn’t have time.” Usually eats lunch at the salad bar at school. Often gets candy bar from snack machine in the afternoon. She has a big dinner every night with her family, often including dessert.
e. patient’s sleep habits Averages about 7-8 hours per night
f. concurrent medical conditions, prescription and nonprescription medications, and dietary supplements Ortho Tri-Cyclen 1 tablet once daily beginning on day 1 of menstrual cycle
g. allergies NKA
h. history of other adverse reactions to medications None
i. other (describe) Patient participates in physical education classes at school twice a week. She has no other regular exercise activity. Both of her parents are also overweight.
Assessment and Triage
3. Differentiate the patient’s signs/symptoms and correctly identify the patient’s primary problem(s). Patient’s body mass index is 27.5, placing her in the overweight category. This places her at increased risk for type 2 diabetes mellitus, high cholesterol, hypertension, sleep apnea, and orthopedic problems during both adolescence and adulthood if her weight is not normalized. Her skipping breakfast, regularly consuming sweets, and eating heavy dinners, together with minimal physical activity, are contributing to her weight problem.
4. Identify exclusions for self-treatment. Age less than 18 years is an exclusion for self-treatment.
5. Formulate a comprehensive list of therapeutic alternatives for the primary problem to determine if triage to a medical practitioner is required, and share this information with the patient. Options include:
(1)  Refer Heidi to a primary care provider for a health screen.
(2)  Refer to dietitian and/or personal trainer for diet and exercise advice, respectively.
(3)  Recommend nonprescription orlistat.
(4)  Recommend a dietary supplement weight-loss product.
(5) Take no action.
Plan
6. Select an optimal therapeutic alternative to address the patient’s problem, taking into account patient preferences. Refer the patient to a primary care provider for a health screen.
7. Describe the recommended therapeutic approach to the patient. N/A
8. Explain to the patient the rationale for selecting the recommended therapeutic approach from the considered therapeutic alternatives. You need to see a primary care provider to determine if a diet and exercise program is appropriate. Healthy eating habits and exercise are the mainstays of successful weight loss, and these should be a lifelong goal.
Patient Education
9. When recommending self-care with non-prescription medications and/or nondrug therapy, convey accurate information to the patient. Criterion does not apply in this case.
10. Solicit follow-up questions from patient. Is there an OTC medication that might work?
11. Answer patient’s questions. No OTC medications are approved and/or appropriate to recommend without referral from a primary care provider.

Synonyms of Orlistat:

(-)-Tetrahydrolipstatin, Orlipastat, Orlipastatum [INN-Latin], orlistat

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Therapeutic classes of Orlistat:

Anti-Obesity Agents, Enzyme Inhibitors

Dosage forms of Orlistat:

Form Route Strength
Capsule Oral

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Common brands (equivalents) of Orlistat, which people buy in pharmacies of the world:

(Australia, Canada, India, Mexico, New Zealand, USA, Europe [Belgium, France, Germany, Holland, Ireland, Spain, Switzerland, Great Britain (UK), Italy], and etc)
Xenical 120 mg capsule Alli 60 mg capsule

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