Which Should You Choose: Orlistat or Xenical?
Orlistat vs Xenical: The Key Facts
When comparing orlistat 120mg capsules with Xenical 120mg capsules for weight management, you're looking at clinically identical medications. Both contain exactly the same active ingredient (orlistat) at the same dose, work through the same mechanism, and may help reduce the amount of dietary fat absorbed by approximately one third. The primary difference lies in pricing and brand preference.
Generic orlistat represents the most cost-effective choice, whilst Xenical is the original branded version manufactured by Roche. Your clinical outcomes should be equivalent regardless of which option you choose, making this primarily a financial decision.
Price Comparison: Substantial Savings with Generic Orlistat
The cost difference between generic orlistat and branded Xenical is significant across all pack sizes. For a 4-week supply (84 capsules), generic orlistat costs £32.99 (£29.69 with EDM10 code) compared to Xenical at £42.99 (£38.69 with EDM10). Over a 12-week treatment period, you could save approximately £30-40 by choosing generic orlistat.
Here's the complete pricing breakdown: Orlistat 2-week supply £16.89 (£15.20 with EDM10), 4-week supply £32.99 (£29.69 with EDM10), 8-week supply £63.99 (£57.59 with EDM10), and 12-week supply £95.99 (£86.39 with EDM10). Xenical pricing: 2-week supply £21.50 (£19.35 with EDM10), 4-week supply £42.99 (£38.69 with EDM10), 8-week supply £86.99 (£78.29 with EDM10), and 12-week supply £128.99 (£116.09 with EDM10).
Clinical Effectiveness: Identical Results
Both orlistat and Xenical work by inhibiting lipase enzymes in your digestive system, preventing approximately one third of dietary fat from being absorbed. This unabsorbed fat passes naturally through your body. When used alongside a reduced-calorie, lower-fat diet and increased physical activity, both medications may support weight management in adults with appropriate BMI levels.
The side effect profile remains identical between both options, with gastrointestinal effects being most common when dietary fat intake is too high. Keeping meals to approximately 15g of fat helps minimise these effects significantly.
Consider Alli 60mg as an Alternative
For those preferring a lower-strength starting point, Alli 60mg offers half the dose of prescription-strength orlistat. Priced at £28.99 for a 4-week supply (£26.09 with EDM10), Alli blocks a smaller proportion of dietary fat and typically produces milder side effects. However, the clinical effect is correspondingly reduced compared to the 120mg prescription options.
Making Your Decision
Choose generic orlistat if cost-effectiveness is your priority - you'll receive identical clinical benefits at a significantly lower price. Choose Xenical if you prefer the assurance of the original branded medication. Both require the same online clinical assessment process and are dispensed by our GPhC-registered pharmacy with next day delivery available.
Ready to start? Complete our online health questionnaire for review by a UK-licensed prescriber. If treatment is appropriate for you, your chosen medication will be dispensed and dispatched discreetly to your address with prescription included in the price.


