Persons who demonstrate hypersensitivity to the drug -- manifesting as rash, itching, transient blebs, eyelid or lip swelling -- should also refrain from using Xenical diet pills for fear of inducing severe allergic reaction (anaphylaxis). Past history of renal or gall bladder stones is also a contraindication for the use of Xenical diet pills for fear of exacerbation or recurrence of the problem.
Use of Xenical diet pills is not recommended in pregnant women and nursing mothers, as the drug may be excreted in their milk. The use of obesity drugs is generally avoided in children below the age of 12 years.
Precautions:
Patients on the drug need to stick to dietary guidelines. Gastrointestinal side effects may increase when Xenical diet pills are taken with a meal high in fat (>30% total daily calories from fat).
The daily intake of fat should be distributed over 3 main
meals. If Xenical is taken with any 1 meal very high in fat, the possibility of gastrointestinal effects increases.
When on therapy with Xenical, patients should take a multivitamin supplement that contains fat-soluble vitamins to counter the reduced absorption of fat soluble vitamins and beta-carotene (Xenical has been shown to reduce the absorption of some fat-soluble vitamins and beta-carotene).
In addition, the levels of vitamin D and beta-carotene may be low in obese patients compared with non-obese subjects. Therefore vitamin supplements should be taken once a day at least 2 hours before or after the administration of Xenical.
Xenical may be accompanied by improved control for diabetics, which might require a reduction in dose of oral diabetic medication.
Interactions:
Xenical interacts with a few drugs like warfarin (it increases its effect) and the antibiotic cyclosporine (it decreases the efficacy of the antibiotic). However, these are exceptions to the rule. Overall the Xenical diet pills do not have interactions with a wide spectrum of drugs
Dosage and Administration:
The recommended dose of Xenical is one 120 mg capsule three times a day with each main meal. The patient should be on a nutritionally balanced, reduced-calorie diet that contains approximately 30% of calories from fat. The daily intake of fat, carbohydrate, and protein should be distributed over 3 main meals. If a meal is occasionally missed or contains no fat, the dose of Xenical can be omitted.
Overdose:
As the systemic exposure (very little of the drug actually enters the bloodstream) to Xenical is minimal, complications due to overdose are rare. But if there is a significant overdose of xenical, the patient needs to be observed for 24 hours. Systemic effects of the lipase-inhibiting properties of Xenical are rapidly reversible.
Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F) [controlled room temperature]. Keep bottle tightly closed.
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