Understanding Alli (previously Orlistat GSK)

What is Alli?
Alli, previously known as Orlistat GSK, is a medication used to aid weight loss. It is authorized for use within the European Union and works by inhibiting the absorption of fats from the human diet, thus reducing caloric intake. Its active substance, orlistat, targets overweight individuals, typically those with a Body Mass Index (BMI) of 28 kg/m² or higher. Alli is most effective when combined with a mildly hypocaloric, lower-fat diet.
Uses and Mechanism of Action
Alli is primarily indicated for weight loss in adults and is effective in reducing overall body weight. The medication functions by blocking enzymes in the gut, which are responsible for breaking down fats within the diet. With fats unable to be absorbed, they're excreted from the body, contributing to weight loss over time. This mechanism places Alli in the pharmacotherapeutic group of anti-obesity preparations, excluding diet products.
Studies and Benefits
The effectiveness of Alli has been extensively studied in clinical trials. During these studies, participants taking Alli, alongside a diet with reduced calories and fats, demonstrated significant weight loss compared to those not taking the medication. The trials showed that Alli provides a steady reduction in weight, helping prevent weight regain during its continued use. The European public assessment report (EPAR) from the Committee for Medicinal Products for Human Use (CHMP) affirmed the positive benefit-risk balance of Alli, contributing to its approval.
Potential Risks and Approval
While Alli is beneficial for weight loss, it is not without potential risks. Some common side effects include gastrointestinal issues such as oily or loose stools, abdominal pain, and flatulence. These side effects are generally mild and transient. Despite these risks, the EMA's evaluation concluded that the benefits of Alli outweigh the potential adverse effects, leading to its approval for non-prescription use. This decision marked the first time a centrally authorized medicine made such a transition.
Authorisation and Product Information
Alli received marketing authorization in the European Union on July 22, 2007, after its approval on May 24, 2007. Designed for human use, its approval number under the EMA is EMEA/H/C/000854. The marketing authorization holder is Haleon Ireland Dungarvan Limited, located in Ireland. For healthcare professionals and consumers, detailed product information including dosage, administration, and side effects is available in all official EU languages.
Conclusion
Overall, Alli, as a pharmaceutical development, represents a significant advancement in the treatment options available for obesity management. As with any medication, it is essential that users adhere to prescribed guidelines and dietary recommendations to maximize its efficacy and minimize risks. The ongoing assessment and monitoring by regulatory bodies like the EMA ensure that Alli remains a safe and effective treatment for users across the European Union.
© 2025 European Medicines Agency
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