Can I get it?
Yes, if a doctor decides it is right for you. Orlistat 120mg is authorised in the EU and can be prescribed after a medical review.
An EU-licensed doctor reviews your case and, if eligible, issues an electronic prescription valid in any pharmacy in Netherlands. Consultation €25/month, refunded if the doctor decides it is not safe to prescribe.

Medication, if prescribed, is dispensed and paid for separately at a pharmacy.
IN PLAIN TERMS
Orlistat is a capsule you swallow with meals. It is not a hormone and does not act on the brain or on appetite: it blocks the gut enzymes that digest fat, so roughly a third of the fat in a meal leaves the body in the stool instead of being absorbed. In the EU it is sold as Xenical and is taken alongside a slightly reduced-calorie, lower-fat diet. Because that undigested fat has to go somewhere, oily, loose or urgent bowel movements are common, and they are more likely after a fatty meal.
Orlistat 120mg has been authorised for use in the EU since 29 July 1998, so a licensed doctor can prescribe it when it is clinically appropriate for you.
Yes, if a doctor decides it is right for you. Orlistat 120mg is authorised in the EU and can be prescribed after a medical review.
Our doctors review every Weight loss option and recommend what fits your history and goals.
See all Weight loss optionsEvery trial behind Orlistat 120mg is listed below with how many people took part and whether the results are peer-reviewed or a company announcement.
Jump to the studiesLocal consultation facts
Yes. People in Ámsterdam, Netherlands, can request an online doctor consultation about Orlistat 120mg with Hi-Doctor. A licensed EU doctor reviews the case and issues a prescription only when clinically appropriate. If approved, the EU prescription arrives as a PDF for a pharmacist in Netherlands, who dispenses the locally marketed equivalent containing Orlistat.
Availability
Orlistat 120mg is available to residents of Netherlands through the online consultation. A prescription follows only if the doctor approves it.
How the EU prescription works where you are: In Netherlands, show the approved prescription PDF to a pharmacist. They honour it under EU cross-border rules and dispense the locally marketed equivalent containing Orlistat.
VERIFIED EVIDENCE
WHAT IT IS
It blocks the enzymes in the stomach and gut that break down fat, so about a third of the fat in a meal passes through the body instead of being absorbed.
DEVELOPMENT STAGE
Every NCT identifier links to its ClinicalTrials.gov record. A readout is not the same as peer-reviewed publication.
| TRIAL / NCT | POPULATION | PARTICIPANTS | STATUS | READOUT / COMPLETION |
|---|---|---|---|---|
| XENDOS | Adults with a BMI of 30 kg/m² or more with normal (79%) or impaired (21%) glucose tolerance; all made lifestyle changes | 3,305 | Read out | 2004-01-01 |
| European Multicentre Orlistat Study | Adults with a BMI of 28–47 kg/m² recruited at 15 European centres, on a mildly reduced-calorie diet | 743 | Read out | 1998-07-18 |
Results are grouped by source and evidence grade so journal data and manufacturer announcements cannot be confused.
| DOSE OR GROUP | MEAN WEIGHT CHANGE | WEEKS |
|---|---|---|
| 120 mg three times daily | −5.8 kg | 208 |
| Placebo | −3.0 kg | 208 |
XENDOS was designed to test prevention of type 2 diabetes rather than weight loss alone, only 52% of the orlistat group and 34% of the placebo group completed the four years, and everyone also made lifestyle changes.
NAMED SAFETY SIGNALS
The EU Summary of Product Characteristics lists oily spotting from the rectum, fatty or oily stools, wind with discharge, urgent need to open the bowels and increased bowel movements as very common (affecting more than 1 in 10 people).
Abdominal pain or discomfort, flatulence and liquid stools are listed as very common (more than 1 in 10 people) in the EU Summary of Product Characteristics.
Faecal incontinence and soft stools are listed as common (between 1 in 100 and 1 in 10 people) in the EU Summary of Product Characteristics.
Orlistat can reduce absorption of vitamins A, D, E and K; the EU product information advises a diet rich in fruit and vegetables and says a multivitamin supplement may be considered, taken at bedtime.
Listed as very common (more than 1 in 10 people) in the EU Summary of Product Characteristics.
About
Active ingredient: Orlistat · Dosages: 120 mg with each main meal
Orlistat is a lipase inhibitor: it blocks the intestinal enzyme that digests fat, reducing the absorption of part of the fat you eat. Unlike GLP-1s, it does not act on appetite — its effect depends on keeping an appropriate diet while taking it.
It's a valid alternative for people who cannot or do not want injectables, although average weight loss is usually lower. A licensed doctor proposes the approach that best fits your clinical history.
How it helps
A capsule taken with meals — the non-injectable route in this category.
Acts in the gut rather than on the whole body's hormone signalling.
Reinforces a structured nutrition plan; adjusting fat intake also eases side effects.
What to expect
One capsule with each main meal that contains fat. Your doctor explains the routine and the vitamin supplementation that goes with it.
Doses your doctor can prescribe
Safety first
Orlistat 120mg is an effective medicine — and like any medicine it carries risks. Your doctor screens for all of this before prescribing. Here's the honest picture, not just reassurance.
Mostly gastrointestinal: oily stools, bowel urgency and flatulence — especially after fatty meals. Adjusting the diet reduces symptoms.
Not suitable if you
PRICING
€25/month for weight loss or €15/month (billed €45 every 3 months) for hair growth. €35 one-off is available for sexual health.
ONGOING PLAN
Weight loss
€25/month
For ongoing treatment and doctor-reviewed renewals.
Available for weight-loss and hair-growth treatments.
Start consultationWHAT'S INCLUDED
Full refund if a review is not approved If a review is not approved, we refund that period's €25 fee and cancel the plan.
Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi-Doctor does not sell medications.
HOW THE DOCTOR DECIDES
An EU-licensed doctor reads your questionnaire and answers within 24 hours.
If the doctor decides it is not safe to prescribe, the consultation fee is refunded in full.
Follow-up happens in the private chat inside your account, under GDPR. No WhatsApp, no SMS.
OTHER WEIGHT LOSS TREATMENTS
Find out if it's right for you
Answer a few questions and a licensed EU doctor reviews your case within 24 hours. Refunded in full if it's not right for you.
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