How does orlistat work?

Orlistat blocks intestinal lipase, reducing the absorption of part of the fat you eat. It does not act on appetite, so its effect depends on maintaining an appropriate diet while taking it.

Do I need vitamin supplementation with orlistat?

Yes — a multivitamin with A, D, E and K taken separately from orlistat is recommended. The doctor tells you how to schedule it in your consultation.

Can I get a consultation for Xenical from Narva?

Yes. Hi-Doctor runs 100 % online across the EU, so if you live in Narva you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid in any EU pharmacy under Directive 2011/24/EU; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

Who is a candidate for a medical weight-management programme?

Adults with BMI ≥ 30, or ≥ 27 with comorbidities (hypertension, type-2 diabetes, dyslipidaemia). The doctor reviews your history, current medication and goals before proposing any treatment. It is not a cosmetic programme.

What is the private electronic prescription and why is it valid across the EU?

The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does Hi-Doctor work step by step?

1) Fill in an online medical questionnaire in about 4 minutes. 2) The plan is €25 every 4 weeks for weight loss or €35 every 3 months for hair growth; sexual health is €35 per consultation. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at any EU pharmacy. If the review is not approved, the applicable fee is refunded in full.

How much does it cost and what does the price include?

The plan is €25 every 4 weeks for weight loss or €35 every 3 months for hair growth; a one-off sexual-health consultation is €35. Each includes a licensed doctor's review and an electronic prescription if approved. If the review is not approved, the applicable fee is refunded in full. Medication is paid for separately at the pharmacy at the price it sets.

Xenical · NarvaPrescription only

Online medical consultation for Xenical in Narva.

An EU-licensed doctor reviews your case and, if eligible, issues an electronic prescription valid in any pharmacy in Estonia. Consultation €35, refunded if the doctor decides it is not safe to prescribe.

A capsule — no injections
Acts locally in the gut, not system-wide
An alternative when GLP-1s aren't the right fit

€25 / 4 weeksFull refund if a review is not approved

Start consultation · €35 See how it works

Medication, if prescribed, is dispensed and paid for separately at a pharmacy.

FormOral capsule

FrequencyWith each main meal

ResultsReviewed at month 3

StatusPrescription only

About

What is Xenical?

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 works in the body

Orlistat blocks intestinal lipase, so part of the dietary fat passes through unabsorbed. Because it works locally in the gut rather than on hunger signals, results depend on a suitable, lower-fat diet.

How it helps

Three ways it supports weight loss.

No injections

A capsule taken with meals — the non-injectable route in this category.

Local, not systemic

Acts in the gut rather than on the whole body's hormone signalling.

Adjunct to diet

Reinforces a structured nutrition plan; adjusting fat intake also eases side effects.

What to expect

How to take it.

One capsule with each main meal that contains fat. Your doctor explains the routine and the vitamin supplementation that goes with it.

Days 1–7 · Adjust meals towards lower fat
Weeks 2–8 · Consistent use with each main meal
Month 3 · Response reviewed by your doctor
Ongoing · A, D, E, K multivitamin taken separately, as advised

Doses your doctor can prescribe

Standard dose120 mg with each main meal
Pharmacy price~€55–75 / month

Your schedule is personal

These are typical steps only. Your doctor adjusts the plan to how you respond and tolerate it — and you can message them at any point.

Safety first

Safety, in full.

Xenical 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

Are pregnant or breastfeeding
Have a chronic malabsorption syndrome or cholestasis
Expect it to work without dietary changes

When to seek urgent care

For severe, sudden or unexpected symptoms, call your local emergency number or go to the nearest emergency department. Then let your doctor know through your account chat.

PRICING

Two clear ways to continue your care.

€25 / 4 weeks for weight loss or €11.67/mo (billed €35 every 3 months) for hair growth. €35 one-off is available for sexual health.

ONGOING PLAN

Recommended

Ongoing treatment plan

Weight loss

€25 / 4 weeks

billed €25 every 4 weeks

For ongoing treatment and doctor-reviewed renewals.

Available for weight-loss and hair-growth treatments.

Start consultation

WHAT'S INCLUDED

First consultation included
Renewals reviewed by your doctor
Ongoing care with your doctor
Priority review
Cancel anytime

Full refund if a review is not approved For a one-off consultation, we refund the €35 consultation fee. For a subscription review, we refund that period's 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.

Reviews

What our patients say.

Verified reviews from Hi-Doctor patients · names changed for privacy · individual results vary.

The slow dose increase made it manageable. The nausea early on faded, just like my doctor said.

Thomas K.

6 months in treatment

Being able to message the doctor when I had questions about dosing made me feel looked after.

Nadia V.

4 months in treatment

Honest advice — they told me it only works alongside changes to how I eat. That built trust.

Elena D.

5 months in treatment

FREQUENTLY ASKED QUESTIONS

Questions about Xenical.

Find out if it's right for you

See if Xenical is appropriate 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.

Start consultation · €35 See Weight loss

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ALSO AVAILABLE IN

The Xenical consultation works the same way across the EU.

TallinEE TartuEE

AVAILABLE ACROSS SPAIN