Orlistat is available via prescription (Xenical) or over-the-counter (Alli). Here is how to access each route.

Get Xenical on the NHS

Step 1: Check Eligibility You need a BMI of 28 or above and evidence of attempting weight loss (lifestyle change, diet). Some practices require BMI 30+.

Step 2: Book GP Appointment Request a weight loss management consultation. GPs can refer to structured weight loss programs (Slimming World, WeightWatchers) or prescribe orlistat directly.

Step 3: Get Prescription If approved, GP writes Xenical prescription. Collect free from any NHS pharmacy.

Step 4: Follow-up Expect monitoring at 12 weeks. If you have lost 5%+ body weight, prescription continues. Typical course is 6-12 months.

Get Xenical Privately

Book consultation with private doctor (Babylon, BUPA Online, local private clinics). Cost £30-50 per consultation. Prescription sent to pharmacy (cost £40-80/month). Faster than NHS (2-3 days vs 2-4 weeks) but costs £480-960/year.

Buy Alli Over-the-Counter

No prescription needed. Available from Boots, Superdrug, Lloyds Pharmacy, Amazon. Cost £12-16 per box. Buy online or in-store same day. No consultation required.

Get Generic Orlistat Online

Websites like Chemist 4 U, Medino, Pharmacy2U offer online doctor consultations plus prescription plus delivery. £99-150/month. Takes 1-3 days.

Which Route to Choose

NHS: Free but slow (2-4 weeks). Best if you meet criteria and are not in a hurry.

Private: Fast (2-3 days), integrated support, but costs £480-960/year.

Alli OTC: Immediate, no consultation, lowest barrier. Try before committing to prescription.

Online Generic: Fast, affordable, good middle ground between OTC and private.