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You do not need a prescription, as our doctor can arrange this free of charge after you complete a consultation. Orlistat works in the same way as the over the counter medicine Alli. They contain the same active ingredient (Orlistat), however, the prescription version is twice the strength (120mg instead of 60mg). Orlistat 120mg tablets are the generic version of the better-known brand, Xenical. Because Xenical is no longer the only manufacturer of Orlistat, this has helped lower the price of the generic form of the drug. Generic medicines contain the same active ingredient and are equally effective and medically equivalent as the branded products but are available at a lower price. Generic manufacturers have to demonstrate that they are medically identical to the branded product - i.e. they offer the same quality, strength, stability and effectiveness. Visit our Generic Medicine FAQ for more information Xenical (Orlistat 120mg) is used in the treatment of obesity. 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