Orlistat counselling — GPhC CRA MCQ
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Correct answer: B — Omit breakfast; dose lunch and dinner normally, while reducing dinner fat
Orlistat is taken immediately before, during or up to one hour after a fat-containing main meal. If a meal is missed or contains no fat, that dose is omitted. Dietary fat should be distributed across meals because a high-fat meal increases gastrointestinal adverse effects. Doses should not be pooled or doubled.
Reference: Xenical 120 mg SmPC: https://www.medicines.org.uk/emc/product/2592/smpc