A healthier you starts now

  • In-depth consultations with board-certified medical providers specializing in weight loss
  • Prescription medication tailored to your weight care goals delivered to your door
  • 1:1 expert coaching to kickstart your program, plus unlimited access to a network of coaches
  • In-app supportive community, lifestyle change tools, accountability features, and more — all at your fingertips
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Our medication toolkit

Found offers the widest range of medications to address biological challenges that make weight loss more difficult. Found's board-certified providers prescribe medications to help with the following:
Suppress appetite
Stabilize blood sugar levels
Control cravings
Below is a list of all medications and combinations offered to new and existing members who qualify. Click on the medication name to learn more.
Metformin is a plant-derived off-label option for weight loss, appetite control, and sugar/carbohydrate craving control. It may help people be more adherent to a low carbohydrate diet for those on that type of plan.
Bupropion is an effective off-label option for weight loss which works by reducing appetite and cravings.
Topiramate is used for many medical conditions such as migraines, seizures, and nerve pain but also is a helpful off-label option for weight loss which works by reducing hunger and cravings. Topiramate can be prescribed alone, in combination with other medication, or sometimes to counteract the weight gain potential of certain medicines.
Naltrexone is an off-label option for weight loss which works by treating cravings and compulsive eating.
Naltrexone and Bupropion is a well studied off-label combination which helps treat binging and cravings and is also helpful for people who feel “addicted to food”.
Zonisamide is an effective off-label medication for appetite and craving control. It can be used alone or in combination with other medications to help target multiple mechanisms of weight loss.
Bupropion and Zonisamide is an off-label combination of medications that can reduce overall hunger, increase fullness, and help with overeating and cravings.
Some of the medications our medical providers prescribe are FDA-approved for weight loss; others are FDA-approved medications but not for the indication of weight loss, a practice known as “off-label” prescribing. Found affiliated medical providers prescribe these off-label medications only when there is sufficient clinical evidence to support the use of a medicine and only after a medical provider has reviewed a member’s particular health history and made a determination that the medicine is safe for the particular member.
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Access to weight loss medication and care — regardless of insurance

Weight care is health care, which we believe should always be accessible and affordable for all. You don’t need insurance or a primary doctor to get started with Found. We offer affordable rates on our prescription weight care program.

Prescription medication

  • Our medical team provides access to the widest range of medications on the market
  • Medication delivered to your door
  • No insurance requirements (except for GLP-1s)

Board-certified clinicians

  • Board-certified and specially-trained in weight loss
  • Virtual appointments, no in-person office visits required
  • Found doctors customize your plan to your unique needs

Expert health coach

  • Dedicated 1:1 coaching to kickstart your program
  • Advice and tips tailored to your needs on healthy lifestyle change
  • Unlimited access to network of coaches throughout your program

Found mobile app

  • Keep track of your progress by logging your routines
  • Coaches use logged routines to personalize your weight loss program
  • Integrates with Apple Health and Google Fit

Supportive community

  • Celebrate your journey with thousands of other members
  • Share recipes, weight loss milestones, and roadblocks
  • The Found team is actively involved to make sure you have the best experience

Access to weight loss medication and care — regardless of insurance

Weight care is health care, which we believe should always be accessible and affordable for all. You don’t need insurance or a primary doctor to get started with Found. We offer affordable rates on our prescription weight care program.

Prescription medication

  • Our medical team provides access to the widest range of medications on the market
  • Medication delivered to your door
  • No insurance requirements (except for GLP-1s)

Board-certified clinicians

  • Board-certified and specially-trained in weight loss
  • Virtual appointments, no in-person office visits required
  • Found doctors customize your plan to your unique needs

Expert health coach

  • Dedicated 1:1 coaching to kickstart your program
  • Advice and tips tailored to your needs on healthy lifestyle change
  • Unlimited access to network of coaches throughout your program

Found mobile app

  • Keep track of your progress by logging your routines
  • Coaches use logged routines to personalize your weight loss program
  • Integrates with Apple Health and Google Fit

Supportive community

  • Celebrate your journey with thousands of other members
  • Share recipes, weight loss milestones, and roadblocks
  • The Found team is actively involved to make sure you have the best experience

A whole-body approach to weight care

Millions of Americans struggle with losing weight and keeping it off, but we believe you don’t have to do it alone. In a world that tells you that simply eating less and moving more is all you need, we know that when these habits don’t yield results you may feel like it’s your fault. You may think it’s a matter of willpower, but the truth is that your weight is deeply influenced by your biology.

We believe that when people are given the care, medication, coaching, and support they need, not only do they finally start seeing results but they also build healthier, lasting habits that make weight loss sustainable. Found is built by a team of board-certified medical providers specialized in weight management and behavioral health experts that provide science-backed lifestyle guidance on nutrition, exercise, sleep, movement, and more to help you take control of your health.

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Weight care that fits into your schedule

Found is a 100% online program that’s designed to work around your schedule. Create goals, establish routines, and build habits when it’s convenient and easiest for you. Life happens, but we’re always here—whenever, wherever—to guide you and help you stay on track. If you’re ready to discover how Found could work for you, these three easy steps can help get you started:

1

Take our 3-minute online survey

We want to know more about you, your goals, your medical history, and lifestyle. If you qualify, you’ll be able to sign up immediately.
2

Consult with a Found provider

Chat with a board-certified provider who will go through your medical history and determine the right medication for you.
3

Start medication and health coaching

Medication refills will be delivered to your door. You’ll also get 1:1 expert coaching to kickstart your program and access to a network of Found coaches throughout your journey.
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Weight loss that goes beyond the scale

While weight loss may be your goal, we also recognize the importance of non-scale victories for health and wellbeing. Found is backed by science and trusted by medical professionals because our program targets the biological barriers that could be holding you back from losing weight with diet and exercise alone.

We combine a prescription medication plan customized to your goals with science-backed lifestyle guidance from our network of health coaches and an in-app supportive community. No fad diets, no restriction, no calorie counting (unless you want to).

Members have reported an improvement in:
Sleep
Energy levels
Mood
Confidence
Stress/anxiety
Other chronic conditions
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*No insurance needed (does not include GLP-1s).
This program has been amazing, so far I’ve lost a total of 26lbs in 4mths, & I’m very happy with the slow steady progress.
T
Tina G.
6 months ago
I’ve been on the program for about 4 months. I’m down over 20 pounds and feel great.
L
Linda C.
6 months ago
The convenience and the support are wonderful. I love that the meds were tailored to me, not just oh let’s try this. I would recommend Found to anyone struggling with weight loss.
T
Terry G.
6 months ago
Found has helped me lose weight and gain my confidence back I'm getting back to my old self again going through cancer treatments actually made me gain 30 pounds because of the steroids and bed rest I'm feeling great 👍 now 😁
T
Tabatha B.
7 months ago
I've lost more weight and easier than anything I've ever tried!
Z
Zarina S.
6 months ago
Found was amazing! The medication was very effective for me. The shipping was very fast for me as well. I usually got the medications within a few days
S
Shanna W.
6 months ago
I have been happy with my found experience so far! I hope hope to continue to lose more weight!
P
Phyllis J.
5 months ago
Very satisfied
M
Mark B.
4 months ago
This program has been amazing, so far I’ve lost a total of 26lbs in 4mths, & I’m very happy with the slow steady progress.
T
Tina G.
6 months ago
I’ve been on the program for about 4 months. I’m down over 20 pounds and feel great.
L
Linda C.
6 months ago
The convenience and the support are wonderful. I love that the meds were tailored to me, not just oh let’s try this. I would recommend Found to anyone struggling with weight loss.
T
Terry G.
6 months ago
I've lost more weight and easier than anything I've ever tried!
Z
Zarina S.
6 months ago
Found was amazing! The medication was very effective for me. The shipping was very fast for me as well. I usually got the medications within a few days
S
Shanna W.
6 months ago
I have been happy with my found experience so far! I hope hope to continue to lose more weight!
P
Phyllis J.
5 months ago
Found has helped me lose weight and gain my confidence back I'm getting back to my old self again going through cancer treatments actually made me gain 30 pounds because of the steroids and bed rest I'm feeling great 👍 now 😁
T
Tabatha B.
7 months ago
Very satisfied
M
Mark B.
4 months ago

You are our “why” for creating Found

From being able to play with their grandkids to feeling more confident, our members are the reason we do what we do. Here’s what our members have to say about how Found has helped them on their weight loss journey.

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Results you can see and feel

“I love taking photos as a side hobby and I even shot some of myself, and I shared them with the confidence of knowing I’m improving every day. This program has really worked and is still working for me. I just purchased a pair of size 12 jeans and I was an 18 when I started Found!”

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A whole-body approach to weight care
Only 1% of US doctors are trained in managing obesity and overweight. At Found, you’ll have access to compassionate board-certified medical experts that are specially trained in obesity. Our care team personalizes your treatment plan based on your medical history, biology, and lifestyle so you have a medically guided path that’s as unique as you are.
Chief Medical Advisor
Dr. Judith Korner, MD, PhD
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Medical Advisor
Dr. Larry Cheskin, MD
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Medical Advisor
Dr. Shebani Sethi Dalai
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Chief Behavioral Health Officer
Dr. Acacia Parks
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Medical Affairs
Dr. Rekha Kumar
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Medical Director
Dr. Shawn Cole, MD, MS, MHA
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Director of Behavioral Health
Dr. Lynn Yudofsky, MD
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Chief Medical Advisor
Dr. Judith Korner, MD, PhD
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Medical Advisor
Dr. Larry Cheskin, MD
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Medical Advisor
Dr. Shebani Sethi Dalai
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Chief Behavioral Health Officer
Dr. Acacia Parks
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Medical Affairs
Dr. Rekha Kumar
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Medical Director
Dr. Shawn Cole, MD, MS, MHA
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Director of Behavioral Health
Dr. Lynn Yudofsky, MD
Director of the Metabolic and Weight Control Center at Columbia University Irving Medical Center. Vice Chair of the American Board of Obesity Medicine.
Get started

The benefits of an online weight loss program

  • 1:1 consults with board-certified clinicians specialized in weight management
  • Widest toolkit of prescription medications for weight loss available
  • Expert coach support designed by Found's Chief Medical Officer
  • In-app supportive community, lifestyle change tools, and more
  • Your medication conveniently delivered to your door
Get started

Medication disclaimers

Select a medication from the dropdown below:

metformin
metformin
bupropion
naltrexone
topiramate
zonisamide
orlistat

Medications

  • metformin
  • bupropion
  • naltrexone
  • topiramate
  • zonisamide
  • orlistat

metformin

  • Box warning
  • Warning
  • Side effects
  • Drug interactions

BLACK BOX WARNING: METFORMIN MAY CAUSE LACTIC ACIDOSIS

Postmarketing cases of metformin-associated lactic acidosis have resulted in death, hypothermia, hypotension, and resistant bradyarrhythmias. Symptoms included malaise, myalgias, respiratory distress, somnolence, dizziness, changes in heart rate/rhythm, and abdominal pain. Laboratory abnormalities included elevated blood lactate levels, anion gap acidosis, increased lactate/pyruvate ratio; and metformin plasma levels generally >5 mcg/mL. In more than 20,000 patient-years exposure to metformin in clinical trials, there were no reports of lactic acidosis. Reported cases have occurred primarily in diabetic patients with significant renal insufficiency, including both intrinsic renal disease and renal hypoperfusion, often in the setting of multiple concomitant medical/surgical problems and multiple concomitant medications.

Risk factors include renal impairment, concomitant use of certain drugs, age ≥65 years old, radiological studies with contrast, surgery and other procedures, hypoxic states, excessive alcohol intake, and hepatic impairment. Lactic acidosis is a medical emergency and requires immediate treatment in the hospital.

WARNING

Before using metformin, tell your healthcare provider about your medical history, especially if you have:

  • kidney disease
  • heart disease or congestive heart failure
  • liver disease
  • metabolic acidosis or diabetic ketoacidosis
  • high ketone levels in your blood or urine
  • you use insulin or other diabetes medications

Talk to your healthcare provider if you are planning to become pregnant or if pregnant or breastfeeding. Avoid alcohol while taking this medication. Talk to your healthcare provider about discontinuing metformin prior to a surgical procedure or an iodinated contrast imaging procedure. Stop metformin and notify your healthcare provider immediately if you have an illness with severe diarrhea and/or vomiting resulting in dehydration.

Side effects

Many people experience no side effects while taking metformin. The most common side effects of metformin include:

  • diarrhea
  • nausea/vomiting
  • upset stomach (gas, bloating, and stomach cramps)

These symptoms may subside after the body adjusts to the medication. Taking your medicine with the evening meal can help reduce these side effects.

Additional but rare side effects include:

  • low blood sugar (hypoglycemia)
  • feeling cold
  • unusual muscle pain
  • dizziness
  • slow or irregular heart rate
  • trouble breathing
  • metallic taste
  • changes to nails on fingers and toes
  • Low b12 levels

Drug interactions

As with other medications, metformin can interact with alcohol and certain medications, including angiotensin-converting enzyme (ACE) inhibitors, beta-blockers, corticosteroids, hormone replacement therapy and estrogens, oral contraceptives, carbonic anhydrase inhibitors, nifedipine, thiazides or furosemide and other diuretics, phenothiazines, phenytoin, nicotinic acid (niacin), multidrug and toxin extrusion inhibitors, sympathomimetics, calcium channel blockers, isoniazid (antibiotic for tuberculosis), insulin and glyburide or other medications for diabetes, and medications for thyroid disease.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to metformin contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

bupropion

  • Box warning
  • Warning
  • Side effects
  • Drug interactions

BLACK BOX WARNING: BUPROPION MAY CAUSE SUICIDAL THINKING AND BEHAVIOR AND OTHER SERIOUS SIDE EFFECTS

Bupropion may cause psychiatric disorders, including suicidal thinking and behavior, hallucinations, confusion, paranoia, irrational fears and manic episodes (for people with undiagnosed bipolar disorder). The medicine could also cause high blood pressure, fast irregular heart beats, seizures, acute angle-closure glaucoma, and death. You should not stop taking bupropion abruptly or without consulting your healthcare provider.

Warning

Tell your healthcare provider about your medical history, especially if you have any of the following conditions in which case you should NOT take bupropion:

  • seizure disorder
  • anorexia
  • Bulimia
  • use of an MAOI (monoamine oxidase inhibitor) such as Nardil®, Parnate® or Marplan® in the past 14 days
  • severe head injury
  • withdrawal from benzodiazepine or alcohol intoxication.

This drug may make you dizzy or drowsy or impair your judgment. Please do not drive, operate heavy machinery, or perform any hazardous task until the effects of bupropion are known to you. For anyone taking diabetes medications, please have a discussion with your prescribing clinician prior to taking bupropion as your diabetes medications may need to be adjusted as you lose weight. You should wear medical identification stating that you are taking this drug so that appropriate treatment can be given in a medical emergency.

Tell your healthcare provider right away if you experience anxiety, dry mouth, irregular heartbeats, irritability or other mental depression or other mood or mental changes or suicidal thoughts, restlessness, shaking, trouble sleeping, buzzing or ringing in ears, skin hives, rashes or itching, confusion, fainting, hyperventilation, hallucinations, seizures, trouble concentrating, lightheadedness, chest discomfort, sweating, headaches, impulsivity or unusual tiredness.

DO NOT take bupropion if you are planning to become pregnant or if pregnant or breastfeeding.

Side effects

Many people experience no side effects while taking bupropion. Some of the most common side effects (but not extremely frequent) are:

  • difficulty sleeping
  • headaches or migraines
  • nausea or vomiting
  • constipation
  • excessive sweating
  • dizziness
  • weight loss
  • decrease in appetite
  • blurred vision
  • dry mouth
  • nervousness
  • agitation or other mental changes
  • tremors
  • fast heart rate

Additional side effects include:

  • change in sense of taste
  • drowsiness
  • frequent need to urinate
  • sore throat
  • unusual feeling of well-being

These symptoms may subside after the body adjusts to the medication.

Drug interactions

As with other medications, bupropion can interact with alcohol and certain prescription and non-prescription medications and herbal products, including monoamine oxidase (MAO) inhibitors (like isocarboxazid, linezolid, phenelzine, selegiline, tranylcypromine), dopaminergic medications (drugs that increase dopamine levels in your system like levodopa and amantadine), drugs that affect the central nervous system (CNS) like antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicines, medicine for depression, medicine for anxiety, antipsychotics, theophylline, systemic corticosteroids, prescription pain medicine or narcotics, medicine for attention deficit and hyperactivity disorder, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to Bupropion contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

naltrexone

  • Warning
  • Side effects
  • Drug interactions

WARNING

DO NOT take naltrexone if you are taking ANY opioids or opiate drugs or if you are dependent on opioids or using methadone or buprenorphine, or if you are in opioid withdrawal. If you take opioids/opiates right after stopping naltrexone you may be more sensitive to them (and require lower doses) - which poses a risk of overdose. Please talk to your provider before initiating any amount of opioids/opiates after stopping naltrexone. Do not take this medication if you have a sensitivity to it or any of its components.

Before using naltrexone, tell your healthcare provider about your medical history, especially if you have:

  • kidney disease
  • liver disease (as it may cause liver dysfunction or hepatitis)
  • depression/suicidality
  • current or recent (7-14 days) use of any type of opioid or opiate drugs

This drug may make you dizzy or drowsy or impair your judgment. Please do not drive, operate heavy machinery, or perform any hazardous task until the effects of naltrexone are known to you. For anyone taking diabetes medications, please have a discussion with your prescribing clinician prior to taking naltrexone as your diabetes medications may need to be adjusted as you lose weight. You should wear medical identification stating that you are taking this drug so that appropriate treatment can be given in a medical emergency.

Tell your healthcare provider right away if you experience severe stomach or abdominal pain changes in vision, eye pain, burning or swollen eyes, chest pain, confusion, discomfort while urinating or frequent urination, fever, hallucinations or seeing, hearing, or feeling things that are not there, itching, mental depression or other mood or mental changes or suicidality, ringing or buzzing in the ears, shortness of breath, swelling of the face, feet, or lower legs or weight gain.

DO NOT take naltrexone if you are planning to become pregnant or if pregnant or breastfeeding.

Side effects

Many people experience no side effects while taking naltrexone. Some of the most common side effects (but not extremely frequent) are:

  • fatigue or low energy
  • difficulty sleeping
  • nervousness and anxiety
  • headache
  • nausea or vomiting
  • joint and muscle pain
  • stomach cramps or pain

Additional side effects include:

  • loss of appetite
  • diarrhea or constipation
  • increased energy
  • increased thirst
  • dizziness
  • skin rash
  • sexual problems in males
  • chills
  • runny nose
  • irritability or feeling down

These symptoms may subside after the body adjusts to the medication.

Drug interactions

As with other medications, naltrexone can interact with certain prescription and non-prescription medications and herbal products, including dextromethorphan, diarrhea medication, disulfiram, opioid pain or cough relievers (such as codeine) and thioridazine.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to naltrexone contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

topiramate

  • Warning
  • Side effects
  • Drug interactions

WARNING

Before using topiramate, tell your healthcare provider about your medical history, especially if you have:

  • narrow angle glaucoma and nearsightedness
  • kidney problems, such as kidney stones
  • liver problems
  • depression or thoughts of suicide
  • lung or breathing problems
  • metabolic acidosis
  • high blood ammonia levels
  • long-term diarrhea
  • low body temperature
  • a diet high in fat and low in carbohydrates, aka a ketogenic diet
  • brittle bones

Topiramate may cause some people to sweat less. It is recommended to avoid alcohol and stay well hydrated while taking this medication.This drug may make you dizzy or drowsy or impair your judgment. Please do not drive, operate heavy machinery, or perform any hazardous task until the effects of topiramate are known to you. For anyone taking diabetes medications, please have a discussion with your prescribing clinician prior to taking topiramate as your diabetes medications may need to be adjusted as you lose weight.

Topiramate may also cause birth defects (particularly there is a risk of cleft lip and/or palate and low birth weight). Topiramate may cause breakthrough bleeding. DO NOT take topiramate if you are planning to become pregnant or if pregnant or breastfeeding.

Side effects

Many people experience no side effects while taking topiramate. Some of the most common side effects (but not extremely frequent) are:

  • anorexia
  • weight loss
  • dizziness
  • fatigue or drowsiness
  • difficulty with concentration and psychomotor slowing
  • speech difficulty
  • nervousness
  • tingling or prickling sensations
  • abnormal vision
  • fever

Additional side effects include:

  • difficulty with memory
  • changes in taste
  • diarrhea
  • numbness
  • nausea
  • abdominal pain
  • upper respiratory tract infection
  • hair loss
  • changes in mood/suicidal thoughts

These symptoms may subside after the body adjusts to the medication.

Drug interactions

As with other medications, topiramate can interact with alcohol, marijuana and certain medications, including antiepileptic drugs, CNS depressants, oral contraceptives, lithium, other carbonic anhydrase inhibitors, hydrochlorothiazide, pioglitazone and amitriptyline. Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to topiramate contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

zonisamide

  • Warning
  • Side effects
  • Drug interactions

WARNING

DO NOT take zonisamide if you have an allergy to sulfa drugs. A potentially fatal reaction can occur including a life threatening skin rash or a blood cell condition.

Before using zonisamide, tell your healthcare provider about your medical history, especially if you have:

  • kidney disease
  • liver disease
  • long-term diarrhea
  • lung or breathing problems
  • metabolic acidosis or diabetic ketoacidosis
  • high ketone levels in your blood or urine
  • you use insulin or other diabetes medications
  • history of psychiatric disorders or suicidal thoughts

Talk to your healthcare provider if you are planning to become pregnant or if pregnant or breastfeeding. Avoid alcohol and stay well hydrated while taking this medication. Do not drive, operate heavy machinery or perform any hazardous task until the effects of this medication are known to you. Tell your healthcare provider right away if you experience eye pain, changes in vision, eye swelling or redness, yellowing of the eyes, confusion, difficulty concentrating, suicidal thoughts, memory problems, trouble thinking clearly, agitation, irritability, speech problems, decreased sweating, sudden flank pain, painful urination, dark urine, increased fatigue, skin rash, faintness, easy bruising, irregular or fast heartbeat, bone pain, rapid breathing, dizziness, or stomach pain that is severe or that lasts more than a few days.

Side effects

Many people experience no side effects while taking zonisamide. The most common side effects of zonisamide include:

  • dizziness and lightheadedness
  • fatigue and drowsiness
  • language and speech difficulty
  • metallic taste
  • nausea

Other possible side effects include:

  • trouble sleeping
  • lack of coordination
  • loss of appetite and weight loss
  • diarrhea
  • double vision
  • mood changes such as depression or irritability
  • difficulty concentrating

These symptoms may subside after your body adjusts to the medication.

Drug interactions

As with other medications, zonisamide can interact with certain medications, including carbonic anhydrase inhibitors (such as acetazolamide), orlistat (if using zonisamide for a seizure disorder), phenobarbital, primidone, rifamycins, glucocorticoids, and St. John's wort.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information. Do not stop taking this medication without consulting your healthcare provider because some conditions may become worse when the drug is suddenly stopped.

To report suspected adverse reactions to zonisamide contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

orlistat

  • Warning
  • Side effects
  • Drug interactions

WARNING

Do not use orlistat if you have had an organ transplant because the medicine interferes with the medicines used to prevent transplant rejection. There have been rare reports of liver injury in people taking orlistat.

Before using orlistat tell your healthcare provider about your medical history, especially if you have:

  • gallbladder problems
  • kidney stones
  • pancreatitis

Ask your healthcare provider before you use orlistat if you are taking any of the following prescription medications:

  • anticoagulants (blood thinning medicine)
  • amiodarone (heart medicine)
  • diabetes medicine
  • thyroid disease medicine
  • seizure medicine (for a seizure disorder)
  • antiretrovirals (HIV medicine)
  • taking any other weight loss products

You should not take orlistat if you are planning to become pregnant or if pregnant or breastfeeding. Do not use orlistat if you are not overweight or if you have been diagnosed with problems absorbing food. When using this medication, you should also take a multivitamin once a day at bedtime, and follow a well-balanced, reduced-calorie, low-fat diet. If you have any serious side effects, including, itching, yellow eyes or skin, dark urine, loss of appetite, severe or continuous abdominal pain, hives, vomiting, chest pain, rectal bleeding, constipation that lasts more than 7 days, difficulty swallowing or breathing, or you are taking medicine for seizures and your seizures happen more often or get worse, stop using the medication and talk to your healthcare provider.

Side effects

Many people experience no side effects while taking orlistat. Some of the most common side effects (but not extremely frequent) are:

  • diarrhea
  • oily stools or spotting
  • stomach discomfort
  • gas
  • more frequent bowel movements that may be hard to control

Additional side effects include:

  • loss of appetite
  • diarrhea or constipation
  • increased energy
  • increased thirst
  • dizziness
  • skin rash
  • sexual problems in males
  • chills
  • runny nose
  • irritability or feeling down

These symptoms may subside after the body adjusts to the medication.

Drug interactions

Do not take orlistat if you are taking cyclosporine, warfarin or you are allergic to any of the ingredients in the capsules. Do not take thyroid medication or any fat-based supplements within 2 hours of taking Alli.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to orlistat contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

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