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Alli and Constipation: What Users Say

Constipation: mentioned by 6 users (4.9%)

Based on user experiences from 122 Alli reviews, the following table shows the most commonly mentioned side effects.

All user comments are moderated by Drugs.com. Each review is verified for relevance and screened for inappropriate content. Side effects are user-reported and not clinically verified.

diarrhea 6.6%
gas 5.7%
constipation 4.9%
bloating 3.3%
upset stomach 3.3%
cramps 2.5%

Reviews for Alli

Commonly mentioned side effects
  • Bab...
  • Taken for 1 to 6 months
  • April 15, 2018

For Weight Loss (Obesity/Overweight) "I almost decided not to try Alli because of the horror stories, but I'm glad I did. The first two days I had minor nausea and slight cramping, but it never recurred after that. I have followed the diet and fat requirements, and I have never had an accident or any problems, I am on week 4. The only slight day-to-day issue is minor constipation and a little gas. Not enough to make me stop taking it. I ate in a restaurant for the first time and did not have access to nutrition content and had no issues. If you are serious about diet and weight loss, give it a try and don't let the horror stories deter you."

9 / 10
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170 Report
  • Mrs...
  • November 7, 2016

For Weight Loss (Obesity/Overweight) "I used Alli because I wanted to lose weight but needed help with commitment to my diet. It's been about a week and I lost 5 lbs. Surprisingly, it helped with my bloating and constipation, which may also be why I lost 5 lbs in a week. Not looking for a miracle pill, just something to help out, like a guard rail at the bowling alley. You may not get a strike, but at least you didn't get a gutter ball! lol"

10 / 10
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119 Report
  • Ver...
  • Taken for less than 1 month
  • March 13, 2016

For Weight Loss (Obesity/Overweight) "I started taking Alli February 18, 2016. I've lost 9 lbs so far (3 weeks)! Week one, I did not change my eating habits, but I could tell the pills were working due to frequent visits to the restroom. Week two, I started eating healthier and noticed that I wasn't using the bathroom as much. I did not rate Alli a 10 because I was constipated for 2 days, although it could be due to the fact that I am no longer eating greasy foods like I was during week one. Overall, I love Alli, and it is really working for me. Losing those 9 lbs motivated me to keep going!"

9 / 10
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83 Report

Frequently asked questions

  • hsi...
  • April 26, 2016

For Weight Loss (Obesity/Overweight) "I purchased Alli back in 2009 (great worked a treat and lost weight), and since I have had two more attempts in 2014, now 2016. The product does not work at all. This time I have been taking it for over one week, and I have experienced constipation and flatulence. The product was purchased from reputable pharmacies, and again I feel I just wasted my hard-earned money. I am unsure what has changed. However, I know one thing: the product is definitely not the same, I feel like the tablets are duds. No change to my weight, just embarrassing wind, stomach cramps, it makes you feel bunged up. No change to stool whatsoever, not even if fatty food is introduced to the diet. My advice is do not bother, I won't from now on. Hope this helps :("

1 / 10
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73 Report
  • Rob...
  • Taken for 6 months to 1 year
  • January 15, 2019

For Weight Loss (Obesity/Overweight) "I am not obese, just wanted to lose 20 lbs that I have not had luck shedding over the years. I have been taking Alli for 3 months now and have not lost any weight. It did, however, help me from being constipated. If you're having trouble pooping, Alli will help."

5 / 10
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33 Report
  • Fai...
  • Taken for 1 to 6 months
  • June 11, 2019

For Weight Loss (Obesity/Overweight) "The new generation of Orlistat, sold over the counter as Alli, does NOT work. I was on Xenical when it first came out in the 1990s. It worked very well, and the orange discharge was a daily thing. Now, 4 months ago, I purchased Alli over the counter. Paid $85 and was very disappointed to find out that I had wasted my money. First, each pill is filled only 60 mg instead of the Xenical, which is 120 mg, so it is not the same dose. Second, even when doubling up doses, it still does not grab the fat and produce the orange discharge like the old ones used to. I will never purchase this again. It is basically a placebo. I tried the keto diet for a while to help with weight loss, but the constipation and limitations were so horrible it didn't work. I also tried Phentermine, and it too was unsuccessful in the long run. What works? The MY PLATE model, using a toddler-sized sectioned plate."

1 / 10
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67 Report

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