WASHINGTON, Feb. 8, 2007

Doctor: Diet Pill Approval Is A "Mistake"

Health Research Advocate Calls FDA's OK For Over-The-Counter Drug "The Height Of Recklessness"

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  • The FDA announced on Feb. 7, 2007, that an over-the-counter version of the diet drug Xenical has been approved for sale.

    The FDA announced on Feb. 7, 2007, that an over-the-counter version of the diet drug Xenical has been approved for sale.  (AP / file)

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(CBS/AP)  A health research advocate has called the government's decision to approve an over-the-counter version of a diet pill the "height of recklessness."

Dr. Sidney Wolfe says studies have linked the prescription version of the drug, called Xenical, with pre-cancerous lesions of the colon.

The director of Public Citizen's Health Research Group says the plans to market a non-prescription version are a "dangerous mistake" in light of what he calls the product's "marginal benefits." He also says the diet pill can have "bothersome adverse reactions."

The Food and Drug Administration announced Wednesday that it had approved sales of a lower-dose version of Xenical. The non-prescription version is called "alli."

Officials stress that it needs to be used in combination with a diet and exercise program — and that using the pill alone isn't likely to do any good.

The FDA said the fat-blocking weight-loss pill orlistat, which has been available by prescription, can be sold in a reduced-strength version over the counter.

The new version will be sold as "alli" by GlaxoSmithKline PLC. Xenical, the prescription version, is made by Roche Holding AG.

GlaxoSmithKline chose the name "alli" because it's supposed to be "allied" with a weight-loss program, including exercise and healthy eating, reports CBS News correspondent Dan Raviv.

The drug is intended for people 18 and older to use along with a reduced-calorie, low-fat diet and exercise.

Dr. Charles Ganley, the FDA's director of nonprescription products, stressed that the drug is intended for use along with diet and exercise programs. "Using this drug alone is unlikely to be beneficial," Ganley said.

Ganley said in trials, for every five pounds people lost through diet and exercise, those using orlistat lost an additional two to three pounds.

When taken with meals, orlistat blocks the absorption of about one-quarter of any fat consumed. That fat — about 150 to 200 calories worth — is passed out of the body in stools, which can be loose as a result. About half of patients in trials experienced gastrointestinal side effects.

The agency recommended users take a multivitamin when using this drug.

The new drug would contain half the dose of Xenical prescription capsules. The price has not been set but is expected to run $1 to $2 a day, company officials said. The company estimates that 5 million to 6 million Americans a year would buy the drug over the counter.

The Food and Drug Administration said the most common side effect of the product is a change in bowel habits including loose stool and some oily spotting. Eating a low-fat diet will reduce the likelihood of this side effect.

FDA said people who have had organ transplants should not take OTC orlistat because of possible drug interactions. In addition, anyone taking blood-thinning medicines or being treated for diabetes or thyroid disease should consult a physician before using orlistat, the agency said.



© MMVII, CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.
Add a Comment See all 20 Comments
by jbg9999 February 9, 2007 9:59 PM EST
To everyone who wants to reprimand "big pharma" for launching an OTC diet pill, I have this to say...

How about instead of cursing large companies like GSK, Pfizer, etc. you thank them?!?! Do yo realize how much $$$ these companies invest each year in order to research diseases such as Diabetes, Cancer, Alzheimers and so on? Sure, they make a profit off their products...name one company that doesn't!! You should realize that each time a drug gets approval by the FDA a pharmaceutical company has invested 800+ MILLION dollars into research and development! I can only hope that these 'monsters' you all speak of continue to do what they are doing so that some day my children don't have to experience Alzheimers, cervical cancer, breast cancer, colon cancer, diabetes, heart failure....do I need to keep going?!?!
Reply to this comment
by marvelmann-2009 February 9, 2007 7:07 PM EST
I have been using this drug for 3 years. I have lost weight slowly, but to all who think dieting and excerise is all you need to do, think again. There are some of us out there that have a thyroid condition or a slow metabolism problem. I ate right, I exercised, for two years and lost ten pounds. I was so discouraged, because of my condition EVERYTHING made me gain weight. This pill has been a life saver to me. I still have to eat healty and exercise, but now I can live, I can go out to resturants, I can eat ice cream now and then. I am thrilled this is going over the counter and the cost is going to be far less.
Reply to this comment
by stevewg1 February 9, 2007 5:42 PM EST
This product is kind of like Granny Clampett's cure for the cold...take the medicine, wait 7-10 days, and, voila, your cold is gone. In order for these pills to be effective, the user must diet and exercise...DUH!
Reply to this comment
by cyberorchid February 9, 2007 4:11 PM EST
?????? I guess I don't understand what point you're trying to make.. I am saying that all this drug is good for is forcing people who cannot change their eating habits on thier own to either change them or be extremely sick all the time, clinical tests only showed about a 10 pound wieght loss over a period of a YEAR, thats much easier to accomplish without spending $200 a month on something that intentionally makes you sick..

hint: IF this drug works for you, YOU ARE CONSUMING TOO MUCH FAT.
Reply to this comment
by annd2302 February 9, 2007 3:44 PM EST
cyberorchid :

Working on a HIGH???, or weight loss????
Reply to this comment
by cyberorchid February 9, 2007 2:18 PM EST
This drug is no miracle. All it does is block fat from being obsorbed. And not ALL fat. Something like 30%. If you are having a problem losing weight & this is the answer, you could simply cut your fat intake & get the same results without the very nasty & uncomfortable side effects that come along with this, and the expense. (And of course the possible colon cancer & other health effects you dont even really consider)

When I started it, my friend kept saying it was like a free ticket to eat what I wanted... I think that is probably the biggest appeal to it. The drug itself doesnt help you lose weight in any form other than give you a push to change your eating habits. My closest description is to compare it to Antabuse (the drug that makes you extremely sick if you drink alchohol)
Reply to this comment
by tudobem-2009 February 9, 2007 12:51 PM EST
The real wake-up call is that people need to realize that the FDA can't have, as its mandate, approving things that are without risk. Being obese has serious consequences. Orlistat MAY be associated with PREcancerous colon lesions. It's up to the individual patient to determine which risk he or she finds more acceptable.

Acetaminophen is an incredibly dangerous drug, and I absolutely guarantee you that it's killed more people than all diet pills combined. Should the FDA pull its approval?

I agree that the FDA seems to act in the best interest of big pharmacetical companies. No question. However, by approving a drug with known risks, the FDA is not accepting responsibility for patients' using those drugs/supplements/whatever. It's still up to the patient (or, in the case of a prescription drug, the prescriber) to ***** the risk and take responsibility.

Nothing is free. No one's going to force anyone to buy Alli.
Reply to this comment
by drinuk February 9, 2007 8:13 AM EST
Yet another Big Pharma/FDA scam. It really is time for a full investigation into the LOBBY and the corruption being inflicted upon the people by those who are soley interested in massive cash returns.
Reply to this comment
by annd2302 February 9, 2007 5:02 AM EST
briank299

Never been big, have you? Did not think so.

The add says "DIET PILL " you, and so many others go off on the deep end. Oh bad it is a bad pill, keep it away from the kids, bad bad pill.

Get a grip ***----. Anything is bad for you if not taken in moderation. Too many sterol-types. If it helps a fat person, I%u2019m all for it.
Reply to this comment
by candojj1 February 9, 2007 1:53 AM EST
To all of you that are critical of this medicine listen up. Many people are ill. They have fatty liver, diabetes, kidney stones and many other complications from obesity. Maybe you know some of them. And some doctors DO believe that this drug actually will help those who need help losing weight where their health and their lives are at risk. So I think that you do not have the right to judge whether this is a good or a bad pill. Just don't buy it. As to those who now have a bit of hope, let's hope the dosage and price make this useful for those who need help and that the demand doesn't make the price skyrocket to where the gouging begins.
Reply to this comment
by bigmommy6 February 9, 2007 1:27 AM EST
me and my husband had taken xenical had great success with it the reason we stop could not afford it know being sold over the counter my weight problem will be better my husband lost 10 ibs amonth for 9 monthes before he stop i lost 45 pounds in 5 monthes before i stop due to lack of funds thanks
Reply to this comment
by briank299 February 8, 2007 11:52 PM EST
Money money money...

A drug is proven to cause CANCER in clinical trials, so the FDA removes it, right? WRONG! The money men say repackage it and sell it in lower doses with a new name!

Cha-Ching!

My heart goes out to the desperate people who will spend good money on this pill, hoping to lose weight. They may lose, they may not... but we'll all lose out in the end: More cancer patients, more profits to the drug companies... more payoffs to the FDA.

WAKE UP AMERICA.
Reply to this comment
by rray52 February 8, 2007 8:56 PM EST
Although I%u2019m not a fan of the group the Dr. represents I think they might be right.
A small benefit at best, with a 50/50 chance of developing gastrointestinal side effects,(I think we know what that is)
As always it should be a personal decision
Reply to this comment
by asor1-2009 February 8, 2007 7:31 PM EST
duh........ How hard will it be for ditzy users to just multipy the number they take by the reduced concentration of 'orlistat' in the OTC version? The FDA should hang their non-caring heads in shame.
Reply to this comment
by legendary240 February 8, 2007 7:21 PM EST
Tthis is a female-directed pill. A vanity sugar-*** to make them think that they are actually doing something about their body.
Reply to this comment
by reel-crazy February 8, 2007 7:03 PM EST
tosses treece_63 another package of Twinkies

just the typical type of mentality drug companies enjoy....
Reply to this comment
by treece_63 February 8, 2007 6:54 PM EST
Whatever! I will try the pill.
Reply to this comment
by legendary240 February 8, 2007 6:46 PM EST
Typical FDA behavior. They stall many worthwhile treatments, procedures and preventitive medicine and let these kind of inherently dangerous drugs with no real value get put out on the shelf right next to vitamin C. There must be something in it for someone at the FDA.
Reply to this comment
by gunownerdan February 8, 2007 6:38 PM EST
Drug companies will be making HUGE profits and that's ALL that really matters.
What are you going to do about it?
Reply to this comment
by reel-crazy February 8, 2007 6:22 PM EST
This story hit on my original comment and set me ablaze again, so I will repeat my comment from the initial story, but will emphasize it stronger this time. If the FDA has it's concentration on a diet pill instead of cancer cures, their priorities are askew. Huge drug companies can get anything they want done, however fast they want it done:



The only reason this got FDA approval was because of a powerhouse company like GSK getting it rammed through the system.

Cel-Sci ( www.cel-sci.com ) has an anti-cancer drug that will continue to be placed on the back burners and require more lengthy clinical trials unless a company like Pfizer, GSK, Merck, King, or Astra Zeneca gets a hold of them.

What's more important here...a diet pill or a cancer cure?
Posted by Reel-Crazy at 05:58 PM : Feb 07, 2007
Reply to this comment
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