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Zepbound vs. Orlistat

Published on 
February 3, 2025
Virta Team

Zepbound and Orlistat approach weight management differently. Zepbound, a GLP-1 and GIP receptor agonist, reduces appetite and slows gastric emptying for substantial weight loss. Orlistat, a lipase inhibitor, blocks fat absorption, resulting in modest weight loss. Zepbound’s side effects include nausea, while Orlistat is associated with gastrointestinal issues like oily stools. Zepbound’s cost is $1,125, whereas Orlistat is affordable at $100/month. Neither drug currently faces shortages.

How Zepbound Works

Enhances the effects of both incretin hormones. GIP improves insulin sensitivity and enhances fat metabolism, while GLP-1 reduces appetite, delays gastric emptying, and promotes insulin secretion, making it effective for blood sugar control and weight loss.

Common Side Effects

Nausea, vomiting, diarrhea, decreased appetite, and indigestion

Serious Potential Side Effects

Pancreatitis, thyroid tumors (potential risk), gallbladder issues, kidney problems, and serious allergic reactions

How Orlistat Works

Blocks the breakdown and absorption of dietary fat in the intestines. Unabsorbed fat is excreted in the stool, reducing calorie intake and promoting weight loss.

Common Side Effects

Oily or fatty stools, frequent bowel movements, flatulence with discharge, and abdominal discomfort.

Serious Potential Side Effects

Rare liver damage and malabsorption of fat-soluble vitamins (A, D, E, K), kidney problems, and severe allergic reactions

Brand Name

Zepbound
Orlistat

Generic Name

Tirzepatide
Orlistat

Overview

Dual GIP and GLP-1 receptor agonist for chronic weight management, showing promise in significant weight loss through appetite regulation and enhanced insulin sensitivity.
Blocks fat absorption in the intestine, helping with weight loss and weight maintenance by reducing the calories absorbed from dietary fat.

Year Approved

2023
1999

Category

Dual GIP and GLP-1
Other

Indicated for

Chronic weight management in adults with obesity or overweight with related conditions
Weight loss in overweight or obese adults; weight maintenance to prevent regain after weight loss

Administration type

Injectable
Oral

Also used (but not approved) for

Weight Management

Frequency

Once / week
Up to 3x / day

Typical dose range

2.5–15 mg
120 mg 3x day

Average cost per month

$1,125
$60–$100

Availability

No current shortages
No current shortages