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The stimulants should be avoided in people with high blood pressure.

Meridia works on the serotonin system and can also raise blood pressure but less so that the stimulants so often can be used in well controlled hypertensives.

Xenical (orlistat, sold OTC as Alli) has no effect on the blood pressure.

A combination of Wellbutrin (buproprion) and Naltrexone are beinng used with some success.

The bigger issue is that none of the oral medications has been shown to be all that effective in producing long term weight loss. The answer will probably not come in a pill.

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