Caspian Healthcare › Obesity › Treatment options
This is a planning tool, not a prescription. It names prescription medicines by their generic names so you can think about the choice before or after a consultation. It is not an advertisement and it is not an offer to supply any medicine. No medicine should be started, stopped or changed on the strength of a web page. Everything you type here is worked out inside your own browser and is never sent to us.
Affordability is applied here as a gate, not as a tiebreaker. Anything you could not keep going for at least a year is struck out first, and only then is what remains ranked by the evidence. That order is deliberate and it is explained at the bottom.
Almost nobody in India is reimbursed for these medicines. No health insurance policy currently covers them for weight management. So the money is not a footnote to the clinical decision, it is part of it.
Stopping reverses the result. In the published withdrawal trials, most of the weight returned within a year, and the improvements in waist, blood pressure and cholesterol went back with it in proportion. So a medicine you can afford for four months does not give you four months of benefit and then stop; it gives you the cost, the regain, and a reasonable but wrong belief that treatment does not work for you.
Which makes the sequence obvious once it is said out loud. Work out what you can sustain. Rule out what you cannot. Choose the best of what is left. The best medicine for you is the best one you can keep taking, and on the outcome that actually matters that is usually not a close call.
What this tool will not do. It will not prescribe, it will not tell you which brand to buy, and it does not know your kidneys, your liver, your other medicines, your eyes or your history. It arranges the affordability and the evidence so the consultation can be about the clinical judgement rather than about gathering facts. Every option here still requires assessment, examination and a prescription.
Each medicine has its own page with the full detail: tirzepatide, semaglutide injection, oral semaglutide and orlistat. The medicines overview compares all four in one table.
Costs are indicative Indian maximum retail prices as of 11 September 2026 and move frequently; check at the pharmacy. Mean weight change figures are class-level means from published randomised trials, named on each medicine page. They are not predictions: roughly one person in seven does not respond meaningfully to a given medicine, and results vary widely in both directions. No medicine is sold or supplied through this website.
Every number here comes from a named, published clinical trial and is reported as what happened to the people in that trial. None of it is a result from this clinic, a prediction for you, or a promise. Trial populations are selected and individual results vary widely. The trials are named in the reference line above so that you, or any doctor, can look them up.
If you want to talk about what any of it means for your own situation, our contact details and consulting hours are at the bottom of every page in this section, and our fees are published in full on the cost page.