I'm very anti-medication... for most everything...
Taking a pill to lose weight seems, to me anyhow, to be taking the easy way out. I got myself into my situation by lifestyle choices... I can blame slow metabolism and underactive thyroid til the cows come home, but it's lifestyle choices that got me here... the only thing that will unget me there, is by changing my lifestyle... a pill isn't going to do that.
A pill might help a person drop a few pounds, but unless a commitment is made to change their lifestyle, the weight lost won't stay off.