Is there a good over-the-counter alternative to adipex?

Not exactly. There are no effective over-the -counter appetite suppressant, orlistat (alli) can be helpful in weight loss by cutting down on the fat you absorb, but it is essential to follow a low fat diet.
NO. This question comes up quite frequently. I've never found anything over-the-counter that works as well in certain people as adipex. Please consult your doctor before you do any dietary program.