Livial tablets are hormone replacement therapy (HRT). It contains the active ingredient Tibolone. Used in postmenopausal women with at least 12 months (1 year) since their last natural period.

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What is Livial?

Livial is a hormone replacement therapy (HRT) containing the active ingredient Tibolone.

Livial works in various different areas of the body including the brain, the vagina and bone.

It is used in women to treat the symptoms associated with menopause, at least 12-months after their last natural period occurred.

During menopause, the amount of oestrogen produced by a woman’s body decreases, leading to symptoms of hot face, neck and chest, often referred to as “hot flushes”. Livial works by mimicking the effects of oestrogen, hence reducing the hot flushes experienced by women.

During menopause, women also start developing fragile and brittle bones, (osteoporosis), which can cause fractures later on, and Livial helps to reduce these symptoms.

 Livial can also help prevent vaginal dryness, a common symptom of menopause in women.

What are the benefits of taking Livial?

As the onset of menopause is a natural progression for women, the natural drop in both oestrogen and testosterone can lead to women having both physical and emotional symptoms.

Livial helps by balancing both oestrogen and testosterone levels in the body thus reducing the symptoms and discomfort caused by the menopause.

How to use Livial

When should you start taking Livial?

It is important to understand that Livial is not a contraceptive.

If it is less than 12 months since your last menstrual period or you are under 50 years old, you may still need to use additional contraception to prevent pregnancy. Further information can be found in the patient information leaflet with the medication, however, we suggest you should speak to your own doctor for advice on appropriate contraception.

As mentioned earlier, Livial should only be started at least 12-months after your last natural period has ended.


How to take Livial

The recommended dose is one tablet taken daily, preferably at the same time each day.

The strips of tablets are marked with the days of the week. Start by taking a tablet marked with the current day.

Follow the arrows until the strip is empty and start the next strip the next day. Do not leave a break between strips or packs.

AccessDoctor will only prescribe Livial if your GP or regular doctor has already started you on it.

Your doctor should aim to prescribe the lowest dose to treat your symptoms for as short as necessary. Speak to your doctor if you think this dose is too strong or not strong enough.

If you take more Livial than you should, it is unlikely that it will do you any harm, although it may make you feel a little sick.

If you forget to take a tablet, you should take it as soon as you remember, unless it has been more than 12-hours, in which case you should skip the dose and take your next tablet at the usual time (do not take a double dose).

Side effects & precautions

Some of the common side effects seen with Livial include:

  • Breast pain
  • Stomach or pelvic pain
  • Vaginal bleeding or spotting
  • Vaginal thrush
  • Weight gain
  • Acne
  • Painful/sore nipples and breasts

Reporting of side effects

If you get any side effects, talk to your doctor. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below). By reporting side effects you can help provide more information on the safety of this medicine.

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How do I buy Livial?

Once your regular GP or doctor has started you on Livial, it is easy for you to get a repeat prescription from AccessDoctor.

Just complete our simple and easy online health assessment for one of our UK registered doctors to evaluate. Once it is approved, our pharmacy team to dispatch your treatment out to you in discrete and unmarked packaging.

We’re here to help.

Our friendly team is available to help Monday to Friday 9:00am - 5:00pm.

If you need urgent assistance, do not use this service. Call 111, or in an emergency call 999.