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What is Livial?

Livial is a highly effective oral medication that contains the active ingredient tibolone used to treat the symptoms of the menopause. Tibolone is a synthetic steroid medicine used for the purpose of hormone replacement therapy (HRT). This ingredient imitates the actions of the main female sex hormones oestrogen and progesterone. By replacing the depleted hormone menopause symptoms can be reduced or eradicated.

Particular parts of the body, such as the vagina, bones and breasts, depend on oestrogen to function to their optimum capabilities. In cases where the levels of oestrogen are declining - such as when going through the menopause - these tissues can slowly deteriorate and you may experience uncomfortable symptoms. Moreover, if levels of oestrogen are insignificant, this can evoke stressful symptoms such as hot flushes, night sweats, mood swings or depressive feelings, reduced sex drive and vaginal dryness. Using HRT treatment can help alleviate many unpleasant menopausal symptoms.

Livial can also be used to treat osteoporosis by improving the condition if you already have the condition, or preventing it from occurring during or post-menopause.

You can buy Livial online at euroClinix in doses of 2.5mg in packs of 84.

What are the benefits of Livial?

When women go through the menopause, oestrogen levels drop. This as a result can cause a number of symptoms including hot flushes, vaginal dryness and night sweats. This medicine works as a HRT to replace the low levels of oestrogen and subsequently can help to relieve the symptoms of menopause.

Menopause can also cause fragile bones (osteoporosis), which leads to a higher chance of suffering from bone fractures. When other medications prove unsuitable, this medicine is recommended to help prevent and treat osteoporosis if other treatment has not worked.

How does Livial work?

This medication contains the active ingredient tibolone, which is a synthetic steroid medicine used in hormonal replacement therapy (HRT). During the menopause, oestrogen levels naturally decrease. Tibolone works by mimicking the activity of the natural female sex hormones found in the body. As a result it helps to restore the balance of the hormones in the body and reduces the symptoms of menopause. This can cause the tissue to deteriorate over time and eventually lead to lack of libido, hot flushes, mood swings and vaginal dryness. For some, the menopause symptoms can interrupt day-to-day life leading to depression. Livial's active ingredient works to replace the oestrogen deficiency alleviating symptoms. It can also be used to reduce the chance of osteoporosis developing and to treat it if it already has.

Livial precautions

Livial can generally be used when you start to experience menopausal symptoms, which for most women is between the ages of 40-60, but ideally up until your mid fifties. If you are allergic to tibolone or any of the ingredients found in Livial, then it is highly recommended that you don't take this medication. If you are pregnant or breastfeeding; have a history of breast cancer or cancer of the womb (endometrium); have experienced unexpected vaginal bleeding; have excessive thickening of the womb lining; have suffered with blood clots such as thrombosis; or have a history of angina, heart disease, stroke or liver disease, then you should not take this medication.

How do you take Livial?

Livial is usually not prescribed to women that have had a period in the past 12 months. Taken sooner it can cause irregular bleeding to occur. If you have had your womb removed you should be able to start Livial straight away. To treat menopause symptoms the lowest dose is usual prescribed. Before you take Livial you should first read the enclosed information leaflet, or download it at the bottom of this page for further information. A guideline for taking Livial is as follows:

  • You should take Livial once a day
  • It should be taken at the same time each day
  • Take Livial with a glass of water
  • Do not crush or chew the tablet
  • Do not take a break in between packs for continued menopause symptom relief
  • Follow the days of the week marked on the pack for better treatment management
  • If you forget to take your tablet take it as soon as you remember, unless more than 12 hours late

It is important that you take this medication as prescribed by your doctor. If you forget to take a tablet you should take it as soon as possible. However, if the missed pill is more than 12 hours late, it is recommended that you skip the dose you missed and continue to take the next dose at the your usual time. Do not double dose to make up for the missed pill. If you are taking any other medication, including herbal or prescription treatments, it is important that you seek advice from your doctor as it could affect medications.

Does Livial have any side effects?

As with all medications there is a risk of side effects. Common sides effects with this medication include vaginal bleeding or spotting, itching or discharge, breast pain, weight gain, abdomen pain and excessive hair growth. Although rare, severe side effects include gastro-intestinal disturbances, oedema, headaches, migraines, dizziness, skin rashes, breast cancer, depression, disturbances with vision, changes in liver function, muscle and joint pain, blood clots and seborrhoeic dermatitis. If you experience any of these symptoms then it is recommended that you seek medical advice immediately.

How can this medicine affect other medicines?

It is essential to be completely open about the medications you're currently taking during your online consultation. This includes those bought without prescription and herbal medicines, before you start treatment with this medication. Similarly, it is advised that you consult your doctor before using any other medication while using this medicine, to ensure that there are no negative effects as a result of combining two medicines.

How to buy Livial safely online

You can buy Livial safely online at euroClinix after filling in the quick and easy online consultation form that's free of charge. This is so that the prescribing doctor can make sure you do not have any health problems or take medication that could cause an interaction, which is a mandatory process in the UK. Our process is free of charge, you just buy the medication, and any orders made before 4.30pm will be delivered the next day.

To ensure you do not forget to order your medication, euroClinix offers a free prescription reminder service. You will then be able to order your prescription through the online repeat prescription service, which will allow you to place your order even faster.

Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.

Medically reviewed by Dr. Anand Abbot MRCGP Written by our editorial team Last reviewed 25-08-2023
Livial information
Product nameLivial
Active ingredient(s)Tibolone
Trustpilot rating4.7/5
Trustpilot reviews25
AvailabilityOut of stock
DescriptionLivial is a form of hormone replacement therapy (HRT) that relieves menopausal symptoms by rebalancing a woman's hormone levels
ExemptionSubject to medical prescription
Available dosage2.5mg
ApplicationWomen over 18 looking to relieve the symptoms of menopause
UsageTake 1 tablet per day
Drug classOther oestrogen-deficiency treatments
Alcohol consumptionNo influence
When breastfeedingNot recommended, ask your doctor for alternatives
When pregnantNot recommended, ask your doctor for alternatives
Livial reviews
Pack of Livial® 2.5mg tibolone with 84 tablets Excellent 4.7 25 patients have reviewed Livial on Trustpilot
22 Mar

Wouldn't want to be without it.

21 Mar

Surprised at the personal service. Suitably impressed ???? Not that often in this age of technology to get that kind of service. Well done

Emily Marasidi

Further reading

The most common causes of painful sex

The most common causes of painful sex

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Treatment For Vaginal Dryness: How To Get Rid Of It Post-Menopause

Treatment For Vaginal Dryness: How To Get Rid Of It Post-...

Reviewed by Dr. Caroline Fontana
Signs that you should get hormone replacement therapy (HRT)

Signs that you should get hormone replacement therapy (HRT)

Reviewed by Dr. Caroline Fontana
What is the best hormone replacement therapy for menopause?

What is the best hormone replacement therapy for menopause?

Reviewed by Dr. Caroline Fontana
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