Being the brand name for the chemical compound tibolone, Livial helps women suffering from the discomforting symptoms that arrive with menopause. It relieves a variety of menopausal signs like hot flushes, night sweats, mood swings, vaginal dryness and a low sex drive. Since it mimics the properties of oestrogen and progesterone as well as androgen testosterone in a synthetic way, it works as HRT.
Livial is an effective HRT that helps women who have crossed the threshold of menopause to deal with the various discomforts that arrive with it. In addition to overcoming the problem of menopause, this medication also helps prevent osteoporosis, a condition that leads to weak bones and possibly even fractures. Livial is an effective medication that deals with oestrogen deficiency in a women's body that results due to menopause. Osteoporosis is a condition of thinning or weakening of bones in people as they age, but women are more at risk after they go through menopause.
Tibolone, the active ingredient in Livial is a synthetic steroid medication, essentially mimics the role of three natural hormones in the female body, namely oestrogen and progesterone and the androgen testosterone. Menopause results in a decline in oestrogen levels in the body leading to various uncomfortable symptoms. When swallowed whole, Livial breaks down into all three hormones, thereby, restoring the balance of them and overcoming menopausal effects. Since it successfully returns the oestrogen level to normal, tibolone helps many women overcome the risk of contracting osteoporosis.
Menopause is an inevitable reality in every woman's life, leading to a drop in hormone production and, eventually, many discomforting symptoms like hot flushes, vaginal dryness, etc. HRTs like Livial break down inside your body to restore this hormonal disbalance, and you can go through your daily life more pleasantly without struggling through these symptoms. Remember that the medicine will definitely reduce the severity of the symptoms of menopause but will not do away with them entirely.
Each tablet of Livial contains 2.5 mg of tibolone. Doctors usually prescribe the lowest dose for beginners. There are 84 tablets in a single pack which will be a course for about 3 months.
You will take one tablet at the same time each day. So it is advisable to fix a time of day which suits you to take the medication so that your body can get used to it. You can take the tablet with or without food as per your preference but make sure you swallow it whole.
If you forget to take a dose, you can consume it as usual if you remember within 12 hours. If it is later than 12 hours of your medicine time, you need to skip that dose and instead take the next dose on your schedule. Do not take twice the amount of tablets to make up for the missed dose. Put an alarm to remember your dose because skipping one, can increase the risk of vaginal bleeding or spotting.
When you begin with HRT, there are certain aspects you should keep an eye out for to avoid unnecessary complications in the body. Make sure you heed to the warnings below to experience only the beneficial effects of the treatment since menopause is already affecting the hormonal balance of your body. Some of the crucial information pointers are:
While you may experience spotting during the first few months of taking Livial, you will not necessarily face a monthly withdrawal bleed unless you are also taking progestogen tablets during the last few days of each month.
If you miss a dose, you might experience spotting, but it will subside soon. In case it continues after a few months of taking the medicine, or after stopping treatment, make sure to consult your doctor.
You should undergo regular medical and gynaecological check-ups if you take any HRT to review its effects once a year with your doctor.
You should be aware that women using HRT suffer an increased risk of breast cancer, stroke and blood clots in the veins. You need to weigh this risk against the personal benefits of you taking HRT by thoroughly discussing it with your doctor. Consider investing in regular breast examinations and mammograms. You will also have to examine your breasts regularly and immediately report any changes in your breasts to a medical professional.
If you have to undergo a surgery, particularly abdominal surgery or orthopaedic surgery, your doctor may recommend you cease taking HRT usually four to six weeks prior.
Lastly, remember that HRT does not provide contraception for women who are considered fertile for two years after their last menstrual period if under 50, or for one year if over 50. If you are taking HRT and also require contraception, you will have to opt for a non-hormonal method such as a condom or contraceptive foam.
Not every woman undergoing the effects of menopause will experience the same type of relief upon using Livial or any other HRT. Women with certain existing health conditions or medical histories will have to take extra precautions when starting with an HRT like this. These candidates include women who:
Have a family history of breast cancer, fibrocystic breast disease, fibroids in the womb, endometriosis i.e. overgrowth of the lining of the womb, liver diseases, gallstones, or blood clots in the veins i.e. pulmonary embolism)
Take medicines like warfarin for blood clot prevention
Are suffering from systemic lupus erythematosus, a condition causing long-term inflammation of the skin and some internal organs
Have suffered or are at risk of recurrent miscarriage
Are suffering from obesity
Face severe varicose veins
Have a history of high blood pressure (hypertension)
Are risk heart failure
Are having unhealthy amounts of triglycerides in the blood
Suffer from decreased kidney function, diabetes, migraines, epilepsy, or asthma
Are at risk of developing an ear disorder that may cause hearing loss
Have previously developed brown patches on their face due to pregnancy or negative interaction with contraceptive pills
Below is a list of women who are unsuitable candidates of Livial since the medicine could negatively react in their bodies eventually worsening the condition or health. Using HRT under such circumstances can give rise to severe allergic or bodily reactions resulting in hospitalisation. Steer clear of Livial if you are:
Pregnant or breastfeeding
having a history of breast cancer
suspecting an oestrogen stimulated cancer growth such as endometrial cancer
Suffering from endometrial hyperplasia, i.e. untreated overgrowth of the womb lining
Facing vaginal bleeding due to unclear reasons
Currently suffering from or have a family history of a blood clot in a leg vein or the lungs
Facing blood disorders resulting in vein blood clots
Having a history of angina, heart attack, or stroke
Presently suffering from liver disease that has not cured yet
A patient of rare inherited blood disorders like porphyrias and galactose intolerance
Doctors advise undergoing regular checkups when using HRT to understand its effects on your body with an adequate dose. Even with this, there a certain common side effects you might face so you must note these to remain safe. Some common side effects of Livial are as follows:
stomach or pelvic pain
abnormal hair growth
vaginal bleeding or spotting
vaginal problems such as unnatural vaginal secretions, itching, irritation and thrush
thickening of the lining of the womb or cervix lining
Livial, like many other medications, tends to react with the active ingredients of various other drugs resulting in harmful reactions. So it is crucial to inform your healthcare provider regarding these medicines beforehand to determine that Livial is a safe option for you. Some of the medicines Livial and its ingredients react with include the ones for:
Herbal remedies containing St John’s Wort
You can place your order for Livial online with trusted suppliers like MedsNow to ensure that you receive only the best and safest products. Before you place your order, you will have to undertake an online consultation to ensure that Livial is the ideal remedy for your medical needs. Upon confirmation from our pharmacists, your order will be dispatched and delivered discreetly to your doorstep.
Store this medication away from the sight and reach of children. Keep it in a place that is cool and dry while being away from direct heat and light.
Does Livial cause weight gain?
Yes, in some cases Livial does lead to weight gain. Clinical trials have shown that weight gain and a tendency to bloating are commonly occurring side effects of this drug.
How long can you stay on Livial?
While HRT such as Livial is usually prescribed at the lowest effective dose and for a limited duration, it is crucial to consult a medical professional to determine the ideal timeline for your case.
How much Livial can I buy in one purchase?
A single strip of Livial contains 28 tablets. The markings on each tablet denote the days of the week when you have to consume it. Follow along with the days of the week until the pack is empty and immediately begin with another strip.
When to start taking Livial?
You can start taking the medication 12 months after your last menstrual cycle. If you begin taking Livial before this period, you might have to face the risk of increased irregular vaginal bleeding.
What if I take too much Livial or forget to take it?
If you forget a dose and remember about it within 12 hours you can consume that dose and continue with the next one as per your schedule. If there are more than 12 hours of delay, skip the missed dose and follow your regular dose. In case of overdose, you might experience feeling sick and vomiting. Immediately contact your nearest medical emergency centre.
Does tibolone cause hair loss?
Currently, there is no proof of tibolone leading to unnatural hair fall.
Is tibolone a steroid?
Yes, tibolone is a synthetic steroid used in the form of an HRT.
(GPhC Reg: 2061101)
(GPhC Reg: 2086766)