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Pack of 84 Livial 2.5mg tibolone tablets

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Tibolone Tablets

Order Tibolone Online

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Tibolone tablets are for treating the symptoms of menopause. They are a safe and effective hormone replacement therapy (HRT).

Once you've started your Tibolone treatment, you can reorder your medication online with Superdrug Online Doctor. Complete a short assessment and your online doctor can check your treatment is still right for you. If it is, you can then have your medication posted to your for free, or you can collect in-store.


Tibolone – 84 tablets £65

Prices include prescription and standard delivery.

In a hurry? Choose Click and Collect and pick up your order after just 3 hours from a Superdrug Pharmacy.

Delivery options

Delivery method Cost Estimated delivery

You will choose your delivery option at the checkout. Delivery options may vary depending on the pack size and dosage chosen.

About Tibolone

It's used to treat menopause symptoms – Tibolone is a medicine used in Hormone Replacement Therapy (HRT). It contains the active ingredient tibolone, which your body breaks down to make into hormones (like oestrogen and progestogen). 

Tibolone has similar effects and benefits to ‘combined HRT’ – treatment using medicines that contain two types of sex hormone, an oestrogen and a progestogen. It is used to relieve certain symptoms that occur after menopause (‘hot flushes’), and to prevent osteoporosis (fragile bones). 

It's not suitable for general hormonal treatment – it is not used to treat or prevent memory loss, and isn’t intended for contraceptive use. Tibolone should only be used in the treatment of postmenopausal symptoms, as directed by your doctor. It won’t necessarily improve other health conditions, and may not be suitable if you are undergoing transgender hormone therapy (feminising or masculinising hormone therapy). 

You can buy Tibolone online – but only as a repeat prescription. This means that you must first get started with treatment in-person with your GP. 

To start Tibolone treatment – make an appointment at your local GP surgery to discuss whether Tibolone is suitable and safe for you to take, and whether or not your doctor thinks it could help alleviate your symptoms. 

To reorder tibolone – once you have had your first prescription for Tibolone, and have been reviewed following this, you can reorder it using a regulated online doctor service, like Superdrug Online Doctor. Many people prefer to order their medication online because it can be easier and much more efficient. 

Make sure you used a regulated service – you should only ever order medication online from a licensed service or company that uses qualified doctors. Buying drugs from unregulated websites can be unsafe and very dangerous to your health. 

Tibolone is for use by people who are experiencing certain symptoms (hot flushes) as a result of the menopause – the menopause is what happens when a person who had menstrual periods stops getting their period, and is no longer able to get pregnant naturally. It usually happens between 45 and 55 years of age, as oestrogen levels decline. 

Tibolone isn't right for everyone – your prescribing GP will decide which form of HRT is most suitable for your symptoms. Do not use Tibolone unless it has been prescribed directly to you. It should not be used by people who: 

  • Haven’t experienced menopause
  • Have, or have had, breast cancer or cancer of the womb lining (endometrium)
  • Have unexplained vaginal bleeding
  • Have untreated thickening of the womb lining (endometrial hyperplasia)
  • Have, or have had, a blood clot (e.g. deep vein thrombosis or pulmonary embolism)
  • Have a blood clotting disorder, or a disease caused by blood clots in the arteries (like a heart attack, stroke or angina)
  • Have, or have had, liver disease
  • Have a rare blood condition called porphyria
  • Are allergic to any of Tibolone’s listed ingredients
  • Are pregnant 

Interactions with other medications – certain medicines will interfere with the effects of Tibolone, and vice versa, when taken at the same time. You may not be able to use Tibolone if you are currently using:

  • Epilepsy medication (like phenytoin, phenobarbital or carbamazepine)
  • Tuberculosis medication (like rifabutin or rifampicin) 
  • HIV treatment (like efavirenz, nevirapine, nelfinavir or ritonavir)
  • Anti-blood-clotting medication (like warfarin)
  • Herbal remedies for depression containing St. John’s Wort (hypericum perforatum)

If you are unsure about whether or not Tibolone is safe for you to take, talk to your nurse or GP for further information and advice. 

Tibolone is a common treatment option for menopausal symptoms – it is also second-line treatment for the prevention of osteoporosis. It is considered by many medical professionals to be one of the safest and best working medicines in HRT.

Tibolone has the same safety profile as other HRT treatments – studies show that the risk of taking Tibolone is broadly similar to the risks associated with other combined HRT methods (whether this comes in patch, gel, tablet or pessary form) in younger people, under the age of 60. 

Tibolone may be riskier for older women – over the age of 60, the risks associated with Tibolone may start to outweigh the benefits, because of the increased risk of stroke. However, this is not the same with every person using HRT. Your doctor will be able to discuss all the potential risks and benefits of each form of menopause treatment in detail with you if you are unsure about how Tibolone compares.

As with any medicine, there is a chance that you will have some side effects as a result of using Tibolone. Your doctor can explain these to you beforehand, so that you can weigh up the potential risks and benefits of treatment, together.

The most common side effects (affecting up to 1 in 10 people) include: 

  • Breast, stomach, or pelvic pain
  • Unusual hair growth
  • Inflammation of the vulva and vagina (vulvovaginitis)
  • Vaginal yeast infection (thrush) 
  • Thickening of the lining of the womb or cervix, or tissue changes in the cervix
  • Abnormal cervical smear
  • Weight gain

Uncommon side effects (affecting up to 1 in 100 people) are: 

  • Swelling of the hands, ankles or feet (a sign of fluid retention)
  • Nausea or upset stomach
  • Painful nipples or breasts
  • Vaginal infection (mycosis) or fungal infection

Other side effects that have been reported include:  

  • Depression or mood swings
  • Dizziness and headaches
  • Joint or muscle pain
  • Skin rash or itching
  • Vision problems 
  • Changes in liver test results

If you ever experience any unpleasant or severe side effects as a result of using Tibolone, you should stop using it and seek urgent medical attention. You can also report any side effects that aren’t listed here or in your patient information leaflet via the Yellow Card Scheme (www.mhra.gov.uk/yellowcard) to help improve knowledge about this drug. 

The main risk of taking an HRT like Tibolone is that it has been known to increase your risk of getting cancer (of the womb, ovaries and breast), and your chances of developing a blood clot.

You should stop taking Tibolone and see a doctor right away if you notice any of the following emergency symptoms: 

  • Yellowing of your skin or the whites of your eyes (jaundice, a possible sign of liver disease)
  • A sharp rise in your blood pressure (which could cause headaches, tiredness and dizziness) 
  • Migraine-like headaches (if this happens for the first time)
  • Signs of a blood clot (e.g. painful swelling and redness of the legs, sudden chest pain, and breathing problems)

You should also stop taking Tibolone and discuss treatment alternatives if you become pregnant.