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Livial is a type of tablet created for hormone replacement therapy. It is used to relieve symptoms that can be experienced during the menopause. Livial can also be used to treat osteoporosis, which some women are put under greater risk of experiencing during the menopause.

Something that makes Livial different to other hormone replacement therapy is the fact that this medication releases three hormones into the body, whereas other treatments add just one or two hormones. Livial is classed as a continuous form of combined HRT and is meant to be taken by women over the age of 45 who have not had a natural period for at least 12 months.

Livial PIL

Last PIL Review Date: 14/06/2019

£ 49.99 InStock
In stock
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Dr. Diana Gall GMC No. 7685129

Dr Diana Gall studied medicine at the University of Transilvania graduating in 2005, since then she has finished a 3 year intensive training course in family medicine practice. In 2010 she reached the consultant level in general practice, working in Romania and in the UK. Her past experience relates to aesthetic field, occupational health and general practice.

Shamir Patel GPHC No. 2049338

Shamir is our Superintendent Pharmacist here at Doctor 4 U. Shamir is a well-respected pharmacist with extensive experience running independent high street pharmacies across the north west of England.

What is Livial?

Livial tablets are used in hormone replacement therapy (HRT) and are designed to relieve the symptoms of the menopause. They are also capable of preventing the onset of osteoporosis, a condition that weakens bones and increase the risk of fractures.

Livial provides a continuous form of combined HRT, meaning it disperses more than one hormone into the body. These tablets should only be used by women when it has been at least 12 months since their last menstrual bleed.

How does Livial work?

Livial works differently to other kinds of HRT. Whereas other tablets of this kind usually contain one or two actual hormones, Livial contains a single agent called tibolone. When you take Livial, the body breaks down the agent to create three types of hormones. These work in a similar way to progesterone, oestrogen and testosterone.

The oestrogen covers for the natural reduction of hormone levels a woman experiences during the menopause, as this causes many of the potential symptoms associated with this changing of the body. The progesterone balances the effect of the oestrogen in order to minimise the risk of any potential excess growth of the lining of the womb (which can sometimes lead to endometrial cancer).

The presence of testosterone is rare in HRT tablets which is what makes Livial stand out more. It is used here because a reduction of testosterone does occur in the body during the menopause, which can lead to symptoms like mood swings and loss of libido.

How do I take Livial?

Your doctor will aim to prescribe you Livial for as short as necessary. Livial tablets are taken once a day, without chewing and ideally with some water or other drink. You should take Livial at around the same time each day. The strips of tablets are marked with the days of the week to make it easier to keep track of when you should take the next dose.

What are the side effects of Livial?

There are potential side effects when taking Livial, although not everyone who takes this medicine will get them. If you do experience any side effects while taking Livial, it’s recommended to inform your doctor. The following symptoms are the most common reported regarding Livial:

  • Breast pain
  • Stomach or pelvic pain
  • Unusual hair growth
  • Thickening of the lining of the womb or the lining of the cervix
  • Weight gain
  • Vaginal problems including itching, irritation, secretions and thrush
  • Vaginal bleeding or spotting

Vaginal issues like bleeding are usually nothing to worry about as it is quite common for it to occur during the first few months of taking HRT. If bleeding continues six months after you’ve started taking Livial, then see your doctor as soon as possible as you may have a serious medical condition. Other potential symptoms from taking Livial are a lot rarer but can include the following:

  • Swelling of the hands, ankles or feet
  • Stomach upset
  • Acne
  • Itchy skin
  • Painful nipples
  • Vaginal infections

Certain diseases have been reported more often in women who use HRT when compared to women who do not use HRT. These conditions include the following:

  • Breast cancer
  • Abnormal growth or cancer found in the lining of the womb
  • Heart disease
  • Blood clots in the veins of the legs or lungs
  • Ovarian cancer
  • Stroke
  • Memory loss if HRT is started over the age of 65

Can I take Livial?

If you are a women aged 45 or over and you’re experiencing menopausal symptoms, then Livial is designed with someone like you in mind. However, you should avoid taking Livial tablets if you have or have ever had any of the following health conditions:

  • Breast cancer
  • Any form of cancer that is sensitive to oestrogens (e.g. cancer of the womb lining)
  • Unexplained vaginal bleeding
  • Excessive thickening of the womb lining
  • Blood clot in a vein within the legs or lungs
  • A current or recent disease caused by a blood clot (e.g. heart attack, stroke or angina)
  • A rare blood problem named porphyria

The time you can start taking Livial depends on your exact circumstances. It will need to be at least 12 months since your last natural period before you can start this medication. Assuming that’s the case, you can start taking Livial straight away if you’ve never used HRT before or if you’re switching over from a period free HRT (an HRT that doesn’t let any periods occur while taking it). You may also be prescribed Livial to take straight away if you’ve been given it because you had a hysterectomy or if you’re being treated for endometriosis.

If you are changing over to Livial from another type of HRT with which you have periods, then you should wait until your next period and then start taking Livial when your period ends. If you take Livial when it has been less than 12 months since your last period, or switch over too soon from an HRT that includes periods, then you may suffer irregular bleeding.

What if I take too much Livial or forget to take it?

If you take more Livial then you are supposed to, then it is unlikely to do any serious harm, but you may feel sick or experience some vaginal bleeding. If you forget to take a Livial tablet, and it has been fewer than 12 hours since you were meant to take it, then take the overdue tablet as soon as you remember. If, however, it has been more than 12 hours since you were meant to take a tablet, then disregard it and take your next tablet at the usual time.

Do not take a double dose of Livial to compensate for a forgotten tablet.

How is my order shipped to me?

When an order is ready for shipping, it is collected and delivered by either the Royal Mail or DPD depending on your preference (or possibly your location or the item you ordered). Each order is assigned a tracking number, which will be emailed to you at the time of dispatch. Your medicine will be sent in plain and discreet packaging that’s eco-friendly. We do not include any branding on our packaging nor any labels which inform readers what type of product is contained within.

Dosage Instructions
Dosage Instructions One tablet contains 2.5mg of tibolone. It is a continuous form of HRT, used in cases where someone has not had a period for 12 months or more. Unless otherwise specified, this will be one tablet, once a day.
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