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  • Pack of 84 Livial 2.5mg tibolone tablets
  • Box of Livial tibolone 2.5mg tablets with blister packs
  • Front and rear view of Livial tablet blister packs

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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.

How to buy Livial

In order to obtain Livial you'll first need to be prescribed a course by your doctor after an in-depth consultation and examination. After you have been prescribed Livial by your doctor you can order it online. To be sure you are ordering genuine medication online you should always undertake a consultation and be issued a prescription before buying. Any medication you order should be delivered directly from a registered pharmacy.

Livial is a clinically proven and effective form of hormone replacement therapy that significantly improves the lives of women struggling with the undesirable effects of menopause. If you are struggling to cope and feel your quality of life is being effective, speak to your doctor about your suitability for HRT.

Is it safe to order online?

When ordering from a certified online pharmacy, you can be ensured that your medication is safe. If the pharmacy doesn't ask you to complete essential health and medical question, however, this is a telltale sign that the website isn't certified. The website should also display clear signs that it is registered and approved by the relevant authorities. In the UK, this includes being registered by the MHRA, GMC .

All medication will be delivered in tamper proof packaging complete with the full patient leaflet, which confirms that the medication is clinically proven and highly effective.

What is included in the price?

When ordering Livial online here at Medilico, this is an all-inclusive price including the prescription, consultation, medication and delivery. There are no hidden costs. The price adjusts depending on the dosage and quantity you have ordered.

Can you buy without a prescription?

No, to use Livial you need a prescription. This is to keep you safe from side effects and to ensure you are suitable. HRT is not available over the counter. There are some herbal remedies that claim to boost oestrogen and fight the symptoms of menopause available to buy without a prescription, but these are not proven or regulated.

What is Livial?

Tibolone is the active ingredient in Livial. It reduces menopause symptoms by providing your body with the hormones it needs to prevent mood swings, hot flushes and a low sex drive caused by dropping oestrogen levels. Because it utilises both testosterone and progesterone, Livial is known as a combined hormone replacement therapy.

Many women worldwide use hormone replacement therapy (HRT) to help them manage the distressing and exhausting symptoms of menopause. HRT can make a huge difference to women struggling to manage their symptoms.

Livial can also be used to protect against the damaging bone-thinning disease osteoporosis. This happens when your bones become thinner and are therefore more prone to fractures. Women experiencing the menopause are particularly at risk of osteoporosis as oestrogen is used to build bone mass.

Weight bearing exercise can help build up bone mass. Specific exercises include walking, running and dancing. HRT such as Livial can provide additional support to menopausal and postmenopausal women in danger of developing osteoporosis.

How does Livial work?

The active ingredient in Livial boosts your hormone level so your body does not experience menopause symptoms so greatly. This can be life-changing for women because the menopause, although natural and part of a woman's life cycle, can be distressing, uncomfortable and difficult to live with.

Livial works when its synthetic hormones progesterone and testosterone are broken down in the body to mimic the female sex hormones that significantly drop when ovulation ends. Livial maintains the hormonal balance and reduces the severity of menopausal symptoms including:

  • Hot sweats
  • Night sweats
  • Mood swings
  • Dry vagina
  • Lack of sex drive
  • Hair thinning
  • Sleep disturbances
  • Anxiety
  • Depression
  • Loss of bone density

How to use Livial

Livial is an oral tablet that should be taken daily with a drink. The tablets are presented in the same way as the contraceptive pill. Each tablet is labelled with a day, and you should take these in the order presented. Always keep Livial and other prescription medications in a place away from the reach of children.

You should not crush or chew the tablet. For the best effect you should take it at the same time every day so your hormones are evenly spaced doses and ensure continuity of relief. You should never take more than your prescribed amount as this can lead to side effects. In the rare case that you find your dose of Livial is not helping with your menopause symptoms, you should speak to your doctor.

When you start taking Livial you should be sure you've not had a period for at least twelve months beforehand. This is because Livial may cause irregular vaginal bleeding if you are still ovulating. If you have had a surgical menopause then you can begin Livial straight away.

If you are switching to Livial from another HRT brand you should start taking it when you have completed your current course of HRT. If you currently take gonadotrophin analogues (GnRH) for endometriosis or other conditions you can begin taking Livial right away.

If you miss a dose of Livial you should take it as soon as you remember. If it's more than 12 hours late you should leave the missed dose and take your next Livial at the established time. It's possible you may experience breakthrough bleeding if you regularly forget to take Livial.

Livial Dosages

Livial is prescribed as a 2.5 mg daily dose. It's important to take it as directed by your doctor. Doubling up a dose or taking more than your recommended amount will not improve your symptoms and could make you ill.

If you take too much Livial you should seek medical advice immediately. You may experience some vaginal bleeding if you take too much.

Livial Side Effects

Side effects can happen with any medication. Whilst Livial's side effects are often mild they can affect some women.

The majority of women using Livial find that after a few months of use any mild side effects disappear and their body gets used to the hormones. Others find that the benefits they gain from HRT outweigh side effect discomforts. However, if you develop side effects and they worsen you should speak to your doctor.

More common side effects that affect between 1 in 10 and 1 in 100 women include fluid retention, breast tenderness, bloating, nausea, headaches, thrush, pelvic pain, abnormal hair growth and indigestion. If you take Livial with food they may lessen. Exercise can help you manage side effects too.

Some breakthrough bleeding may occur in the first months of use, particularly if you do not take the tablet at the same time each day or forget doses. However, if vaginal bleeding continues past six months then you should report it to your doctor.

More rare side effects can possibly include breast cancer, a slight increase in the risk of ovarian and endometrial cancer, blood clots, a stroke, dementia or an allergic reaction. If you take Livial and feel breathless, develop a rash, hives, swollen face and lips you could be experiencing an allergic reaction. Seek medical help immediately.

Livial Precautions

If you take Livial you should you have a full medical check-up at least once a year. This ensures that Livial is still the right medication for you and that the benefits outweigh any risks.

You must report any changes in your health to your doctor straight away, for example, new headaches, migraines, a rise in blood pressure or jaundice (yellowing of the skin in relation to reduced liver function). Don't wait for your yearly review to report any health changes.

It's important to understand that Livial and other forms of HRT are not contraceptives. If you have not fully reached menopause you may still be ovulating and can therefore fall pregnant. You should wait a year after your last period to begin Livial, but if you are unsure you should look into barrier methods of contraception such as condoms.

Likewise Livial does not protect you against sexually transmitted infections. Some women stop using contraception when they reach menopause, but STIs are readily transferred during sex. Some symptoms of STIs include vaginal discharge, smells, rashes, bumps, blisters, pain when urinating and fatigue, however not all STIs present obvious symptoms, particularly in women. Chlamydia for example can be symptomless.

If you've had unprotected sex with a new partner and are worried about STIs you can obtain a free check-up at your local sexual health clinic or via your doctor.

Who can and can't use Livial

Livial is for use in women who are experiencing postmenopausal symptoms. Some menopause symptoms can be managed naturally including drinking more water, eating more iron and calcium based food, improving your diet, getting more sleep and relaxation techniques such as meditation. One of the best natural remedies for menopause is exercise. Not only does it stimulate the body, relieve stress and energise you, it helps to keep your weight at a healthy level. Women can experience weight gain during menopause, so exercise is highly recommended management strategy.

HRT should only be used when your quality of life is adversely affected and you've taken the above steps to manage your menopause. Not every woman needs hormone replacement therapy, but if you are struggling to cope it can support you.

The majority of women are able to take Livial safely and effectively to manage their symptoms and prevent osteoporosis, but Livial and its active ingredient Tibolone are prescription medicines. This is because there are some women who should not take it.

If you have any of the following conditions Livial may not be suitable for you. Your doctor will decide if it's safe for you to take Livial.

Women who may not be able to use Livial include:

  • If you are pregnant or breastfeeding
  • If you have or have had breast cancer
  • If you have gallstones
  • If you have migraines
  • If you are overweight or obese
  • If you have a history of miscarriage
  • If you have epilepsy
  • If you have asthma
  • If you have SLE (Lupus)
  • If you have or suspect endometrial cancer or another oestrogen dependant malignant tumour
  • If you have any undiagnosed vaginal or genital bleeding
  • If you have untreated endometrial hyperplasia
  • If you have or have had a deep venous pulmonary embolism (DVT)
  • If you have a thrombophilic disorder such as protein C, S or antithrombin deficiency
  • If you have had angina, myocardial infarction, a stroke or a TIA
  • If you have or have had liver disease
  • If you are allergic to any of the ingredients in Livial
  • If you have porphyria

Other Medication Interactions

Your doctor will decide whether Livial will affect any current medication you take, but there are some drugs that should not be taken with Livial or other HRT medicines The anticoagulant warfarin which is often used to treat heart conditions should not be combined with Livial because the active ingredient Tibolone can speed up the action of blood thinners and result in bleeding.

Other drugs include some barbiturates (sleeping pills), antibiotics, antifungals and epilepsy medicines can be affected by the active ingredient Tibolone. Some diabetics may find their insulin levels need adjustment when taking Livial.

Over-the-counter medicines and herbal remedies such as St John's Wort may affect the mechanisms of Livial and other HRT treatments. Always speak to your doctor or pharmacist before taking any medicines alongside Livial.

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