Livial (Tibolone)

Livial is a medication that is used to treat the symptoms of menopause. It is a synthetic form of the hormone progesterone, which is produced naturally by the ovaries. It is used to treat hot flashes and other menopausal symptoms. It can also be used to prevent osteoporosis in postmenopausal women.

Select your dosage below to view brand Livial cost and place your order. Save up to 80% on the Livial cost when you buy Livial online at our pharmacy.


*Product image is for reference only

Select your dosage:

Brand Choices

Brand Livial 2.5mg
Product of United Kingdom United Kingdom Flag
Prescription Required
Manufactured by Merck Sharp and Dohm

Generic Alternatives

Generic options for this medication aren't available currently.

Brand Choices

Brand Livial 2.5mg
Product of United Kingdom United Kingdom Flag
Prescription Required
Manufactured by Merck Sharp and Dohm

Generic Alternatives

Generic options for this medication aren't available currently.

Livial (Tibolone) : Medication Information


Reviewed by : Dr. Smriti Gupta

PhD in Biochemistry, M.Sc

What is Livial (Tibolone)?

Livial Tablet is a type of synthetic steroid, a group of medications used to treat postmenopausal symptoms and prevent osteoporosis (weak and brittle bones), a condition caused by menopause in women.

What is Livial (Tibolone) used for?

Livial Tablet is a type of female sex hormone estrogen. It is a hormone replacement treatment (HRT) treatment to treat estrogen deficiency, bone weakening, hot flushes, and vaginal dryness and itching associated with menopause. It is also used to prevent unnecessary "thinning" of the bones (osteoporosis).

How does Livial work?

Tibolone, which is present in Livial Tablet 28's, mimics the actions of progesterone, estrogen, and testosterone in the body. As a result, it helps the body's hormone levels return to normal, reducing menopausal symptoms. Additionally, Livial Tablet 28's stops bone loss and fractures in postmenopausal women and prevents osteoporosis by restoring estrogen levels in the body.

Direction for Use:

How to take Tibolone?

Livial Tablet can be taken with or without food; however, take it at a fixed time daily for best results. It needs to be consumed whole and with water. Your doctor will decide on the dosage and action plan so that you receive the proper amount to control your symptoms.

What is the different dosage available for Livial (Tibolone)?

It is an oral tablet consumed by adults in doses of 1.25mg and 2.5mg.

What is the recommended dosage for Livial?

The suggested dosage for adults is to take a 2.5mg tablet orally once daily at a fixed time for better efficiency.

What if you forget to give a dose of Livial?

If you remember, take the missed dosage right away. Skip the missed dose and resume your regular dosing schedule if the next dose is coming soon. Do not take a double dose to make up for a missed one.

Precautions for Livial (Tibolone):

What should you know about Tibolone before you start taking it?

Inform your doctor if you are allergic to Livial or Tibolone. Inform your doctor if you have or have faced any of the below-listed conditions in the past:

  • If you or a member of your immediate family has battled breast cancer or other hormone-dependent cancer.

  • If you experience any irregular vaginal bleeding.

  • If you have any liver or kidney illness or even diabetes type 2.

  • If you have high levels of triglycerides or cholesterol.

  • If you've had a heart attack, stroke, angina, etc.

  • If you think you may be pregnant.

Side-Effects of Livial:

What are the side effects of Livial (Tibolone)?

Livial has minimal side effects. Most adverse effects are temporary and go away as your body becomes used to the medication.
Possible adverse effects include:

  • Abdominal pain

  • Breast ache

  • Bleeding or spotting in the vagina

  • Abnormal hair growth

  • Putting on weight

  • Itching or discomfort in the vagina

Consult your doctor immediately away if you suffer any severe side effects, such as:

  • Abnormal bleeding or bruising

  • Breast tenderness

  • Cervical thickening

  • Endometrial hyperplasia

  • Genital itching

Interaction with Livial:

Does this medication interact with other drugs, foods, or alcohol?

Livial (Tibolone) might show some harmful interactions with Blood thinners (Warfarin), anticonvulsants( phenytoin, carbamazepine, phenobarbital), and antitubercular medications like rifampicin, etc. It must also be avoided to be taken with medications used to treat depression.


How should this medication be stored?

Livial should be stored in a firmly sealed container away from light at room temperature, heat, moisture, and reach of the children.

Other Important Information:

  • If you experience severe headaches, sharp pains, swelling in one leg, or difficulty breathing, stop taking Livial Tablet and call your doctor immediately. These signs of a blood clot in a vein may exist.

  • While using this medication, periodically check your breasts for changes and have regular cervical smear tests and breast screenings.

  • If you have a history of blood clots or liver illness, avoid using Livial Tablet.

  • The use of a Livial Tablet during pregnancy is hazardous. Inform your doctor if you think you are pregnant or plan to get pregnant.

  • Use caution when treating diabetic individuals, as it might exacerbate the condition of vascular involvement.

  • It should be used with caution in patients with migraines or severe headaches, Otosclerosis, patients with hepatic disorders, patients with gallstones, etc.


How does Livial ( Tibolone) work?

It is a synthetic medication used to replace the function that estrogen and progesterone, two common sex hormones, usually perform in a woman's body. When we take Livial Tablets, our bodies break them down, performing like estrogen, progesterone, and a component of testosterone (male sex hormone). It is administered to help postmenopausal women make up for the loss of estrogen production and lessen the symptoms of menopause.

Can a pregnant woman use Livial Tablets?

No, you shouldn't use a Livial Tablet if you are pregnant or intend to become pregnant. If you find out you're pregnant while taking this medication, tell your doctor right away and have the prescription stopped.

How does Livial Tablet treat osteoporosis?

Livial Tablets aid with osteoporosis. After menopause, certain women are more likely to develop osteoporosis, which causes weak bones and raises the risk of fractures. When used during the postmenopausal phase, Livial Tablet replaces the female sex hormones. These hormones contribute to a rise in bone density. As a result, using Livial Tablet helps stop osteoporosis and bone loss. Before beginning this medicine, talk to your doctor because osteoporosis treatment may require additional prescriptions.

How fast does Livial operate?

Most of the time, symptoms improve within a few weeks, but the best outcomes come from sticking with the therapy for at least three months. Livial should only be started for postmenopausal symptoms that improve quality of life.

Is drinking alcohol safe with Tibolone?

Breast cancer risk rises when this medication is used with alcohol. While receiving this treatment, avoid alcohol.

Is It Safe To Buy Livial From an Online Pharmacy?

If you are looking to buy Livial or any prescription drugs from in the USA then you can order from a safe and accredited International pharmacy like MedsEngage, which contracts with Canadian Pharmacy and pharmacy in India. You require a valid prescription for your prescription drugs.


Overall Customer Reviews

4.6 Overall Satisfaction Rating

Based on 1,251 Ratings












United States

Highly recommend.

I've had consistently great experiences for almost 2 years with this company. My cost for this medication after insurance would be $800+ monthly. Ordering from medsengage is easy and affordable. Highly recommend.

Sharon McClain

United States

No dissatisfaction here.

The service from MedsEngage is awesome. Happy to have been able to save money on this very expensive prescription. No dissatisfaction here.

Carolyn Alexander

United States

I am very pleased with MedsEngage

I am very pleased with MedsEngage. The only time my order was late was during Covid-19, and that was understandable. Thank you

Barb Pittman

United States

My prescription actually arrived sooner

My prescription actually arrived sooner than I had expected. Prices are great! My only negative would be that I wish I could use Visa or Mastercard.

Mark Leisen

United States

I highly recommend them

I’ve been getting prescriptions from Meds Engage for several years now. Always great customer service and quality products at really good prices! I highly recommend them.

Stephen Cockrum

United States

It has been a pleasure doing business with this company

It has been a pleasure doing business with this company. Their products are competitively priced, the shipping is fast and seamless, the packaging is of a quality so as to protect the product. Additionally their customer service department has always been very responsive and comprehensive.

Fred Morgan

United States

I have been dealing with ME for four years

I have been dealing with ME for four years. The price for my presciption in the USA is $1500. I get the exact same thing through ME for $150. Shiping can sometimes take 30 days, but my last order got here in 10 days. Thanks ME for your good work!

Barb Combs

United States

I have had medications prepared by Meds Engage for many years

I have had medications prepared by Meds Engage for many years! Service is very accurate! Prices are less for same quantity of medication in stores here. I recommend the service of Meds Engage. You will be glad you changed!

Timothy Stearns

United States

My wife uses this pharmacy to get her seizure meds at a price

My wife uses this pharmacy to get her seizure meds at a price we can afford now that we are on Medicare. They are excellent to work with. Great service, timely deliveries. Thank you for making our lives easier.

Important Note: We do not dispense any prescription medicine without valid and legible prescription written by your local Physician. All prescriptions must be presented from a verifiable and licensed physician.

We are only able to ship a maximum 90-day supply of your prescription.

All trademarks and registered trademarks are the property of their respective owners. The products mentioned on this website are trademarks of their respective owners and are not owned by or affiliated with or any of its associated companies.

IMPORTANT DISCLAIMER: All medical content is supplied by a third party company who is independent of this web site. As such, this web site cannot guarantee the reliability, accuracy, and /or medical efficacy of the information provided. In all circumstances, you should seek the advice of a health professional pertaining to drug, treatment and/or medical condition advice.