Medication features:

  • An effective hormone replacement therapy 
  • Contains tibolone
  • Minimise symptoms of menopause


Available strengths:



Price £29.99

Includes free private prescriptions

In stock

Delivery Time


Expected delivery date:

Wednesday, 13 December 2023

If you order within:


Next Day Delivery

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Discreet & Confidential

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  • Overview
  • FAQ
  • Side Effects
  • Patient Information Leaflet
  • Reviews

What is Livial

Livial is a hormone replacement therapy (HRT). It contains Tibolone which helps minimise symptoms of menopause – specifically those that affect the brain, vagina as well as bones. Livial is categorised as the type of HRT containing only a singular ingredient: Tibolone. This particular ingredient breaks down in the body into elements that imitate the naturally occurring sex hormones oestrogen and progesterone. 

In this way, it varies significantly compared to other HRT treatments, which directly include these sex hormones. Another key difference is that Livial increases testosterone levels along with oestrogen and progesterone. This increase in testosterone presents the effect of restricting some of the adverse side effects of HRT.

You should not experience a monthly bleed when taking Livial; therefore, it is considered to be most suited for women who have not had a natural period during the span of the last 12 months.

How Does Livial Work?

The function of Livial is similar to every other HRT. However, the only difference is that it is a form of hormone replacement therapy (HRT) that contains only one ingredient, Tibolone.

Tibolone, just like other ingredients, breaks down in the body into various components that imitate the sex hormones a female body naturally produces – known as oestrogen and progesterone. Simply put, it works by producing naturally occurring hormones in order to balance them out. In addition, Livial increases testosterone levels, which helps limit some of the side effects of HRT.

Can I Purchase Livial Tablets Online?

Yes, you can place an order online for Livial tablets through Click Pharmacy. You just need to fill out a form proving that you have a prescription for the medication. In any event that you do not have a prescription, you can consult our medical experts, who are available to review your case and determine whether or not you require the assistance of Livial.

The available quantities of Livial Tablets you purchase online are:

  • 1 x 84 tablets
  • 2 x 84 tablets

The prices may vary accordingly.

What are Livial Tablets Used for?

Livial's primary purpose is to alleviate symptoms of menopause. During menopause, the amount of estrogen naturally produced by a woman's body decreases, which can lead to various physical symptoms like vaginal dryness, hot flushes, depression, and more. Livial is often prescribed in cases where such physical symptoms hinder the activities of an individual's daily life.

In addition, following the period of menopause, women tend to develop fragile bones, which is known as osteoporosis. Livial also helps in the prevention of this condition.

How Should I Take Livial Tablets?

Livial tablets are supposed to be taken daily. Take one every day, around the same time each day. Swallow the Livial tablet with some water or any other non-alcoholic drink.

The Livial tablets pack contains about 28 white tablets. The strips that come with Livial are marked with the days of the week. You can start your treatment by taking the tablet marked with that day. For instance, if it is a Monday, you should take a tablet marked Monday that you can find on the upper row of the strip. Similarly, follow the days of the week until the strip becomes empty. It is vital to start the next strip the next day. Also, when your pack finishes, start a new pack the next day. Make sure your doses are continuous and there are no skips between doses.

In any case, if you forget to take a tablet, you should take it as soon as you remember – only if less than 12 hours have passed since the missed dose. However, if 12 hours have passed, then it is best to skip the forgotten dose and take the next one at the proper time.

What Do Livial Tablets Contain?

There is only one active ingredient in Livial, which is Tibolone. However, a few inactive tablets in Livial include potato starch, lactose, monohydrate, ascorbyl palmitate, and magnesium stearate.

How Effective is Livial?

Livial is quite effective. Individuals tend to experience a shift in symptoms in a day or two after taking Livial.

However, keep in mind that Livial is not a contraception, so you should not use it for this purpose. If you require birth control, you should not be taking HRT in the first place.

What are the Side Effects of Livial?

Just like any other HRT, a few side effects are associated with Livial. Although, not every person who takes Livial is bound to experience side effects. In addition to this, the intensity of side effects may vary depending from person to person.

Side effects of Livial may include breast pain, stomach or pelvic pain, abnormal hair growth, vaginal bleeding or spotting, vaginal problems such as an increase in the secretion, itching, irritation, vaginal thrush, thickening of the lining of the womb, thickening of the lining of the cervix, fluctuation in weight, swollen hands, ankles or feet – a sign of fluid retention, an upset stomach, acne, painful nipples or breasts feeling uncomfortable, or vaginal infections.

Furthermore, in rare cases, women have reported experiencing itchiness, depression, vertigo, headache, joint pain or muscle pain, skin problems like a rash, complications with vision like blurred vision, as well as complications with the liver, which could lead to jaundice.

What are the benefits of Livial?

Menopause is a natural part of ageing. However, when the body produces fewer and fewer female sex hormones, it can cause various uncomfortable symptoms. This may include vaginal dryness, mood swings, loss of bone density, changes in libido, night sweats and frequent hot flashes.

The main benefit of Livial is that it helps stabilise the number of female sex hormones in the body. This happens because Livial contains ingredients that act like both oestrogen and testosterone, which is crucial in balancing hormone levels as it helps reduce the severity of most of the symptoms of menopause. As a result, Livial alleviates the symptoms while making your day-to-day life more manageable.

What dosages are available for Livial?

You can find Livial (tibolone) in a 2.5 mg dosage, which is the standard. In addition, you can get an 84 tablets pack of Livial, which works for three months.

What precautions should I take when using Livial?

When you are taking Livial, you should get regular general check-ups and update your GP regarding your condition once a year. Livial is a form of contraception, like all hormone replacement therapies, which means you will not require additional contraception if you are sexually active. However, it is still essential to get tested every six months.

Regarding HRT, it is vital to understand the limitations associated with using the treatment. Do not use Livial if any of the following apply:

  • You have a history of breast cancer, endometrial cancer, stroke or blood clots
  • You have a history of miscarriages, high blood pressure or hypertension, heart failure, liver disease, decreased kidney function, gallstones.
  • You have a history of migraines.
  • You are obese
  • You smoke regularly
  • You are pregnant
  • You are breastfeeding

What dose of Livial should I take?

The ideal dose for a post-menopausal woman of Livial is one tablet a day. However, you should take that one dose simultaneously every day; otherwise, some of the symptoms could resurface. The foil is marked with numbers per week, so you do not forget to take a dose.

In any case, if you forget to take a tablet, you should take it as soon as you remember unless 12 hours have lapsed. Note that if you are more than 12 hours late, it is best to skip the tablet. Instead, take the next dose as usual. Avoid taking a double dose to make up for the missed one.

What alternatives to Livial are available?

There are various common alternatives to Livial. You can find most of them in your local pharmacies. Alternatives of HRT include:

  • Gels
  • Vaginal rings
  • Vaginal creams
  • Skin patches
  • Vaginal pessaries

Alternatives to Livial widely available are:

  • Kliovance
  • Trisequens
  • Provera
  • Evorel Conti patches
  • Evorel Sequi patches
  • Elleste Solo
  • Premarin
  • Premique
  • Elleste Duet
  • Elleste Duet Conti

Although there is no exact alternative to Livial because its function is unique, it is similar to that of a continuous combined HRT, which means that if an alternative to Livial is needed, then a combined HRT product is your best choice.

Does Livial cause weight gain?

Yes. You may experience weight gain as a direct side effect of Livial. However, menopause can also cause weight gain.

How long can you stay on Livial?

In general, women can stay on HRT for about 4 to 5 years. However, women taking HRT should review their symptoms and health after three months of starting treatment to assess HRT's effectiveness.

You can stay on Livial for a couple of years. But, ideally, it should be a short-term treatment to ensure optimal results.

What should I do if I miss a dose?

If you forget to take a tablet, you should take it as soon as you remember. Make sure that less than 12 hours have passed since your missed your dose. If more than 12 hours have passed, you should skip the forgotten dose and take the next one as intended at the proper time.

It is crucial that you never take a double dose in order to make up for the missed one.

What other medicines react with Livial?

There are some medicines that may actively interfere with the effect of Livial. This might lead to various symptoms, like irregular bleeding. Inform your doctor if you are taking any of the following medications before you start taking Livial:

  • Medication for blood clotting
  • Medication for epilepsy
  • Medication for tuberculosis
  • The herbal remedy St. John's Wort (Hypericum perforatum).

Can I take Livial on an empty stomach?

Yes, you do not need to eat before or after taking Livial. You just need to have a glass of water to swallow the tablet.

Unwanted side effects of Livial may include:

● Vaginal bleeding or spotting
● Abdominal pain
● Breast pain
● Weight gain
● Vaginal symptoms, such as discharge, itching, and irritation
● Acne
● Unnatural hair growth
● Dizziness, headache, migraine, depression
● Rash or itching
● Visual disturbances
● Gastro-intestinal upset
● Fluid retention
● Joint pain, muscle pain
● Changes in liver function
● Breast cancer 
● Increased cell growth
● Cancer of the lining of the womb
● Gall bladder disease
● Various skin disorders like discolouration of the skin, especially of the face or neck, known as "pregnancy patches" (chloasma)
● Agonising reddish skin nodules (erythema nodosum)
● Rash with a particular shape, reddening or sores (erythema multiforme)

Always read the patient information leaflet before starting your treatment. The patient information can be found here.

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