Livial Tablets is an effective HRT for menopause. Buy Livial Tablets from Click Pharmacy today, we have a wide range of HRT available.


7/17/2025 7:59:11 PM


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Livial Tablets

Livial is a medicine used to help women feel better during menopause. It can ease things like hot flashes, night sweats, and dryness down there.

Medication features:

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

Next Day Delivery Available

UK Registered Pharmacy

Price Match Guarantee

Expected Delivery: Friday

If you order within: 12h36m

Livial Prices

  • Medicine prices
  • Delivery Information
Medicine Quantity Price
Livial 2.5mg 28 Tablets £29.99
Livial 2.5mg 56 Tablets £57.99
Livial 2.5mg 84 Tablets £84.99

Delivery charges

Orders approved by our medical team before 3pm Monday – Friday are dispatched the same day via Royal mail. All orders are sent using a tracked and signed for service. Orders are not dispatched on weekends and bank holidays.

Royal Mail 1st Class | £3.95

Delivered within 1-3 working days. Excludes bank holidays. A tracked service with signature required on delivery.

Royal Mail Special Delivery Guaranteed before 1pm | £6.95

Delivered within 1 working day before 1pm. Excludes Sundays and bank holidays. A tracked service with signature required on delivery.

Find out more about our delivery service.

Refunds and returns – Read further information on return and refunds.

  • Overview
  • Directions
  • Cautions

Buy Livial Online UK

You can order Livial online in the UK from our registered pharmacy. Complete the online medical assessment to be reviewed by one of our prescribers. If approved, your medication will be dispensed by our pharmacy team for next day delivery to your address. 

About 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.

Livial Summary Information

Type of medicine

Hormone replacement therapy (HRT) medication


Relieves symptoms of menopause

How it works

Contains tibolone, converted into metabolites to restore hormonal balance

Active Ingredient


Directions of use

Oral tablets, taken as directed by a healthcare professional

Available strengths


Side effects

Common side effects include breast pain, stomach pain, abnormal hair growth, vaginal bleeding or spotting, itching, irritation, vaginal thrush



The information provided in the summary table is for reference only. It is important to consult a qualified healthcare professional before starting any menopause treatment, including Livial.

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.

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 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 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.

Side effects

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
  • Fuctuation in weight
  • Swollen hands
  • Ankles or feet – a sign of fluid retention
  • Acne
  • Painful nipples or breasts feeling uncomfortable
  • 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 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

Livial Reviews

How to order medications from us

Order your medication in a few clicks. Our process is easy, fast and secure.

Step 1

Short Medical Assessment

Fill out a questionnaire so our prescriber can assess if the treatment is suitable for you.

Step 2

Select Preferred Medication

Choose the medication you require from the range offered by our online pharmacy.

Step 3

Next Day

Add delivery details and complete payment process.

Price £29.99

Price Checker


Available strengths:



Price £29.99

Includes free private prescriptions

In stock

2024/07/17 2024/07/18

Order before 15:00pm (Monday to Friday) for next day delivery