Livial tablets contain the active ingredient tibolone, which is a synthetic steroid medicine used for hormone replacement therapy (HRT). It also a a substance that has favourable effects on different tissues in the body, such as brain, vagina and bone. It mimics the activity of the female sex hormones oestrogen and progesterone and the androgen testosterone in the body.
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Livial is used to relieve the symptoms of oestrogen deficiency (eg hot flushes, decreased sex drive, depression) in women who have gone through the menopause. It also helps to prevent osteoporosis in women who have gone through the menopause and are at high risk of fractures, but cannot take other medicines used to prevent osteoporosis.
How To Take
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. The recommended dose should be taken once a day, at the same time each day. Take this dose unless your doctor or pharmacist told you to do something different. Press the tablet so that it comes through the foil. Swallow the tablet with a glass full of water, without chewing. It can also be taken either with or without food.
Talk to your doctor, pharmacist or nurse before taking Livial. If you have ever had any of the following problems, tell your doctor before you start the treatment, as these may return or become worse during treatment with Livial. If so, you should see your doctor more often for check-ups: fibroids inside your womb; growth of the womb lining outside your womb (endometriosis) or a history of; excessive growth of the womb lining (endometrial hyperplasia); increased risk of developing blood clots (see ""Blood clots in a vein (thrombosis); increased risk of getting an oestrogen-sensitive cancer (such as having a mother, sister or grandmother who has had breast cancer); high blood pressure; a liver disorder, such as a benign liver tumour; diabetes; gallstones; migraine or severe headaches; a disease of the immune system that affects many organs of the body (systemic lupus erythematosus, SLE); epilepsy; asthma; a disease affecting the eardrum and hearing (otosclerosis); a very high level of fat in your blood (triglycerides); fluid retention due to cardiac or kidney problems. Some patients have experienced side effects while undergoing drug therapy with this medication, although few have reported severe side effects. Serious side effects associated with Gestanin might include allergic reaction, dehydration, severe nausea and vomiting, and watery or bloody diarrhea. Allergic reactions often present with symptoms which might include facial swelling, including swelling of the lips, throat, tongue, or mouth, difficulty breathing, itching, and hives. Do not take Livial if you are pregnant or think you might be pregnant.