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How and when to take tibolone - Brand name: Livial

It's important to take tibolone as your doctor tells you. Always follow the instructions from a pharmacist or doctor, or the leaflet in the medicine packet.

Dosage

The usual dose of tibolone is one 2.5mg tablet, taken once a day.

How to take it

Swallow your tablet whole with a drink of water. Do not chew or crush it.

It's best to take it at the same time each day.

You can take it before or after food.

How long to take it for

How long you take tibolone for depends on your symptoms. It's common to take it for 2 to 5 years to treat menopause symptoms, but sometimes you may need to take it for longer.

How long you take HRT for depends on the benefits and risks to you. Ask your doctor for advice.

If you forget to take it

If you forget to take your tibolone, take it as soon as you remember, unless it's more than 12 hours since your dose was due. In this case, skip the missed dose and take your next dose at the usual time.

Do not take 2 doses to make up for a missed dose.

Missing your dose can sometimes cause vaginal bleeding or spotting.

If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicines.

If you take too much

Taking an extra dose of tibolone is unlikely to harm you. If you're worried, talk to a doctor or pharmacist for advice.

Stopping tibolone

Talk to your doctor if you're thinking of stopping taking tibolone. They may suggest that you reduce your dose gradually, to help prevent your menopause symptoms coming back.

If you're having problems with side effects, your doctor might suggest changing your dose, or switching to another type of HRT.

Page last reviewed: 5 January 2023
Next review due: 5 January 2026