Taking tibolone with other medicines and herbal supplements - Brand name: Livial

Cautions with other medicines

There are some medicines that may affect how tibolone works.

Tell your doctor or pharmacist if you're taking any of these medicines before you start taking tibolone:

• medicines that help to prevent blood clots, such as warfarin
• medicines for epilepsy, such as phenytoin or carbamazepine
• medicines for tuberculosis, such as rifampicin

Mixing tibolone with herbal remedies and supplements

There are several different herbal products sold to help relieve menopause symptoms. These include evening primrose oil, soya, red clover, black cohosh, ginseng and St John's wort.

St John's wort may stop tibolone from working as well.

It's not possible to say that other herbal remedies and supplements are safe to take with tibolone. They are not tested in the same way as pharmacy or prescription medicines. They're generally not tested for the effect they can have on other medicines.

All of these products might affect other medicines you're taking, so it's important to check with your doctor or pharmacist before starting to take them.