Tibolone

Manage the symptoms of menopause with tibolone.

84 pack of Livial 2.5mg tibolone tablets
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Prices from £35.00

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In stock. Simply fill in a brief consultation questionnaire and one of our doctors will review your request today.


28 days

28 tablet / 2.5 mg - £35.00

84 days

84 tablet / 2.5 mg - £62.00

168 days

168 tablet / 2.5 mg - £95.00


Frequently asked questions

Will I still have periods when taking tibolone?

If you are still having natural periods, even with a different type of hormone replacement therapy (HRT), you should not take tibolone. You should not start taking tibolone until at least 1 year after your last natural period. Otherwise, you may experience some spotting or bleeding while taking it.

Does tibolone cause weight loss?

No, tibolone is not known to cause weight loss. Some people may experience weight gain while taking it. This is a possible side effect and not usually a cause for concern.

If you notice any unexpected changes in your weight while taking tibolone, speak to your doctor. They can help you understand what might be causing it and suggest next steps if needed.

Does tibolone cause weight gain?

Yes, weight gain is a possible side effect of tibolone. Some people notice an increase in weight after starting treatment, though this does not affect everyone. The change may be due to fluid retention, hormonal changes, or other factors.

If you are concerned about weight gain while taking tibolone, speak to your doctor. They can help determine the cause and suggest ways to manage it if needed.

Does tibolone change breast size?

Tibolone can sometimes cause breast tenderness, which may make your breasts feel swollen or uncomfortable. This is a common side effect, but it does not usually lead to a lasting change in breast size. These symptoms often settle as your body gets used to the treatment.

Can you drink alcohol with tibolone?

Yes, you can drink alcohol with tibolone. However, drinking less alcohol during menopause may help reduce hot flushes and improve your sleep. Reducing your alcohol consumption could also help you feel better overall while on treatment.

dr-zoe-miller.png
Medically reviewed by:
Dr Zoe Miller Medical Editor
Accreditations: MBChB, BSc

After completing her first degree, she went on to study graduate-entry medicine at Warwick University. After graduating as a doctor, she worked within the West Midlands in Urology, Respiratory Medicine, Infectious Disease, and Psychiatry before transitioning into a full-time medical communications role.

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Last reviewed: 29 Jun 2025



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