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compositionComposition:TIBOLONE-2.5MG
prescription
Prescription Medicine
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Livial Tablet is used to treat postmenopausal symptoms and prevent osteoporosis (weak and brittle bones) in menopausal women. It contains Tibolone which works by restoring hormone levels in the body and preventing bone loss and fractures. In some cases, this medicine may cause side effects such as stomach pain, breast pain, vaginal bleeding or spotting, unusual hair growth, weight gain, vaginal itching or irritation. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

TIBOLONE-2.5MG

Manufacturer/Marketer :

Organon India Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Livial Tablet

Livial Tablet is an oral medicine prescribed to relieve symptoms associated with menopause, such as hot flashes, night sweats, and vaginal dryness. It is used in women who have been postmenopausal for at least one year. Additionally, it helps prevent bone thinning (osteoporosis) in postmenopausal women who are at a high risk of bone fractures.

This medicine is typically taken once daily at the same time each day to maintain steady hormone levels in your body. You can take this tablet with or without food, swallowing it whole with water. Combining this treatment with regular weight-bearing exercise and a calcium-rich diet can help improve your overall bone health.

While taking Livial Tablet , some women may experience mild side effects such as lower abdominal pain, breast tenderness, or unusual hair growth. If you experience severe headaches, unexplained leg swelling, sudden chest pain, or unusual vaginal bleeding, you must contact your doctor immediately. Talk to your doctor or pharmacist if you notice any changes that concern you.

Do not take this medicine if you have a history of breast cancer, blood clots, active liver damage, or unexplained vaginal bleeding. Talk to your doctor before starting Livial Tablet if you have high blood pressure, diabetes, gallstones, or a history of migraines.

Livial Tablet can interact with blood thinners by increasing bleeding risks, and certain epilepsy medicines can speed up how your body processes this drug, making it less effective. It is also important to avoid smoking and limit alcohol, as they can worsen your symptoms or increase cardiovascular risks. Since this medication is intended only for postmenopausal women, it must not be taken if you are pregnant or breastfeeding, and elderly patients should consult their healthcare provider to assess age-related risks.

Uses of Livial Tablet

Livial Tablet is used to relieve symptoms associated with menopause, such as hot flashes, night sweats, and vaginal dryness. The detailed uses of Livial Tablet are as follows:

  • Managing menopause symptoms: Livial Tablet helps reduce uncomfortable symptoms like hot flashes, night sweats, sleep disturbances, and vaginal dryness by mimicking the body's natural hormones.
  • Preventing postmenopausal osteoporosis: Livial Tablet helps stop bone loss and lowers the risk of fractures in postmenopausal women who cannot take other bone-protecting medicines.

Key Benefits

Livial Tablet helps relieve common symptoms associated with menopause, improving daily comfort and supporting long-term health. With regular use, it helps reduce menopausal symptoms, improves vaginal health, and protects bone strength.

  • Relieves Hot Flashes and Night Sweats: This medicine helps reduce the frequency and severity of hot flashes and night sweats, promoting better sleep and greater comfort throughout the day.
  • Improves Vaginal Comfort: By relieving vaginal dryness and irritation, this medicine helps improve vaginal health and makes intimate relationships more comfortable.
  • Supports Bone Health: This medicine helps protect against bone loss, reducing the risk of weak and brittle bones while supporting mobility, independence, and an active lifestyle as you age.
Side effects of Livial Tablet
  • You can take your medicine with meals to lower the chances of getting stomach pain.
  • Avoid foods that are acidic, spicy, sugary, or greasy.
  • Eat foods that are easily digestible such as rice, toast, and bananas.
  • Eat your meals in smaller amounts throughout the day to prevent strain on your stomach and digestion.
  • Drink water or fluids to stay hydrated and prevent stomach upset.
  • Use a heating pad or massage your stomach area.
  • Engage in mild physical activities such as yoga and walking.
  • Eat lean protein sources like chicken, tofu, and other low-fat protein sources.
  • Include whole grains like brown rice, quinoa, and whole-wheat bread.
  • Eat plenty of fruits and vegetables.
  • Avoid processed foods and limit or avoid packaged options.
  • Limit sugary drinks and avoid soda and other sugary beverages.
  • Maintain a balanced diet ensuring enough calories, protein, and micronutrients.
  • Address nutritional deficiencies by considering supplements or consulting a doctor.
  • Recognize that hair growth is complex and nutritional deficiencies may impact hair structure and growth.
  • Achieve and maintain a healthy weight through a balanced diet and regular physical activity to minimize the risk of heavy bleeding.
  • Consume a diet rich in whole, nutrient-dense foods, including fruits, vegetables, and whole grains, to help stabilize hormonal balances and reduce inflammation.
  • Incorporate foods high in omega-3 fatty acids, such as fatty fish and flaxseeds, into your diet to help mitigate inflammation and promote the healing process.
  • Restrict or avoid consumption of foods that may worsen bleeding, such as spicy or acidic foods, to help reduce discomfort and promote recovery.
  • Prioritize getting adequate sleep, aiming for 7-8 hours per night, to help regulate hormonal balances and reduce the risk of bleeding.
  • Consider taking supplements, such as iron or vitamin B12, under the guidance of a healthcare provider, to help manage anemia and support the healing process.
  • Consult a doctor if bleeding persist or worsen.
  • Ensure the genital area is as dry as possible after bathing or showering.
  • Do not scratch as this may worsen the irritation and itching.
  • Gently wash the genital area with mild soap and warm water to keep it clean.
  • Wear loose, airy clothes to avoid skin irritation and aggravation of the itch.
  • Scented toilet paper should be avoided to prevent irritation.
  • If you develop severe or chronic genital itching, see your doctor because it can be an infection, a disease, or possibly both.
  • Eat a balanced diet rich in fruits, vegetables, and whole grains to support overall health.
  • Incorporate probiotic-rich foods like yogurt or kefir into your diet to promote gut health.
  • Practice good genital hygiene by washing with warm water and avoiding harsh soaps.
  • Wear loose, breathable cotton underwear to reduce moisture buildup.
  • Avoid douching and scented soaps that can disrupt natural vaginal balance.
  • Stay dry and change out of wet clothes promptly to prevent yeast growth.
  • Limit excessive sugar consumption to reduce yeast growth.
  • Consider adding antifungal foods like garlic or turmeric to your diet.
  • Reduce stress levels by practicing calming techniques such as mindfulness, meditation, or controlled breathing exercises.
  • Complete the full course of prescribed antifungal treatment to prevent recurrence.
  • Consult your doctor if you experience frequent or severe yeast infections.
  • Vaginal bleeding can be abnormal if it is not related to menstruation, and needs immediate attention and cannot be ignored.
  • Get a physical examination and follow your doctor's instructions to get relief from bleeding.
  • Avoid using vaginal sprays or perfumed soaps that increase itching and irritation.
  • Prefer practicing yoga and meditation to reduce stress and anxiety, as it can worsen vaginal bleeding.
  • Take a balanced diet and manage your weight.
  • Talk to your doctor to know the cause, severity and appropriate treatment options.
  • Try pain relievers like ibuprofen or naproxen to relieve mild pelvic pain.
  • Consider pelvic floor exercises as it helps to strengthen muscles in the pelvic region and relieve pain.
  • Try relaxation techniques like deep breathing, meditation or gentle stretching.

Directions for Use

  • Livial Tablet can be taken with or without food as prescribed by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow Livial Tablet as a whole with a glass of water.
  • Do not chew, crush or break it.

How Livial Tablet Works

Once you swallow Livial Tablet , which contains tibolone, your body breaks it down into three active components. These components act on different hormone receptors in your body, specifically mimicking the effects of estrogen, progesterone, and male hormones (androgens). By acting like estrogen, this medicine relieves hot flashes, night sweats, and vaginal dryness while keeping your bones strong. Its progesterone-like action helps protect the lining of your uterus from abnormal thickening. Meanwhile, its mild androgen-like action can support overall well-being and mood. This balanced approach restores hormonal harmony to ease postmenopausal transitions.
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Alcohol

Unsafe

Avoid consumption of alcohol with Livial Tablet as it may increase the risk of breast cancer.

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Pregnancy

Unsafe

Livial Tablet is a category D pregnancy drug and is not recommended for pregnant women as it may harm the unborn baby. Please consult a doctor if you are pregnant.

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Breast Feeding

Unsafe

Avoid taking Livial Tablet if you are breastfeeding and consult a doctor.

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Driving

Safe if prescribed

Livial Tablet usually does not affect your ability to drive or operate machinery.

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Liver

Caution

Take Livial Tablet with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

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Kidney

Caution

Take Livial Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

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Children

Unsafe

Livial Tablet is not recommended for children as it is intended for use in postmenopausal women.

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Heart

Caution

Livial Tablet should be taken with caution in patients with heart problems. Please inform your doctor if you have any pre-existing heart problems before using Livial Tablet .

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Geriatrics

Consult your doctor

Livial Tablet should be given to elderly patients only if prescribed by a doctor. Seek medical advice if you have any concerns.

What if I have taken an overdose of Livial Tablet

If you or someone else takes too many tablets at once, seek immediate medical attention. Symptoms of an overdose may include nausea, vomiting, or vaginal bleeding.

Diet & Lifestyle Advise

  • Eat calcium-rich foods like leafy greens, dairy products, and fortified foods, and ensure adequate vitamin D intake to support your bone health.
  • Engage in regular weight-bearing exercises, such as walking, jogging, or light strength training, to help keep your bones strong and improve balance.
  • Limit your intake of caffeine, alcohol, and spicy foods, as these are common triggers that can make hot flashes and night sweats worse.
  • Avoid smoking, as tobacco use can lower estrogen levels in your body, reducing the benefits of this medicine and increasing your risk of heart disease and blood clots.

Health Queries

Does taking Livial Tablet cause vaginal odour?

Bayyarapu Mahesh Kumar

Bayyarapu Mahesh Kumar

M Pharmacy

Livial (Tibolone) Tablet is not known to cause vaginal odour. If you notice any unusual or foul-smelling discharge, it may be due to infection or other vaginal conditions, not the tablet itself. It is essential to consult a doctor or a gynaecologist for proper evaluation and treatment.
health query

Have a query?

How Soon It Starts Working

The time required for Livial Tablet to start to work: The time required for Livial Tablet to show its action is unknown. The time for which the effects of Livial Tablet last: The duration of action for Livial Tablet is clinically unknown.

What if you forget to take Livial Tablet

If you forget to take your tablet, take it as soon as you remember, unless you are more than 12 hours late. If you are more than 12 hours late, skip the missed dose and take your next dose at your usual time. Do not take a double dose to make up for a missed one.

Storage

•Store Livial Tablet at room temperature, ideally between 20°C and 25°C (68°F to 77°F). •Keep the tablets in their original blister pack to protect them from light and moisture.

Drug Warnings

  • Check your calendar blister pack regularly to ensure you are taking your daily tablet on schedule.
  • Inform any surgeon or dentist that you are taking Livial Tablet well before any planned surgery, as you may need to stop taking it temporarily to lower your risk of blood clots.
  • Schedule regular mammograms and breast self-exams as advised by your doctor to monitor your breast health while using hormone therapies.
  • Monitor your blood pressure regularly, as this medication can sometimes cause slight changes in blood pressure.
  • Do not share this medicine with anyone else, even if they have similar postmenopausal symptoms.

Drug-Drug Interactions

verifiedApollotooltip
  • Blood thinners (like warfarin): Livial Tablet can increase the effect of these medicines, raising your risk of bleeding. Your doctor may need to adjust your blood thinner dose.
  • Epilepsy medicines (like carbamazepine or phenytoin): These can speed up how your liver breaks down Livial Tablet , which may lower its effectiveness.
  • Tuberculosis medicines (like rifampicin): This medicine can decrease the levels of Livial Tablet in your body, making it less effective.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip
  • There are no major established interactions with specific foods, but it is best to limit alcohol intake as it can worsen menopausal symptoms and increase health risks.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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FAQs

Livial Tablet contains Tibolone that works by mimicking the activity of natural hormones progesterone, oestrogen and testosterone. Thereby, restores hormone levels in the body and reduces menopausal symptoms and prevents osteoporosis (weak and thin bones) in postmenopausal women.
Livial Tablet may cause irregular bleeding or spotting (drops of blood) during the first 3 to 6 months of taking Livial Tablet . However, if the bleeding or spotting continues for more than 6 months or after discontinuing Livial Tablet , please consult a doctor immediately.
You may be advised to stop taking Livial Tablet about 4 to 6 weeks before surgery to decrease the risk of a blood clot. Therefore, inform your doctor that you are taking Livial Tablet before undergoing any surgery.
Livial Tablet may increase the risk of endometrial (lining of the womb) cancer especially if it is taken for a prolonged duration. Also, Livial Tablet may increase cell growth resulting in excessive thickening of the womb lining (endometrial hyperplasia).
Livial Tablet is not a contraceptive. Livial Tablet is a hormone replacement therapy. Therefore, if you are less than 50 years old or if it is less than 12 months since your last period, you are advised to use additional contraceptive measures to avoid pregnancy. However, discuss with a doctor if you have any concerns regarding this.
Livial Tablet is used to treat postmenopausal symptoms and prevent osteoporosis (weak and brittle bones) in menopausal women.
No, Livial Tablet does not contain progesterone. It contains Tibolone which works by mimicking the activity of natural hormones progesterone, oestrogen and testosterone.
Livial Tablet is a form of HRT. It mimics the action of progesterone, oestrogen and testosterone.
Livial Tablet should not be taken during pregnancy. It contains Tibolone, a category D pregnancy drug; hence, it is not recommended for pregnant women as it may harm the unborn baby.
Yes, Livial Tablet helps improve low mood and menopausal symptoms like hot flushes.
Yes, Livial Tablet helps osteoporosis in postmenopausal women by restoring oestrogen levels in the body and preventing bone loss and fractures.
Livial Tablet may cause side effects like stomach pain, breast pain, vaginal bleeding or spotting, unusual hair growth, weight gain, vaginal itching or irritation. Most of these side effects of Livial Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
No, you should only start taking Livial Tablet if it has been at least 12 months since your last natural period. Taking it earlier can increase the risk of irregular vaginal bleeding. Talk to your doctor before starting this medicine.
Some women may experience minor changes in weight or mild fluid retention while taking this medicine, though this is not common for everyone. Maintaining a balanced diet and regular exercise can help manage your weight. Talk to your doctor if you notice sudden weight changes.
Yes, there is no direct interaction between alcohol and Livial Tablet . However, alcohol can trigger hot flashes and increase other health risks associated with hormone therapies, so moderation is advised. Talk to your doctor for personalised advice.
Evidence suggests that using hormone therapies like Livial Tablet may increase the risk of breast cancer depending on how long you take it. Your doctor will evaluate your individual risks and benefits before prescribing this medicine. Talk to your doctor about your breast health concerns.
No, Livial Tablet is strictly meant for postmenopausal women and must not be taken by women who are pregnant, planning to become pregnant, or breastfeeding. Talk to your doctor if you have questions about your reproductive status or contraception.

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Country of origin

INDIA

Manufacturer/Marketer address

Gala No-1C, Bldg No. -B3, City Link Warehouse Com, Mumbai Nashik Highway,Vadapa, Tal Bhiwandi, Distt Thane 421 302
Other Info - LIV0073
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