Maximum per order: 1
Pregnancy: Not suitable
Breastfeeding: Not suitable
Livial 2.5 mg tablets provide relief from menopausal symptoms, including osteoporosis. It is a form of hormone replacement therapy (HRT). Livial contains one ingredient, Tibolone, which breaks down in the body into components which emulate the sex hormones oestrogen, progesterone and testosterone. In this way, it is different from most HRT treatments, which directly contain these sex hormones. Another difference is that Livial also increases testosterone levels, which has the effect of limiting some of the negative side effects of HRT. Livial is most similar to continuous combined forms of HRT.
This form of HRT does not involve a regular period. For this reason, Livial is suited for women who have gone at least a year without a menstrual bleed.
All women go through the menopause. This usually occurs between the ages of 45 and 55. As you approach this age, your ovaries will produce less and less oestrogen. This has the effect of stopping the menstrual cycle, but the change in hormone levels can lead to several symptoms which may have a substantial impact on day-to-day life. Physical symptoms include hot flushes (a spontaneous heat that spreads throughout the body, leading to blushing, sweating and an unusually strong heartbeat), night sweats, osteoporosis and dryness of the eyes or vagina. The hormonal change can also cause distressing psychological effects such as irritability, insomnia and depression. Experiences with menopausal symptoms vary significantly depending on the individual. They can begin multiple years prior to the menopause itself, and remain for many years. Women will, on average, experience symptoms for about four years.
Hormone Replacement Therapy eases the symptoms of menopause by supplementing the levels of hormones which the body can produce naturally. Livial breaks down into components which emulate the sex hormones oestrogen, progesterone and testosterone. Most menopausal symptoms occur due to a lack of oestrogen. However, in women who still have a uterus, an uncontrolled increase in oestrogen levels will cause the lining of the uterus (the endometrium) to grow excessively. This will substantially increase your risk of complications such as endometrial cancer. This is why Livial also raises progesterone levels. The testosterone in Livial has the effect of limiting some of the negative side effects of HRT.
As your body adjusts to Livial, you may notice breakthrough bleeding or spotting. Talk to your GP if this continues after more than a few months of treatment HRT should only be necessary as a relatively short-term treatment as your body adjusts to the menopause. You should review your HRT with your GP at least once each year and have regular gynaecological checkups.
HRT will not prevent pregnancy in women who are otherwise fertile. Women under 50 are considered fertile until two years after their final menstrual cycle (for women over 50, this is reduced to one year). Do not use a hormonal contraceptive while undergoing HRT.
Why choose The Independent Pharmacy?
Livial should be taken at a similar time each day, according to the directions on the pack. Swallow the tablet whole with a sip of water. This can be done with or without food. Once you finish a pack, start a new pack the following day without an interval. You should review your HRT with your GP at least once each year.
If, for any reason, you forget to take a tablet, take it as soon as possible. However, if it is more than 12 hours late, skip the dose that you missed. Never double your dose to compensate for a dose that you have missed.
Not everyone will experience side effects when they take Livial, however if you do they can include:
Breast pain, weight gain, unwanted hair growth, breakthrough bleeding, vaginal discharge, infection, stomach pain, thickening of the uterine or cervical linings
If you are concerned about these effects, or if the product affects you in any other way, stop using it and talk to your doctor or pharmacist.
The active ingredient contained in Livial is:
Livial tablets also contain the following inactive ingredients to make up the complete product:
Potato starch, lactose monohydrate, ascorbyl palmitate, magnesium stearate
Reading the following warnings carefully will help to ensure you are selecting an appropriate product.
Livial is unsuitable for you if you:
Inform your GP if you plan on taking Livial and have ever had any of the following health complications:
Tell your GP or pharmacist if you have taken or plan to take any of the following medicines:
If fewer than 12 months have passed since your last period, you should not take Livial. As your body adjusts to Livial, you may notice breakthrough bleeding or spotting. Talk to your GP if this continues after more than a few months of treatment.
Despite imitating the effects of progesterone, Livial has been shown to increase risk of endometrial cancer with long-term use.
HRT may increase your risk of breast cancer. The extent of this risk will vary depending on the length of your HRT treatment and whether you are taking combined or oestrogen-only HRT. Check your breasts regularly for changes to the skin or nipple, or for any noticeable lump. For women who use HRT for more than five years, there may also be a slight increase in the risk of ovarian cancer.
Stop taking Livial and seek medical attention immediately if you notice early signs of any of the following:
Discuss with your doctor whether your personal benefits of HRT outweigh the risks mentioned above.
Please read all packaging and the Product Information Leaflet before taking any new medicine and inform your doctor of medicines you are taking or intend to take.
We offer FREE standard tracked delivery on orders over £40.
The following delivery options are available:
All our orders are sent out using Royal Mail. We always aim to dispatch all orders received before
All orders can be fully tracked in your account.
We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods.
Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt.
Delivery is free for all NHS prescriptions.
Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering.
If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.
Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a
Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.
You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.
Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail
We deliver by 5.30pm the next working day in the following postcode areas:
AB30 - 39, 41 - 45, 51 - 56
GY9 Alderney (Channel Islands)
HS1, 3 - 9
IV21 - 28, 40 - 49, 51 - 56
KW1 - 3, 5 - 15
KW16 Stromness Town only
PA28 - 38, 41 - 49, 76, 77
PH15, 17 - 26, 31 - 40, 49, 50
We deliver within two working days by 5.30pm to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
PA60 - 75, 78
We deliver within three working days by 5.30pm to the following postcode areas:
KW16 - non-Town
PH30, 41 - 44
Please note: This applies to our 'Special Delivery' and 'Saturday Guaranteed' services.
We are currently unable to ship orders outside of the UK.
We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.
Yes – as long as you are buying from a website that is a legally operating and regulated pharmacy, it is perfectly safe to buy Livial online.
The Independent Pharmacy is an NHS Online Pharmacy based in Bristol and has all the necessary regulation to be able to safely provide convenient access to genuine prescription treatments through our Online Pharmacy and Online Doctor.
All of our hay fever treatments are supplied by the same UK-based wholesalers used by the large high-street chains.
Just select ‘Start Consultation’ next to the product above, or on the links below.
You will need to fill in a simple health questionnaire so that our GPs and Pharmacists can ensure it is safe for us to supply your Livial tablets to you. It only takes a few minutes, and your treatment can be delivered to your door as soon as the next working day.
Yes – we understand that sometimes you will want your treatment as soon as possible. If ordered before 4pm Monday to Friday, Livial is available for next-day delivery.
Livial is a prescription-only HRT treatment. For that reason, to ensure the safety of our patients and the legal operating of our pharmacy, we only supply a maximum of 6 months’ worth of treatment at one time.
This allows us to balance offering our patients an adequate supply of treatment with regular checks on their condition, symptoms and effectiveness of treatment. This model ensures the perfect mix of convenience with optimal health and safety.
If you have no adverse effects and your symptoms are well controlled, you can log in and easily re-order another supply.
The price includes the medication you have selected, the private consultation with our Doctor and, if the purchase is over £40, it also includes free standard delivery. Under £40, standard delivery is £2.95 and all items are sent using a Royal Mail Tracked Service.
There are many advantages to buying HRT treatments online, some include:
We guarantee to beat the price of any similar service.
Complete your purchase in minutes.
Our UK-based team is always available to help.
Same day dispatch before 4pm with tracked delivery.
It's easy! Follow our simple 5-step process to get the treatments you need in no time.
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