Livial Tablets

You can find more details in the Livial tablet patient information leaflet.

Talk your doctor before taking Livial:

• If you have or have ever had breast cancer, or if you are suspected of having it
• If you have cancer which is sensitive to oestrogens, such as cancer of the womb lining (endometrium), or if you are suspected of having it
• If you have any unexplained vaginal bleeding
• If you have excessive thickening of the womb lining (endometrial hyperplasia) that is not being treated.
• If you have or have ever had a blood clot in a vein (thrombosis), such as in the legs (deep venous thrombosis) or the lungs (pulmonary embolism)
• If you have a blood clotting disorder (such as protein C, protein S, or antithrombin deficiency)
• If you have or recently have had a disease caused by blood clots in the arteries, such as a heart attack, stroke or angina
• If you have or have ever had a liver disease and your liver function tests have not returned to normal
• If you have a rare blood problem called porphyria which is passed down in families (inherited)
• If you are allergic to tibolone or any of the other ingredients of this medicine
• If you are pregnant or think you might be pregnant.
• If you are breastfeeding.

You may have irregular bleeding or drops of blood (spotting) during the first 3-6 months of taking Livial tablets. But if the bleeding or spotting carries on for more than the first 6 months, starts after you have been taking Livial for more than 6 months, or carries on even after youve stopped taking Livial tablets speak to your doctor.

If you forget to take a Livial tablet, take it as soon as you remember unless you are more than 12 hours late. If you are more than 12 hours late, just skip it, and take your next tablet at the usual time.

Don’t take a double dose.

It is unlikely that taking more than one tablet will do you any harm, but you may feel sick, be sick or have some vaginal bleeding.

Some medicines may interfere with the effect of Livial tablets. This might lead to irregular bleeding. This applies to the following medicines:

• Medicines against blood clotting (such as warfarin)
• Medicines for epilepsy (such as phenobarbital, phenytoin and carbamazepine)
• Medicines for tuberculosis (such as rifampicin)
• Herbal remedies containing St Johns Wort (Hypericum perforatum).

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines obtained without a prescription, herbal medicines or other natural products.

Yes, you can legally buy Livial tablets online from a trusted prescriber such as e-Surgery.

Whenever you buy Livial tablets online, or any other medication make sure you check for the green GPhC logo on the bottom of each page of the website you are using.

You can use theGPhC website to check if a pharmacy is registered. This will ensure that when you buy Livial tablets online they are genuine.

Do not use this medication after the expiry date and keep it in a cool, dry environment away from children.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

If you need more information before you buy Livial tablets online please read the Livial tablet patient information leaflet.

Alternatively, you can use our free Ask-a-Pharmacistservice to gain additional support in answering any questions you might have. We are always here to help!