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You must complete a short online consultation so that our prescriber can ensure that the treatment is suitable for you.
Order now to receive your order Friday, May 24
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How to order
  1. Click on the green "Back To Get Started" button, then click "Start Consultation" button on the next page.
  2. Fill in our short consultation form.
  3. Choose delivery method and mode of payment.
  4. Our team of expert prescribers will assess whether medication is suitable.
  5. If you get the green light and it is deemed suitable, your order will be processed quickly and efficiently.
Confidential Service

Your privacy is important, Prescription Doctor are committed to keeping your details completely confidential.

This is why we also take steps to conceal your prescription products under two layers of packaging.

Delivery and Packing
Discreet Delivery?

We have a commitment to delivering a discreet service and understand your need for privacy. We ship all orders via a trackable courier using discreet, plain packaging.

Do I Need to Wait in All Day for Delivery?

Once your order is dispatched you will receive a tracking number via sms and email.

Do You Deliver on Weekends?

We deliver medications between Monday and Saturday. You can upgrade to Saturday delivery on Friday.

My Order Hasn’t Arrived What Should I Do?

You should receive a tracking number with your order which you can use this number to track your parcel online. This should give you a clear indication of where your parcel is. If you haven’t received your parcel in the time frame given by our couriers, contact your local depot to find out where it is. You can also contact our support team who will do this for you.

Can I Be Notified by Text?

On checkout you will be asked to leave your mobile number so our courier can text you about the delivery. This is also useful if the courier has problems finding your address. We will not use your mobile number for anything else.

Payment Methods
How Can I Pay for My Order?

You can pay for your order using credit, debit card or via bank transfer.

I Don’t Have a Credit Card, How Can I Pay?

If you don’t have a credit or debit card you can pay via bank transfer. We will give you a unique reference number at checkout along with details of how to make the transfer. Once the money has cleared in our account, we will process your order.

How Do You Keep My Details Safe?

We are a completely secure site and take many measures to ensure your details are kept safe. We understand that you have a right to extreme privacy when purchasing sensitive health medications. All information that you provide to us is stored on our secure servers. Any payment transactions will be encrypted using SSL technology.

Payment and refunds?

You can pay for your order using credit, debit card and bank transfer.

Card Payment: Please notify us that you wish to cancel your order. Your refund will show available In 1 - 3 days.

Bank Transfer: A member of our team will contact you requesting for your bank details. These details are only used to transfer the funds back into your account.

Treatment Information

Table of contents

What is Livial?

Livial is a synthetic steroid used in hormone replacement therapy (HRT) to treat the symptoms of the menopause and reduce the risk of osteoporosis (thinning of the bones) in postmenopausal women.

When ingested, the active component (tibolone) is metabolised into compounds which mimic the natural sex hormones oestrogen, progesterone and testosterone. This helps to restore the hormonal imbalance within the body and relieve symptoms of the menopause.

Livial can be prescribed for post-menopausal women who are at risk of developing osteoporosis (thinning of the bones) and where other treatments for the condition can not be given.

You can buy Livial tablets for menopause online from Prescription Doctor. To begin your order, simply complete our online medical form for one of our prescribers to review.

If your order is approved before 3pm on a weekday, our pharmacy can dispatch your item the same day via a discreet next-day delivery.

What is menopause?

The menopause is when the hormones in the woman’s body become unbalanced, which causes various changes. Ovulation and periods slow down before stopping altogether.

What are the symptoms of the menopause?

Symptoms of the menopause include:

  • Hot flushes
  • Mood swings
  • Sleep disturbances
  • Changes in sex drive (libido)

These symptoms usually start between the ages of 45 and 55, and last for about 4 years.

If these symptoms interfere with a woman’s lifestyle, HRT can be prescribed to relieve the symptoms and bring hormonal balance back to the body, while reducing the risk of associated health conditions such as endometrial cancer and osteoporosis.

How to take Livial?

Before taking Livial, it is important to arrange a consultation with your GP to ensure that the treatment is right for you.

Livial tablets can be taken with or without food. Swallow the tablets whole with a glass of water.

What should I do if I forget to take Livial when I should?

If you miss a dose, take the missed dose as soon as you remember.

If 12 hours have passed since your missed dose, skip the missed dose and take the next tablet as normal. Do not take more medicine to make up for the missed dose.

Always take Livial as prescribed by the doctor.

Side effects and cautions of Livial

Before you start taking Livial, you must read the patient information leaflet that comes with your medicine.

You can read the patient information leaflet for Livial online.

Who should not take Livial?

Livial should not be used by women who:

  • Are allergic to any of the ingredients of Livial
  • Are pregnant
  • Have a blood condition called porphyria
  • Have a condition caused by a blood clot (e.g heart attack, stroke, angina)
  • Have not experienced the menopause
  • Have unexplained vaginal bleeding
  • Have untreated endometrial hyperplasia (thickening of the uterus lining)
  • Have, or had, a blood clot (deep vein thrombosis or pulmonary embolism)
  • Have, or had, cancer of the breast and/or endometrium (lining of the womb)
  • Have, or had liver disease

Side effects of Livial

All medications carry the risk of side effects, though not everyone will experience them. Before taking your medication, it is important to familiarise yourself with the patient information leaflet enclosed within the packaging of your treatment.

Possible side effects of Livial may include:

  • Breakthrough bleeding or spotting
  • Excessive growth of the endometrium
  • Excessive hair growth on face and body
  • Itching skin
  • Stomach ache
  • Swelling of the extremities (water retention)
  • Vaginal discharge
  • Vaginal irritation and itching
  • Vaginal thrush
  • Weight changes

This is not a full list of side effects. Further information regarding the safety of Livial, including a complete list of side effects, can be found within the patient information leaflet.

If you experience any side effects, whether they are listed above or in the patient information leaflet, speak to your doctor or consult a pharmacist.

If you experience any of the following symptoms, immediately stop taking Livial and seek medical advice from a healthcare professional:

  • A sharp rise in your blood pressure
  • Migraine (if not experienced before)
  • Signs of a blood clot (painful swelling and redness in the legs, sudden chest pain and difficulty breathing)
  • Yellowing of the skin and eyeballs (jaundice)


Do not take Livial if you are allergic to tibolone or any of the other ingredients listed in the patient information leaflet.

Livial contains lactose. Speak to your doctor before taking Livial if you are sensitive to some sugars.

If you experience an allergic reaction after taking Livial, stop taking the tablets and seek emergency medical attention. Go to your nearest accident and emergency department right away. Remember to take the packaging and any remaining medicine with you, so that doctors treating you know exactly what you have taken.

Other safety information

Always read the included patient information leaflet before you start taking Livial.

If you have any questions or concerns about anything you read in the patient information leaflet, speak to your doctor or a pharmacist.

Do not take Livial past the expiry date printed on the packaging.

Never dispose of medicines via household or water waste, as this can damage the environment. Ask your local pharmacy to dispose of any unwanted or expired medication for you.

Always store Livial tablets out of sight and reach from children and pets.

Never share your medicines with anybody else, even if they are experiencing the same symptoms or have been diagnosed with the same condition as you.

Treatment information

  • Product name: Livial
  • Manufacturer: MSD Pharmaceuticals
  • Active Ingredient(s): Tibolone
  • Administration: Oral
  • Presentation: Tablets
  • Available Strength: 2.5 mg
  • Exemption: Prescription Only
  • Application: Postmenopausal women
  • Dosage: Take one tablet daily
  • Description: HRT for postmenopausal women
  • Drug Class: Anabolic steroid
  • Alcohol Consumption: No influence
  • When Pregnant: Do not take Livial
  • When Breastfeeding: Do not take Livial
  • Price: 54.99 GBP
Click here to view the Livial - Patient Information Leaflet

Authored & Reviewed By

Mohamed Imran Lakhi

Mohamed Imran Lakhi

MPharm - Lead Pharmacist
Imran Lakhi is the superintendent pharmacist and founder at Prescription Doctor. He has been at the core of our team.

Published on: 28/02/2019 Reviewed on: 13/03/2024

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