Livial 2.5mg Tablet

Brand Organon
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  • Muslim-Friendly
  • FDA Approved
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Overview

Livial 2.5mg Tablet is a tablet with Tibolone 2.5mg declared as its active content. It is supplied in a pack size of 28s.

This is a non-prescription product and can be purchased without a prescription. Only product, safety and handling details are published on this page.

An online consultation with a DoctorOnCall doctor or pharmacist is available for this product, and a registered pharmacist reviews each order before dispatch to Malaysia or Singapore. Follow the directions on the label and on the leaflet inside the pack.

Directions for Use

Take one tablet daily, swallowed whole with a glass of water, at around the same time each day, starting only on your doctor’s advice and generally at least 12 months after your final natural menstrual period.

Dosage

The usual dose is one 2.5mg tablet once daily; your doctor will confirm the correct starting time and duration of treatment based on your individual menopausal status and health history.

Shelf Life

Use within the expiry date printed on the blister strip and carton; do not use the tablets beyond this date.

Storage Instructions

Store below 30°C in a dry place away from direct light and moisture, and keep out of reach of children.

Side Effects

  • Breast tenderness
  • Vaginal discharge
  • Headache
  • Abdominal pain
  • Weight gain
  • Nausea
  • Rash or itching
  • Fatigue
  • Mood changes

Contraindications

  • Undiagnosed vaginal bleeding
  • Known or suspected hormone-sensitive cancer, including breast cancer
  • Untreated endometrial hyperplasia
  • History of venous thromboembolism or stroke
  • Active or past severe liver disease
  • Pregnancy or breastfeeding

Drug / Food Interactions

  • Enzyme-inducing medicines such as certain anticonvulsants and rifampicin may reduce tibolone’s effectiveness
  • Concurrent use with other hormone therapies is generally not recommended unless advised by a doctor
  • Anticoagulant medicines may need dose review as hormone therapy can affect clotting factors

Quick Tips

  • Take your tablet at the same time each day for consistent effect
  • Attend scheduled doctor reviews at least yearly to reassess ongoing treatment
  • Report any unexpected vaginal bleeding to your doctor promptly
  • Have regular breast checks and screenings as advised by your doctor
  • Seek urgent care for signs of blood clots such as leg swelling, pain, or sudden breathlessness

Frequently Asked Questions

Do I need a prescription to buy Livial 2.5mg Tablet?

No. Livial 2.5mg Tablet is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.

What does Livial 2.5mg Tablet contain?

Livial 2.5mg Tablet is a tablet containing Tibolone 2.5mg. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.

What pack sizes does Livial 2.5mg Tablet come in?

It is supplied in a pack size of 28s. Choose the pack size you need from the options shown on this page before adding the item to your cart.

Why is there no information here about what Livial 2.5mg Tablet is for?

This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.

How should I use Livial 2.5mg Tablet?

Use it exactly as stated on the pack label, without changing the amount or how often you use it. If anything on the label is unclear, check with a pharmacist before the first use, and read the Directions for Use section on this page.

Can I speak to a doctor or pharmacist about Livial 2.5mg Tablet before I buy it?

Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.

How should I store Livial 2.5mg Tablet?

Store below 30°C in a dry place away from direct light and moisture, and keep out of reach of children. Keep it in its original pack and do not use it after the expiry date printed on the packaging.

What should I do if I notice side effects after using Livial 2.5mg Tablet?

Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.

How long will delivery take?

Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.

Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.

What payment methods can I use?

Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.

FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.

Can Livial 2.5mg Tablet be delivered to Singapore?

Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.

Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.

Is Livial 2.5mg Tablet registered with the authorities?

Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.

An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.

Who do I contact if there is a problem with my order?

DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.

For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.

Ingredients / Active Ingredients

  • Tibolone 2.5mg
  • Potato starch
  • Ascorbyl palmitate
  • Magnesium stearate
  • Colloidal silicon dioxide

Safety Advice

Pregnancy

No Data

There is no adequate data on use during pregnancy. Consult a doctor before use.

Breastfeeding

Not Advisable

Generally not recommended while breastfeeding.

Kidney

Limited Data

Limited data in kidney disease patients. Use only if necessary.

Liver

No Data

No adequate data available. Consult a doctor before use.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Relevant Information

Hormone replacement therapy, including tibolone, should be used at the lowest effective dose for the shortest duration needed, with periodic doctor review to balance symptom relief against potential risks such as blood clots or hormone-sensitive cancers.

Medical Review

Written by:

Dr. Chong Zhan Pong

Doctor of Medicine (MD), International Medical University (IMU)

Reviewed by:

Dr. Mohd Izzat Amir Bin Awang

Doctor of Medicine (MD), University of Mansoura - Manchester

Customer Reviews

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Important Medical Information

💊 Recommended Dosage:

The usual dose is one 2.5mg tablet once daily; your doctor will confirm the correct starting time and duration of treatment based on your individual menopausal status and health history.

🛑 Contraindications (Do not use if):
  • Undiagnosed vaginal bleeding
  • Known or suspected hormone-sensitive cancer, including breast cancer
  • Untreated endometrial hyperplasia
  • History of venous thromboembolism or stroke
  • Active or past severe liver disease
  • Pregnancy or breastfeeding
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Breast tenderness
  • Vaginal discharge
  • Headache
  • Abdominal pain
  • Weight gain
  • Nausea
  • Rash or itching
  • Fatigue
  • Mood changes
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.