मुख्य सामग्री पर जाएं

टिबोलोन टैबलेट्स

Livial

Take one tablet every day.

During the treatment you will be invited for regular check-ups with your doctor/nurse. It is important that you keep these appointments.

एक नजर में

  • Tibolone is a man-made hormone medicine for women who have gone through menopause.

  • It is used to relieve oestrogen deficiency symptoms like hot flushes and to prevent osteoporosis.

  • Take one tablet daily, ideally at the same time each day, before or after food.

  • Tibolone carries a small increased risk of stroke, endometrial, and possibly breast cancer.

  • Your doctor will discuss the benefits and risks of treatment with you.

  • Attend all regular check-ups and screenings while taking this medicine.

About tibolone

दवा का प्रकार

A man-made female hormone

के लिए उपयोग किया जाता है

Symptoms of oestrogen deficiency

To prevent osteoporosis

जिसे कहा जाता है

Livial®

के रूप में उपलब्ध

Tablets

Tibolone works by mimicking the activity of the female sex hormones, oestrogen and progesterone. It also has some male hormone (androgen) effects. Tibolone helps to restore the balance of female hormones in women who have a lack of oestrogen; it helps to ease symptoms such as hot flushes and night sweats. You will only be prescribed it if these symptoms seriously interfere with your daily life.

Tibolone is also prescribed to help prevent 'thinning' of the bones (osteoporosis). It is only suitable for women who have been through the रजोनिवृत्ति, and providing there have been at least 12 months since the last natural period. It is prescribed when other, more preferred, treatments are not suitable.

Before taking tibolone

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking tibolone it is important that your doctor or pharmacist knows:

  • If you (or a close family member) have had breast cancer.

  • If you have had a cancer that you have been told is hormone-dependent.

  • If you have any unexplained vaginal bleeding.

  • If you have liver disease, or if you have any problems with the way your kidneys work.

  • If you know you have high levels of fat (triglycerides or cholesterol) in your blood.

  • If you have ever had a blood clot in your leg or lungs, or if you have had inflammation of a vein (thrombophlebitis).

  • If you have angina, or if you have had a heart attack or stroke.

  • If there is a possibility you might be pregnant.

  • If you have diabetes mellitus.

  • If you have migraines, or migraine-like headaches.

  • यदि आपको मिर्गी है।.

  • If you have gallstones.

  • If you have a rare inherited blood condition, called porphyria.

  • यदि आप कोई अन्य दवाएं ले रहे हैं। इसमें वे सभी दवाएं शामिल हैं जो आप बिना पर्ची के खरीद सकते हैं, साथ ही हर्बल और पूरक दवाएं भी शामिल हैं।.

  • यदि आपको कभी किसी दवा से एलर्जी की प्रतिक्रिया हुई है।.

How to take tibolone

  • Before you start taking the tablets, read the manufacturer's printed information leaflet from inside your pack. The manufacturer's leaflet will give you more information about tibolone and a full list of the side-effects which you may experience from taking it.

  • Take one 2.5 mg tablet every day. You may take tibolone at whatever time of day you find easiest to remember, but try to take your doses at the same time of day, each day. You can take the tablets before or after meals. You may find it helps to swallow the tablet with a drink of water.

  • If you forget to take a dose, take it as soon as you remember unless you are more than 12 hours late. If you are more than 12 hours late, leave out the forgotten dose and take your next tablet at the usual time. Do not take two tablets together to make up for a missed dose.

अपने उपचार से अधिकतम लाभ प्राप्त करना

  • Studies have shown that tibolone is associated with a small increased risk of both stroke and endometrial cancer. It may also be associated with an increased risk of breast cancer. Before you take tibolone, your doctor will discuss with you the benefits of the treatment versus its risks. Your doctor will then continue to consider the benefits and risks as you carry on taking the tablets. This is to make sure that the treatment remains suitable for you.

  • Although tibolone is usually suited to short-term use, you will be invited for regular check-ups during treatment. Remember to keep these appointments so that your doctor can check on your progress.

  • It is also important that you go for any regular breast screening and cervical smear tests. Check your breasts regularly for any skin changes, dimpling and lumps. If you notice any changes, speak with your doctor as soon as possible.

  • If you are due to have an operation, tell the person carrying out the treatment that you are taking tibolone. Your treatment may need to be stopped for a while, especially if you are not expected to be fully mobile for a time. This is to reduce the risk of a blood clot.

  • If you are taking tibolone to prevent 'thinning' of the bones (osteoporosis), there are a number of lifestyle measures that will also help slow down bone loss. Exercise stimulates bone-making cells, which strengthens your bones, so try to take some regular weight-bearing exercise (such as brisk walking, aerobics, dancing, or running). If you smoke, you should try to stop. Also, you should try to cut down on your alcohol intake if you drink more than two units of alcohol daily.

Can tibolone cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with tibolone. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common

tibolone side-effects (these affect fewer than 1 in 10 women)

अगर मुझे यह अनुभव होता है तो मैं क्या कर सकता हूँ?

Pain in the lower abdomen, increased weight, unusual hair growth, breast tenderness

If any of these become troublesome, speak with your doctor

Vaginal thrush (redness and itching in the vagina)

Speak with your doctor or pharmacist for advice

Vaginal bleeding and spotting

This may happen when you first start tibolone and is nothing to worry about. If it continues for more than a few months, you should let your doctor know about it

If you experience any other symptoms which you think may be due to the medicine, speak with your doctor or pharmacist.

How to store tibolone

  • Keep all medicines out of the sight and reach of children.

  • ठंडी, सूखी जगह पर रखें, सीधे गर्मी और रोशनी से दूर।.

सभी दवाओं के बारे में महत्वपूर्ण जानकारी

सभी दवाओं के बारे में महत्वपूर्ण जानकारी

निर्धारित खुराक से अधिक कभी न लें। यदि आपको संदेह है कि आपने या किसी और ने इस दवा की अधिक मात्रा ले ली है, तो अपने स्थानीय अस्पताल के दुर्घटना और आपातकालीन विभाग में जाएं। कंटेनर को अपने साथ ले जाएं, भले ही वह खाली हो।.

यह दवा आपके लिए है। इसे कभी भी अन्य लोगों को न दें, भले ही उनकी स्थिति आपकी जैसी ही क्यों न लगे।.

If you buy any medicines, check with a pharmacist that they are suitable to take with your other medicines.

पुरानी या अनचाही दवाइयाँ न रखें। उन्हें अपने स्थानीय फार्मेसी में ले जाएँ, जो उन्हें आपके लिए नष्ट कर देगा।.

यदि इस दवा के बारे में आपके कोई प्रश्न हैं तो अपने फार्मासिस्ट से पूछें।.

दवा या टीके के दुष्प्रभावों की रिपोर्ट करें

यदि आपको दुष्प्रभाव महसूस होते हैं, तो आप उन्हें ऑनलाइन रिपोर्ट कर सकते हैं येलो कार्ड वेबसाइट.

लक्षण जाँचकर्ता

दवाओं को मिलाने के बारे में अनिश्चित?

दवाओं, सप्लीमेंट्स और खाद्य पदार्थों के बीच संभावित इंटरैक्शन की जांच करें, उन्हें एक साथ लेने से पहले।.

अक्सर पूछे जाने वाले प्रश्न

What should I do if I forget to take a dose of tibolone?

If you miss a dose, take it as soon as you remember, unless it's more than 12 hours past your usual time. In that case, skip the missed dose and take your next tablet at the regular time. Do not take two tablets at once to make up for a forgotten dose.

Can I take tibolone with other medications?

You should always inform your doctor or pharmacist about any other medicines you are taking, including over-the-counter, herbal, and complementary medicines, as some may not be suitable to take with tibolone.

What should I do if I notice new or unusual changes in my breasts while taking tibolone?

It is important to check your breasts regularly for any skin changes, dimpling, or lumps. If you notice any changes, you should speak with your doctor as soon as possible.

Are there specific lifestyle changes I can make to help prevent 'thinning' of bones while on tibolone?

Yes, if you are taking tibolone for osteoporosis prevention, lifestyle measures can also help. These include regular weight-bearing exercise like brisk walking, aerobics, dancing, or running. If you smoke, you should try to stop, and if you drink more than two units of alcohol daily, you should try to reduce your intake.

What should I do if I'm scheduled for surgery while taking tibolone?

If you are due to have an operation, you must tell the person carrying out the treatment that you are taking tibolone. Your treatment may need to be stopped for a while, especially if you are not expected to be fully mobile for some time, to reduce the risk of a blood clot.

अधिक पठन और संदर्भ

लेखक के बारे मेंपूरा जीवन परिचय देखें

लेखक की छवि

Michael Stewart, MRPharmS

दवा पत्रक समीक्षा प्रबंधक – ठेकेदार, फार्मासिस्ट

BPharm (Hons), MRPharmS

माइकल मिडलैंड्स और साउथ यॉर्कशायर में एक सामुदायिक फार्मासिस्ट हैं, जो दवाओं और चिकित्सा स्थितियों पर सलाह देने में 20 से अधिक वर्षों का अनुभव रखते हैं। उनके पास स्वास्थ्य देखभाल प्रशिक्षण में मजबूत पृष्ठभूमि है, उन्होंने फार्मेसी टीमों और आवासीय देखभाल सेटिंग्स के कर्मचारियों, जिनमें नर्सें शामिल हैं, के लिए प्रशिक्षण पाठ्यक्रम तैयार और प्रस्तुत किए हैं। उन्होंने समुदाय में कम तीव्रता वाली स्थितियों के प्रबंधन के लिए फार्मेसी सलाहकार बोर्डों में भी योगदान दिया है।.

समीक्षक के बारे में

लेखक की छवि

Sid Dajani

सुल्तान दाजानी ने 1994 में लंदन स्कूल ऑफ फार्मेसी से योग्यता प्राप्त की और 1842 में इसकी स्थापना के बाद से रॉयल फार्मास्यूटिकल सोसाइटी परिषद के सबसे युवा निर्वाचित सदस्य बने।.

लेख का इतिहास

इस पृष्ठ पर दी गई जानकारी योग्य चिकित्सकों द्वारा लिखी और सहकर्मी समीक्षा की गई है।.

  • Next review due: 8 Nov 2027
  • 9 मई 2023 | नवीनतम संस्करण

    द्वारा अंतिम अपडेट

    Michael Stewart, MRPharmS

    द्वारा सहकर्मी समीक्षा की गई

    Sid Dajani
फ्लू पात्रता जाँचकर्ता

पूछें, साझा करें, जुड़ें।.

चर्चाओं को ब्राउज़ करें, प्रश्न पूछें, और सैकड़ों स्वास्थ्य विषयों पर अनुभव साझा करें।.

पेशेंट न्यूज़लेटर के लिए साइन अप करें

आपकी साप्ताहिक खुराक स्पष्ट, विश्वसनीय स्वास्थ्य सलाह की - जो आपको सूचित, आत्मविश्वासी और नियंत्रण में महसूस करने में मदद करने के लिए लिखी गई है।.

कृपया एक मान्य ईमेल पता दर्ज करें

सदस्यता लेने पर आप हमारी स्वीकार करते हैं गोपनीयता नीति. आप किसी भी समय सदस्यता समाप्त कर सकते हैं। हम कभी भी आपका डेटा नहीं बेचते।.