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Livial

HRT|Active ingredient(s): Tibolone|Manufacturer: ORGANON

What others say about Livial

Trustpilot review
11 reviews with score 4.7

Quality healthcare
made easy

Price is all-inclusive.
Consultation is included.
Prescription is included.

Free shipping.
UK: Free next-day delivery.
Discreet packaging.

Licensed doctors.
Registered pharmacies.
Certified online pharmacy.

Livial

How Livial works

Livial is an oral HRT medication that contains tibilone, which is a steroid that influences the body in a similar way to testosterone, progestogen and oestrogen. These are all hormones that fall as a result of bodily changes during menopause.

By replacing oestrogen, this treatment is able to ease symptoms such as night sweats, vaginal dryness, vaginal itching, hot flushes and loss of bone mass. Replacing testosterone has the benefit of improving sexual difficulties and changes in sex drive. Finally, tibilone’s ability to imitate progestogen can help maintain womb health and prevent endometrial cancer, which is often a risk in patients who are taking additional oestrogen.

Who Livial is for

Although most women with menopause symptoms can use this treatment safely, you may not be recommended this medicine if you have recently experienced a heart attack or stroke, you are allergic to steroid based treatments, you have a history of oestrogen dependent cancer or breast cancer.

You should only order this treatment online if you have been prescribed it by your doctor and you are paying them regular visits to monitor your health.

Taking Livial

It should be taken on a daily basis for the entire duration of a women’s cycle. After the 28 day cycle a new pack should be started without any break from taking this pill. You will normally be prescribed the lowest dose to start off with, which will then be increased if it is required and you aren’t prone to side effects.

Side effects

Most prescription medications carry a risk of side effects, although this doesn’t mean that everyone using a particular medication will experience them. The side effects experienced by users of Livial may include fluid retention, breast tenderness, bloating, headaches and indigestion. These side effects tend to go away as the body adjusts to the treatment, but if they persist or you notice anything more serious, you should speak to your doctor about it. Your doctor may then choose to change the treatment you are on or to reduce your dosage.

Sometimes side effects can be avoided by ensuring that you follow a healthy diet.

Buying Livial online

This is available to order from 121doc, but we ask that you only start a consultation if your regular doctor has already recommended it to you and you are receiving regular check-ups. All online consultations completed on 121doc are checked by our doctors who will provide you with a prescription if they feel that you can safely use this treatment. If for any reason our doctors suggest you cannot use this treatment then please find an alternative. This prescription will then be passed to our pharmacy, where a pharmacist will dispense your medication and have it dispatched for next day delivery at no additional charge

Medical review byDr. Caroline FontanaLast review 25 May 2025
Dr. Caroline Fontana

Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.

FAQs

What is included in the online consultation?
Will a doctor review my consultation?
What happens after I submit my order?
What services are included with my order?
Is the price all-inclusive?
What are my delivery options?
Is it safe to buy prescription medication online?
Is this service discreet?
What is included in the online consultation?

Our online consultations are in the format of short medical questionnaires. You will be asked general questions about your health and medical history, as well as specific medical questions relevant to the treatment you have chosen. We will also ask you for your payment and delivery details to complete the order.

Online consultations take no longer than 5 minutes to complete. All questions are necessary when issuing prescription medicines. It means that our doctors can make sure the treatment is safe and right for you.

Will a doctor review my consultation?

Yes, it is a legal requirement that all online consultations are reviewed by a registered doctor. This is to make sure the chosen treatment is safe and right for you to take. All personal information is stored securely and confidentially.

Please note, all orders are subject to doctor approval, and we cannot guarantee that your order will be approved.

What happens after I submit my order?

Your online consultation will be sent directly to our medical team, where it will be reviewed by on of our in-house doctors.

If a doctor approves you for treatment, they will issue a prescription. Your prescription will then be forwarded to our pharmacist, where you medication will be dispensed and dispatched for delivery.

What services are included with my order?

Every order includes:

  • Free consultation - your consultation will be personally reviewed by one of our registered doctors.
  • Free prescription - a doctor will issue you a prescription if approved for treatment.
  • Free delivery - we provide free express delivery across Europe, you should receive your order in 1-2 working days.
Is the price all-inclusive?

Yes, our service is all-inclusive and there are no hidden fees. All 121doc orders include a free online consultation, a free prescription and free express delivery.

What are my delivery options?

We offer several delivery options at no extra charge:

  • Next-day delivery
  • UPS Access Point - convenient parcel drop-off and collection near your home or work address
  • Nominated-day delivery - choose the most convenient day for delivery

All these options can be tracked and require a signature on delivery. If you are not in, a friend or relative can sign in your place.

Is it safe to buy prescription medication online?

It is safe to buy prescription medications online from genuine and reputable healthcare providers, like 121doc.

Our medical staff and facilities are registered with the relevant medical governing bodies. We also ensure your data is protected by adhering to European data privacy laws.

You can learn more about our certifications here.

Is this service discreet?

Our patients’ privacy is of utmost importance. All your medical information is securely stored and only viewed by our doctors. We do not share your details with third-parties. We are also closely adhere to data privacy laws.

All orders will only show on invoices, bank statements, etc. as ‘HHC Ltd’.

How does it work?

Select
Select Select your treatment and complete our online consultation.
Free consultation

Conditions:

Select a condition here or use the top menu. For every condition, we provide you with information as well as the treatments we currently offer. If you don’t know which is best for you, just click the 'Advise-me' button.

Treatments:

If you know what you want, the quickest way to find a specific medication is to use the search bar here.

Ordering:

Every order starts with an online consultation. We will ask you medical questions to make sure only treatment that is safe and effective is prescribed. We take into account your lifestyle, health and any other medications you’re currently using.

The consultation is completely free, and takes between 5 and 10 minutes of your time.

All your information is safe with us. We don’t share it with anyone unless you want us to.

Help:

If you need any guidance, you can call, message or email our customer service team via the ‘How can we help you?' section here.

Prescribe
Prescribe Our doctors review your order.
Free prescription

Review:

As soon as you place the order, one of our doctors will review your consultation. On working days, this usually takes around one hour.

Questions:

If the doctor has any additional questions, you will receive a phone call and an email. We understand you might be at work or busy. Our customer service representatives are always discreet and can call back at a more convenient time if necessary.

Our emails never contain any personal or medical information, only a link to your private account on our website (where you will find your messages).

Pharmacy:

Once our pharmacy receives your prescription, you will get a second email with your package tracking code.

Deliver
Deliver Expect your delivery the next working day.
Always free. Discreet packaging.
Free next-day delivery

Free:

All orders include next-day delivery. Alternatively, you can select a delivery date that suits you better.

Location:

We also provide a free UPS Access Point service. Pick up your package from one of many collection points across the UK.

With your tracking code, you will know the estimated delivery time. All we need is your signature (or a friend‘s or relative’s).

Discreet:

All parcels are plainly labelled; there is no logo or any indication of its contents. Inside, you will find your treatment as well as a patient leaflet in your chosen language.

Repeat
Repeat Subscribe and save with our repeat service. Never miss a dose again.
10 to 15% off

Repeat:

With 121doc’s Subscribe & Save service, you can automatically receive your treatment every few weeks or months.

The order will be generated by us, using the information you provided (including delivery frequency). You don’t have to do anything. Payment is taken two days before shipping.

Subscribe:

There are two ways to subscribe. The first is during the order process. The second is via your profile here.

You can cancel or amend your repeat prescriptions at any time.

Save:

There are no sign-up fees with this service. Plus, you get a 10% discount off all future prescriptions, increasing to 15% after six orders!