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For medical questions.
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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.

  • Review by a qualified doctor
  • Including prescription
  • Next-day delivery included

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


Evorel ContiPremique
Overview Continuous combined HRT patchesContinuous combined HRT tablets
Progestogen 170 mcg Norethisterone acetate every 24h1.5mg Medroxyprogesterone acetate
Oestrogen 50 mcg Estradiol every 24h0.3mg Conjugated oestrogens
  Active ingredient(s)
Active ingredient(s) Estradiol hemihydrate & Norethisterone acetateConjugated Oestrogens & Medroxyprogesterone acetate
  Who can take it
Who can take it If you are postmenopausalIf you are postmenopausal
Features --
  Side effects
Side effects --
  How to take
How to take 1 patch twice weeklyDaily tablet
  Price 3 month course
Price 3 month course £74.99£24.99
View treatmentView treatment

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How does it work?

Select Select your treatment


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.


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


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.


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 Redeem your prescription


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


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).


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

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


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


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).


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


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.


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.


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!

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