Livial 2.5 mg tablet active substance is: tibolone. This medicine is a Hormone Replacement Therapy (HRT). It contains tibolone a substance that has favourable effects on different tissues in the body such as brain vagina and bone. This medicine is used in postmenopausal women with at least 12 months (1 year) since their last natural period. This medicine is used for: Relief of symptoms occurring after menopause. During the menopause the amount of the oestrogen produced by a woman’s body drops. This can cause symptoms such as hot face neck and chest (“hot flushes”). Livial alleviates these symptoms after menopause. You will only be prescribed this medicine if your symptoms seriously hinder your daily life. Prevention of osteoporosis. After the menopause some women may develop fragile bones (osteoporosis). You should discuss all available options with your doctor. If you are at an increased risk of fractures due to osteoporosis and other medicines are not suitable for you you can use Livial to prevent osteoporosis after menopause.