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Livial (Tibolone)

Prescription medicineOnly Available By Prescription

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What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. The must be a member of CIPA (Canadian International Pharmacy Association).
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.


LIVIAL (tibolone) is a medication prescribed to treat both short- and long-term symptoms that are caused by menopause. LIVIAL has not been approved by the Food and Drug Administration for use in the United States. LIVIAL is available by prescription in many other parts of the world.

LIVIAL medication is indicated to treat the following:

  • Symptoms of natural or surgical menopause
  • Second-line prevention of bone mineral density loss in women who have undergone menopause

LIVIAL is converted to three different hormone-like compounds in the body. These compounds have estrogenic, progestogenic, and androgenic activity. The activity of these compounds replaces some of the activity of the natural hormones that decrease with age, especially after menopause. LIVIAL affects several body tissues, including bone, brain, breast, and vaginal cells.


Due to the risks of hormone replacement therapy, continued usage of LIVIAL should be monitored by the prescribing physician. Generally, treatment should not continue longer than 6 months and should only be continued for as long as the benefit outweighs the risks.

The recommended dose is LIVIAL 2.5 mg by mouth once daily. The medication can be taken with or without food.


The active ingredient in LIVIAL is tibolone.


Hormone replacement therapy carries many risks. Tell your doctor your full medical history before beginning treatment. You should not take LIVIAL if you have a history of the following:

  • Active deep vein thrombosis (DVT), pulmonary embolism (PE), or other clotting disorder
  • History of breast cancer
  • History of estrogen-dependent neoplasia
  • History of heart attack or stroke
  • Liver impairment
  • Pregnancy
  • Porphyria
  • Undiagnosed abnormal genital bleeding

Side Effects

The most common adverse effects of LIVIAL are:

  • Abnormal hair growth
  • Acne
  • Breast discomfort
  • Breast tenderness
  • Cervical dysplasia
  • Endometrial wall thickening
  • Fungal infection
  • Genital discharge
  • Lower abdominal pain
  • Nipple pain
  • Pelvic pain
  • Postmenopausal hemorrhage
  • Vaginal candidiasis
  • Vaginal discharge
  • Vaginal mycosis
  • Vaginal pruritis
  • Vulvovaginitis
  • Weight changes

Buy LIVIAL online from Canada Drugs Direct. LIVIAL is available with a valid prescription from a healthcare professional.


  1. Livial [package insert]. Macquarie Park NSW: Merck Sharp & Dohme (Australia); 2018.
  2. Hormone Replacement Therapy, Mayo Clinic, May 24th, 2018. Retrieved May 2020.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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