Tibofem
Tibofem is a 2.5mg tibolone tablet for menopausal flushes, night sweats and poor sleep, sold in packs of 28 to 168, that also helps protect bones when fracture risk is high.
All strengths and pack prices
| Strength | Pack | Price | Per tablet |
|---|---|---|---|
| 2.5mg | 28 tablets | $109.76 | $3.92 |
| 2.5mg | 42 tablets | $147.00 | $3.50 |
| 2.5mg | 84 tablets | $278.04 | $3.31 |
| 2.5mg | 168 tablets | $524.16 | $3.12 |
- Category
- Women's Health
- Active ingredient
- Tibolone
- Route
- Oral
- Form
- Tablet
- Strengths
- 2.5mg
Shipped in a discreet, unmarked envelope.
Details
- Conditions
- Menopausal symptoms · Osteoporosis
- Brands with the same ingredient
- Livial
- Therapeutic Class
- Synthetic steroid hormone
- Pharmacological Class
- Tissue-selective steroid
- Minor Side Effects
- Lower abdominal pain, Vaginal discharge, Breast tenderness
- Moderate Side Effects
- Vaginal bleeding or spotting, Weight gain, Abnormal hair growth
- Dosage Forms
- Tablet
- Administration Route
- Oral
- Manufacturer
- Various Generic Manufacturers
- Onset Time
- Several weeks
- Duration
- 24 hours
- Storage Instructions
- Store in the original package, protected from light and moisture.
- Drug Interactions
- St. John's wort, Rifampin
- Age Restrictions
- Postmenopausal women, at least 12 months after the last natural period
FAQ
What pack sizes of Tibofem 2.5mg can I order?
Tibofem 2.5mg tablets come in packs of 28, 42, 84 or 168. Each page shows the price per tablet in Hong Kong dollars, and the bigger packs lower the price per tablet compared with the 28 tablet pack.
How do I pay for Tibofem and have it sent to Hong Kong?
You can pay for Tibofem by Visa, Mastercard or American Express on a secure, encrypted payment page, or with Bitcoin or Ethereum, and card details never reach our servers. Orders can be cancelled within 24 hours if they have not yet been dispatched. Tracked courier takes 5 to 9 business days.
Does Tibofem have other names?
Tibofem is a branded generic of tibolone. Tibolone is also sold as Livial. Here, tibolone can be bought online as Tibofem. These are generics, not the original brand.
Is Tibofem the same as HRT?
Not quite. Standard HRT is oestrogen, usually with a progestogen, as separate ingredients, while Tibofem is one tablet of tibolone — a synthetic steroid whose breakdown products act partly like oestrogen, partly like a progestogen and partly like an androgen.
Can I take Tibofem if I am still having periods?
Tibolone is used after menopause, in women more than a year past their last natural period. If your periods are still coming, or stopped less than a year ago, Tibofem is not the right choice for those symptoms.
How long does a pack of Tibofem last?
One tablet a day means a 28-tablet pack lasts about four weeks, 42 tablets about six weeks, 84 about three months and 168 about six months. Choose the pack that covers the stretch of time you expect to be taking it before you need to reorder.
Can I use Tibofem if I have had breast cancer?
Tibolone is not used by women who have breast cancer or have had it in the past, or by women with unexplained vaginal bleeding. Long-term use is linked to a higher chance of breast cancer.
Does Tibofem help with hot flushes and night sweats?
Hot flushes and night sweats are the main symptoms tibolone is used for, together with the sleep they disturb. It is taken every day rather than only on bad days, because it works on the hormonal drop behind those symptoms.
About Tibofem
What Tibofem does
Tibofem is a 2.5mg tablet of tibolone, and tibolone is not oestrogen — it is a synthetic steroid that the body turns into three active pieces with oestrogen-like, progestogen-like and androgen-like effects. Women order it for the flushes, night sweats and disturbed sleep of the years after menopause, usually starting at least twelve months after the final natural period. It has a second use: where the risk of broken bones is high and the other bone-protecting medicines cannot be used, tibolone helps hold bone density steady.
How one small tablet goes to work
After you swallow it, the liver breaks tibolone into those three substances. Two of the three act like oestrogen, easing flushes and slowing bone loss; the third works in a progestogen-like way and has a little androgen (male-hormone-like) activity. Because the pieces act differently in different tissues, one daily tablet can cover what standard HRT does with a separate oestrogen and a progestogen. More on the ingredient is on the tibolone page.
Where to fit the tablet into the day
A tablet that has to be taken every day is easy to forget, so tie it to something that already happens — the kettle going on, the first glass of water, the morning news. One 2.5mg tablet with a drink, at about the same hour each morning, keeps the level steady. If one slips your mind, take it later that same day; when the next dose is almost due, leave the missed one and keep your usual routine.
Effects to expect, and the ones to act on
The effects reported most often are tender breasts, discomfort low in the tummy, spotting or vaginal bleeding, headache, weight gain and a little extra facial hair. Early spotting usually settles by itself. The slower risks matter more: tibolone used for years raises the chance of breast cancer and of cancer of the womb lining, and stroke becomes more likely with age on treatment. A sudden crushing headache, weakness down one side, slurred speech or sudden loss of sight needs emergency care.
Packs that match how long you plan ahead
Tibofem is made only as 2.5mg tablets, in four pack sizes: 28, 42, 84 and 168. At one tablet daily those last roughly four weeks, six weeks, three months and six months, so choosing a pack is mostly about how far ahead you want to order rather than about dose — the strength is the same in every pack.
Sources
- Tibolone 2.5mg tablets: Summary of Product Characteristics — electronic medicines compendium (emc)
- Menopause - NHS — NHS