Who can and cannot take it - Tibolone

You can usually take tibolone if you have menopause symptoms and had your last period more than 1 year ago.

Your GP may also recommend tibolone if you:

• had your last period more than 1 year ago and are at high risk of fractures, and cannot take other medicines for preventing osteoporosis
• go through menopause because of surgery to remove your ovaries

Who may not be able to take tibolone

Tibolone is not suitable for everyone.

To make sure it's safe for you, tell your GP if you:

• have ever had an allergic reaction to tibolone or any other medicine
• have ever had an allergic reaction to oestrogen or any of the ingredients, or to any other medicine
• have ever had breast cancer
• are having tests for breast cancer, or are considered high risk due to family history
• have ever had any other type of cancer
• have vaginal bleeding with no known cause
• have ever had a blood clot in a vein (thrombosis), such as in the legs (deep vein thrombosis) or the lungs (pulmonary embolism)
• have a condition that affects how your blood clots, such as protein C, protein S, or antithrombin deficiency
• have ever had angina or a heart attack
• have liver, heart or kidney problems
• have a rare inherited condition called porphyria
• have diabetes
• have high blood pressure
• have severe headaches or migraines
• have a rare inherited problem of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption
• are pregnant or breastfeeding
• have fibroids in your womb or endometriosis
• have gallstones
• have systemic lupus erythematosus (SLE), an autoimmune condition
• have epilepsy
• have otosclerosis, a disease affecting the eardrum and hearing
• have a very high level of triglycerides (type of fat) in your blood
• have asthma

Tibolone and pregnancy

Do not take tibolone if you're pregnant or might become pregnant. If you get pregnant while taking tibolone then stop taking it and talk to your GP immediately.

Tibolone and breastfeeding

Do not take tibolone while breastfeeding. Talk to your GP about alternatives.

There is not enough information for us to know if tibolone is safe while breastfeeding.

Tibolone and fertility

Tibolone does not act as contraception.

Even if you think that you have gone through menopause, there's a small chance that you could still get pregnant.

If you're under age 50, you should use contraception for at least 2 years after your last period. If you're over age 50, use contraception for at least 1 year. Discuss this with your GP.