The 2.5 mg Tibolone (Livial) tablets offer relief from symptoms of menopause, including osteoporosis. It's a form hormone replacement therapy (HRT). One ingredient in Livial is Tibolone. This breaks down in your body into components that resemble the sexhormones oestrogen and progesterone. Livial is the brand name for the chemical compound known as tibolone that works by reducing the symptoms caused by the menopause including hot flushes, night sweats, mood swings, vaginal dryness and a low sex drive. Tackling the oestrogen deficiency, tibolone mimics the hormones oestrogen and progesterone as well as androgen testosterone making it a combined version of hormone replacement therapy. Livial is also used to prevent osteoporosis in women who have had menopause by working as a postmenopausal treatment, or for women who happen to be at a higher risk of fracturing due to weak bones. What is Livial?