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Tibolone dosage, side effects

Tibolone dosage, side effects:

Tibolone is a synthetic steroid with estrogenic, progestogenic, and androgenic properties. It is primarily used for hormone replacement therapy (HRT) in postmenopausal women to alleviate symptoms like hot flashes, vaginal dryness, and osteoporosis.

Mechanism of Action

  • Estrogenic Effects: Tibolone and its metabolites activate estrogen receptors, providing relief from menopausal symptoms and preventing bone loss.
  • Progestogenic Effects: It also acts on progesterone receptors, offering protective effects on the endometrium.
  • Androgenic Effects: Tibolone has mild androgenic activity, which can improve libido and overall well-being.

Indications

  • Menopausal Symptom Relief: Reduces hot flashes, night sweats, and vaginal dryness.
  • Osteoporosis Prevention: Helps maintain bone density in postmenopausal women.
  • Libido Enhancement: May improve sexual desire due to its androgenic effects.

Dosage and Administration

  • Typical Dosage: 2.5 mg once daily.
  • Administration: Oral tablets, taken consistently at the same time each day.

Side Effects

  • Common: Headache, breast tenderness, vaginal bleeding, weight changes.
  • Serious: Increased risk of stroke, venous thromboembolism, and certain cancers (e.g., breast cancer).

Contraindications

  • Pregnancy and Breastfeeding: Not recommended.
  • History of Hormone-Sensitive Cancers: Such as breast or endometrial cancer.
  • Thromboembolic Disorders: History of blood clots.
  • Liver Disease: Severe hepatic impairment.

Brand Names

Tibolone is marketed under various brand names globally, including:

  • Livial: One of the most widely recognized brand names.
  • Boltin
  • Sibelia
  • Tibofem
  • Tibofemme

Availability

  • Regions: Available in Europe, Asia, and some other regions, but not approved in the United States.
  • Prescription: Requires a prescription and should be used under medical supervision.

Monitoring and Follow-Up

  • Regular Check-Ups: To monitor for side effects and efficacy.
  • Bone Density Tests: For women using it for osteoporosis prevention.
  • Mammograms: Regular breast cancer screening is advised.

Conclusion

Tibolone is a versatile hormone replacement therapy option for postmenopausal women, offering benefits for menopausal symptoms, bone health, and sexual well-being. However, it comes with potential risks and should be used under strict medical supervision. Always consult a healthcare provider for personalized advice.

Dr. R. Sheydaei is a medical doctor with extensive experience in clinical practice and medical writing. With a passion for education and patient care, Dr. Sheydaei founded www.imydoctor.com to bridge the gap between complex medical knowledge and everyday health decisions.