Common Lower abdominal pain, Breast tenderness, Uterine bleeding , Abnormal hair growth, Vaginal discharge, Endometrial hyperplasia.

Expert advice for Maxtib Tablet
You should undergo regular breast screening and cervical smear tests while on tibolone therapy.Ensure that you regularly check your breasts for any changes such as dimpling of the skin, changes in the nipple, or formation of any lumps.Take precaution to not take tibolone until 12 months after your last natural period, if you have undergone menopause as doing so may lead to irregular bleeding.Seek immediate medical attention if you notice any signs of liver disease such as yellowing of your skin or the whites of your eyes (jaundice) or a rise in your blood pressure (symptoms may be headache, tiredness, dizziness), migraine-like headaches, if you notice signs of a blood clot, such as painful swelling and redness of the legs, sudden chest pain, difficulty in breathing.You may have irregular bleeding or drops of blood (spotting) during the first 3-6 months of taking tibolone. Seek immediate medical attention if this carries on for > 6 months or starts after 6 months or continues even after stopping the medicine.Exercise caution as you may be at increased risk of cancer of the lining of the womb, ovarian cancer, blood clot in a vein, heart disease or stroke.

Q. Is Maxtib safe?
Maxtib is safe if used at prescribed doses for the prescribed duration as advised by your doctor

Q. Is Maxtib hormone replacement therapy (HRT)?
Yes, Maxtib is a hormone replacement therapy that replaces estrogen in postmenopausal women, or women with estrogen deficiency due to ovarian failure or surgical ovarian removal

Q. Is Maxtib a steroid?
Maxtib is a synthetic steroid that has actions similar to estrogen, progesterone, and weakly similar androgens (male sex hormones) naturally present in the body

Q. How long can I take Maxtib/livial for?
Maxtib should be taken as prescribed by your doctor. Please follow your doctor's advice regarding the same

Q. Does Maxtib cause weight gain/ hair loss/increase libido/insomnia?
Maxtib does cause weight gain. However, hair loss/increased sexual drive/ insomnia do not commonly occur with Maxtib

Q. Does tibolone contain testosterone?
No, tibolone does not contain testosterone

Q. Does Maxtib stop periods?
Maxtib is used in postmenopausal women with at least 12 months (1 year) since their last natural period. It has no indication for use in women who are menstruating. However, if used, it can stop and cause irregularity in periods.