The tablets should be taken at the same time daily. Start a new pack immediately once the current one pack is completed, do not leave a break in between strips or packs.
Swallow the tablet whole with water or a drink. It can be taken with or without food.
If you forget to take a tablet, take it as soon as you remember, unless you are more than 12 hours late. If you are more than 12 hours late, just skip it and take your next tablet at the usual time. Do not take a double dose.
Studies have shown that tibolone may be associated with a slight increased risk of both stroke and endometrial cancer. It may also be associated with an increased risk of breast cancer. Regularly check your breast for any changes such as dimpling of the skin, changes in the nipple, or any lumps you can see or feel. The risk of breast cancer returns to normal within a few years after stopping treatment.
If you have any concerns, please discuss with your doctor. Your doctor will consider the benefits versus its risks when they prescribed the treatment to ensure it remains suitable for you.
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