Description: Livial (Tibolone) is a medication used for hormone replacement therapy. Livial (Tibolone) is used to treat symptoms of menopause. Livial (Tibolone) does not contain the actual hormone but rather contains a substance that breaks down in your body to produce the hormone. Cautions: Before starting Livial (Tibolone), it is very important that you tell your doctor about any other health conditions you may have and any other medications you may be on (including prescription, non-prescription and herbal products). When using Livial (Tibolone), there are some common side effects that may occur. These include headache, dizziness, rash, itching, weight changes, stomach upset, breast tenderness or pain, vaginal itching or discharge, increased growth of facial hair and loss of memory.