Livial Tablets my. Dr. com. au. PDFLARGE FONT PDFTibolone 2. Consumer Medicine Information. What is in this leaflet. This leaflet answers some common questions about Livial. It does not contain all the available information. Indivina Patient Information Leaflet PIL by Orion Pharma UK Limited. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risks of you taking Livial against the benefits they expect it will have for you. If you have any concerns about taking this medicine, ask your doctor or pharmacist. Keep this information with the pack. You may wish to read it again. What Livial is used for. Livial tablets contain the active ingredient tibolone, which is a synthetic steroid medicine used for hormone replacement therapy HRT. It mimics the activity of the female sex hormones in the body. Livial contains tibolone, a substance that has favourable effects on different tissues in the body, such as brain, vagina and bone. Livial is used in postmenopausal women at least 1. Livial is used for Relief of symptoms occurring after menopause. During the menopause, the amount of estrogen produced by a womans body drops. This can cause symptoms such as hot face, neck and chest hot flushes. Livial alleviates these symptoms after menopause. You will only be prescribed Livial if your symptoms seriously hinder your daily life. Prevention of osteoporosis. After the menopause some women may develop fragile bones osteoporosis. You should discuss all available options with your doctor. If you are at an increased risk of fractures due to osteoporosis and other medicines are not suitable for you, you can take Livial to prevent osteoporosis after menopause. Livial is not a contraceptive. Livial has no effect on alertness and concentration as far as is known. A doctors prescription is required to obtain this medicine. Before you use Livial. When you must not take it. Do not take Livial if you are pregnant or think you may be pregnantyou are breastfeedingyou have or have ever had breast cancer, or if you are suspected of having ityou have cancer which is sensitive to estrogens, such as cancer of the womb lining endometrium, or if you are suspected of having ityou have any unexplained vaginal bleedingyou have excessive thickening of the womb lining endometrial hyperplasia that is not being treatedyou have or have ever had a blood clot in a vein thrombosis, such as in the legs deep venous thrombosis or the lungs pulmonary embolismyou have a blood clotting disorder such as protein C, protein S, or antithrombin deficiencyyou have or recently have had a disease caused by blood clots in the arteries, such as a heart attack, stroke or anginayou have or have ever had liver disease and your liver function tests have not returned to normalyou have a rare blood problem called porphyria which is passed down in families inheritedyou are allergic hypersensitive to tibolone or any of the ingredients of Livial listed at the end of this leaflet. Some of the symptoms of an allergic reaction may include shortness of breathwheezing or troubled breathingswelling of the face, lips, tongue or other parts of the bodyrash, itching or hives on the skin. AbstractObjectives To study the outcome of acute otitis media AOM with otorrhoea in children managed initially without antibiotics, in relation to bacterial and. WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms Ear ache, Headache and Sore throat and including Viral pharyngitis. Strep rash is nothing but scarlet fever which is accompanied by a strep throat. Here are pictures, information on how it affects children, causes, symptoms, treatment. The Champions Basketball League, an independent pro league that has repeatedly failed to start its inaugural season after taking hundreds of thousands of dollars of. If any of the above conditions appear for the first time while taking Livial, stop taking it at once and consult your doctor immediately. Medical history and regular check ups. As well as benefits, HRT or Livial has some risks which need to be considered when deciding whether to starting taking it, or whether to carry on taking it. The experience in treating women with a premature menopause due to ovarian failure or surgery is limited. If you have a premature menopause the risks of using HRT or Livial may be different. Please talk to your doctor. Before you start or restart HRT or Livial, your doctor will ask you about your own and your familys medical history. Your doctor may decide to perform a physical examination. This may include an examination of your breasts andor an internal examination, if necessary. Once you have started on Livial, you should see your doctor for regular check ups at least once a year. IPSY_Nov_Lookbook_2.jpg' alt='White Patches On Eardrum' title='White Patches On Eardrum' />At these check ups, discuss with your doctor the benefits and risks of continuing with Livial. Go for regular breast screening, as recommended by your doctor. When to take special care with Livial. Tell your doctor if you have ever had any of the following conditions before you start the treatment, as these may return or become worse during treatment with Livial. If so, you should see your doctor more often for check ups fibroids inside your wombgrowth of the womb lining outside your womb endometriosis or a history of excessive growth of the womb lining endometrial hyperplasiaincreased risk of developing blood clots see Blood clots in a vein thrombosisincreased risk of getting an estrogen sensitive cancer such as having a mother, sister or grandmother who has had breast cancerhigh blood pressurea liver disorder, such as a benign liver tumourdiabetesgallstonesmigraine or severe headachesa disease of the immune system that affects many organs of the body systemic lupus erythematosus, SLEepilepsyasthmaa disease affecting the eardrum and hearing otosclerosisa very high level of fat in your blood triglyceridesfluid retention due to cardiac or kidney problems. Tell your doctor if you notice any change in your condition whilst using Livial. Stop taking Livial and see a doctor immediately if you notice any of the following when taking HRT or Livial any of the conditions mentioned in the Do not take Livial sectionyellowing of your skin or the whites of your eyes jaundice. These may be signs of a liver diseasea large rise in your blood pressure symptoms may be headache, tiredness, dizzinessmigraine like headaches which happen for the first timeif you become pregnantif you notice signs of a blood clot, such as painful swelling and redness of the legs sudden chest pain difficulty in breathing. For more information, see Blood clots in a vein thrombosisHRT and cancer. Excessive thickening of the lining of the womb endometrial hyperplasia and cancer of the lining of the womb endometrial cancerThere have been reports and studies of an increased cell growth or cancer of the lining of the womb in women using Livial. The risk of cancer of the lining of the womb increases with the duration of use. Download Game Persona 4 For Android. Irregular bleeding. You may have irregular bleeding or drops of blood spotting during the first 3 6 months of taking Livial. However, if the irregular bleeding carries on for more than the first 6 monthsstarts after you have been taking Livial for more than 6 monthscarries on after you have stopped taking Livialsee your doctor as soon as possible. Breast cancer. Taking estrogen, estrogen progesterone combined HRT or Livial for several years slightly increases the risk of breast cancer. The risk increases with the duration of HRT use and returns to normal within about 5 years after stopping HRT. Women taking Livial have a lower risk than women using combined HRT and a comparable risk with estrogen only HRT. Regularly check your breasts. See your doctor if you notice any changes such as dimpling or sinking of the skinchanges in the nippleany lumps you can see or feel. Ovarian cancer. Ovarian cancer is rare. A slightly increased risk of ovarian cancer has been reported in women taking HRT for at least 5 to 1. For women aged 5. HRT, on average about 2 women in 1. The Mandeville Practice How to make an appointment to see your doctor or nurse at the surgery. Self Treatment. Many common illnesses can simply be treated at home without the need to come down to the surgery. Viral illnesses are unpleasant but self limiting and are mostly unresponsive to any known treatment. Your doctor may not give you a prescription because these illnesses will usually get better in time. You can find information on various ailments by visiting http www. Antibiotics These are not usually advised if you are normally in good health. Your immune system can usually clear the infection. Antibiotics do not kill germs which are viruses. Even if a different type of germ called a bacterium is the cause, antibiotics usually do little to speed up recovery from respiratory infections. Antibiotics may even make symptoms worse, as some people develop side effects such as diarrhoea, feeling sick or a rash. Antibiotics may be prescribed if you become more unwell, or if you already have an underlying chronic lung disease. They may also be prescribed if a complication develops, such as pneumonia but this is unlikely to occur if you are otherwise healthy. Coughs, colds, stuffy nose or sore throat These are nealy always caused by viruses for which there is no cure. Antibiotics can only kill bacteria and do not cure a virus. If you are coughing green or yellow sputum this does not signify anything more serious unless you are wheezy or breathless. Paracetamol will relieve headache, sore throat and aching musles as well as bringing down fever. The illness will last seven to ten days on average, but the cough may persist for several more days. Diarrhoea This may be called gastroenteristis or food poisoning and can be due to either viruses or bacteria. It is not serious and usually settles within a week. Take a bland diet and drink extra clear fluids. Anti diarrhoeal over the counter medicines may help. You should consult the doctor if the diarrhoea contains more than a trace of blood or for diarrhoea in young children or the elderly and frail. Contraception if you miss pills. If you are less than 1. No other precautions are necessary. If you are more than 1. If you have missed several pills just take the last of these and discard the earlier ones. Take your next pill on time this may mean that you take two pills in one day but that will not matter, take the rest of the pack as usual. Use a condom if you have sex in the next seven days. If during these seven days you come to the end of that packet start your next packet straight away ie do not leave the usual gap of seven days between packets. This will mean that you do not have a period until the end of the second packet but that will not harm you. Emergency contraception If you have run the risk of pregnancy, the post coital morning after pill is effective up to 7. A coil can be fitted up to five days after unprotected sex. Call Brookside Clinic, Aylesbury for advice 0. Cystitis This is very common in women and causes a burning sensation on passing urine. If you suspect you have cystitis drink plenty of fluids eight glasses of water a day and consult your doctor if symptoms persist for more than 2. Ear wax If your ear is blocked and you do not have an infection you can book an appointment with the nurse for ear syringe. You will need to put warm olive oil into the ear for two to three times a day for five days before the appointment to soften the wax otherwise syringing may not work and may cause damage to the ear canal. Do not have your ear syringed if you have had a perforated eardrum or an operation to the ear. Hay fever This common and distressing condition is a reaction by your body to various pollens in the air. Over the counter medicines are effective and may save you money on prescription charges. You can reduce the amount of pollen you breathe in by avoiding areas of long grass, keeping windows closed especially mid morning and late afternoon evening and by wearing dark glasses to protect your eyes. If your symtoms are not relieved by over the counter treatments or a child has hay fever for the first time, please speak to your doctor. Indigestion Most attacks are not serious and can present as heartburn, fullness or generalised pain. If the symptoms are particularly severe, or do not respond to simple indigestion treatments such as Gaviscon or a teaspoon of bicarbonate of soda in half aglass of water, consult your doctor. Nose bleeds Nose bleeds are alarming but rarely serious. Using your finger and thumb apply firm pressure to the soft part of the nose for ten minutes without letting go. Be very gentle afterwards and do not dab or pick the nose. Vaseline can be used after a few days to soften clots as they harden. Sprains Apply a cold compress crushed ice in a bag or a pack of frozen peas as soon as possible for 1. Try to use the injured area as soon as possible. Sprains may take several weeks to recover so try not to provoke them during this period. Insect bites Scrape bee stings out without sqeezing the poison sac dont use tweezers. Use a cold compress and antihistamine or hydrocortisone cream to soothe. Back pain Back pain usually begins as a small strain caused by poor lifting technique which can be avoided by always bending your knees and keeping your back straight. In the case of back pain, take painkillers and gentle exercise as eight out of ten cases are better in a few weeks. Burns Immediately submerge in cold water until the pain subsides. This can take 1. Unbroken blisters should be left alone, protected if necessary by a loose, dry dressing. All facial burns and burns which are larger than a 5. Head lice Head lice are found in clean hair as often as dirty hair and are spread by head to head contact. Treat with a lotion which you can buy from the pharmacist and notify your childs school. Using conditioner and combing through the hair with a fine toothed comb each time the hair is washed is recommended. Sunburn Treat as you would other burns with cold water to remove the heat. Paracetamol will help the pain and calamine lotion or aftersun products will relieve the irritation. Threadworms These are small white worms seen in the stools. Suspect threadworms if children are scratching around the bottom, especially at night. They are spread by eggs under the nails put into the mouth. You will need to treat all family members with medicine from the pharmacist. The Hookup Game The N Download For Mac. Chickenpox Small red patches will develop into blisters which then burst, crust and fall off. Try not to scratch and no scars will result. Calamine lotion may help. Chickenpox is infective for a week from the onset of the rash or until the last spot has xrusted over.