Tibolone

Tibolone is a steroid that has oestrogenic, progestogenic, and weak androgenic properties. Tibolone is used as a menopausal hormone replacement therapy in the treatment of menopausal vasomotor symptoms and the prevention of post-menopausal osteoporosis.


Adult Dose
Dose: 2.5 mg
Single Dose: 2.5 (2.5)
Frequency: 24 hourly
Route: PO
Instructions:
Neonatal
Dose: Not applicable in this age group
Single Dose:
Frequency:
Route:
Instructions:
Paedriatic
Dose: Not applicable in paeds
Single Dose:
Frequency:
Route:
Instructions:
Characteristics
belongs to Steroid. It belongs to Hormones and Gonadomimetic pharmacological group.The Molecular Weight of Tibolone is 312.40.
Contraindications
Tibolone is contraindicated in conditions like Vaginal bleeding,Liver diseases,Thromboembolism,Cardiovascular disease,Cerebrovascular disease.
Effects
The symptomatic adverse reactions produced by Tibolone are more or less tolerable and if they become severe, they can be treated symptomatically, these include Dizziness, Headache, Nausea, Abdominal pain, Rashes, Pruritus, Weight gain, Edema, Migraine.
Indications
Tibolone is primarily indicated in conditions like Menopausal symptoms, Osteoporosis, Osteoporosis prophylaxis, Sedation with amnesia.
Interactions
Tibolone is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementCarbamazepineCarbamazepine accelerates metabolism of Tibolone (reduced plasma concentration).Phenytoin (Na)Rifampicin These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Risks
If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Tab Store at room temperature, Below 25°C or in refrigerator. Do not Freeze. Protect from Sunlight and Moisture.
Warnings
Tibolone is not recommended for use in women with hormone-dependant tumors, cardiovascular or cerebrovascular disorders, undiagnosed vaginal bleeding or severe liver disorders. It should not be given to pregnant or lactating women and should not be used prior to the menopause because menstrual regularity may be disturbed. Use of tibolone within 12months of a natural menopause is not recommended. It should be used with caution in patients with disorders that may be exacerbated by fluid retention such as kidney dysfunction, epilepsy or migraine, hypercholesterolaemia and impaired glucose tolerance. Discontinue use if there is sign of thrombo-embolism or if abnormal liver function tests or cholestatic jaundice occur.
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