What to do if Livial is in shortage — for Colombia
Drug shortages happen periodically — manufacturing issues, supply chain disruptions, regulatory holds — and Livial (Tibolone) may become temporarily unavailable in some pharmacies or countries. For chronic users at 2.5mg, knowing how to handle a shortage prevents unnecessary treatment interruption.
Colombia context
Drug shortages in Colombia are tracked by Invima (National Food and Drug Surveillance Institute) when significant. For Livial, shortage of one strength or one manufacturer rarely means total unavailability of Tibolone — authorised generics or alternative manufacturers usually fill the gap, with the pharmacist coordinating substitution and the prescriber confirming any formulation change at 2.5mg.
- Regulator
- Invima (National Food and Drug Surveillance Institute)
- Currency
- COP
How shortages work for Livial
When Livial is in shortage, the pharmacist usually has several options: dispense an authorised generic of Tibolone, source from a different manufacturer of the same active ingredient, suggest a different formulation (e.g. liquid, dispersible) or, in extended shortages, ask the prescriber to consider an alternative Hormones and Birth Control agent. Tibolone in Livial is rapidly converted to three active metabolites with tissue-selective activity.
Practical steps
According to general pharmacy practice, the first step in a Livial shortage is to ask the pharmacist about authorised generic availability — most shortages affect a single brand or strength, not the entire supply of Tibolone at 2.5mg. The prescriber should be informed if the pharmacist needs to substitute or change formulation. Stockpiling or buying extra outside regulated channels is not the right response.
Frequently asked questions
What do I do if my pharmacy doesn't have Livial? ▾
Ask the pharmacist whether an authorised generic of Tibolone is available — usually yes — or whether another pharmacy in the area has stock of Livial at 2.5mg. The pharmacist can also contact the prescriber if a formulation switch is needed.
Will Livial come back in stock? ▾
Most shortages are resolved within weeks to months as manufacturing or supply issues are fixed. Until then, the authorised generic of Tibolone is the standard alternative and is clinically equivalent to Livial at the same 2.5mg strength.
What to do if Livial is in shortage in other countries
- the United StatesFDA (Food and Drug Administration)
- the United KingdomMHRA (Medicines and Healthcare products Regulatory Agency)
- SpainAEMPS (Agencia Española de Medicamentos y Productos Sanitarios)
- MexicoCOFEPRIS (Comisión Federal para la Protección contra Riesgos Sanitarios)
- ArgentinaANMAT (Administración Nacional de Medicamentos, Alimentos y Tecnología Médica)
- GermanyBfArM (Bundesinstitut für Arzneimittel und Medizinprodukte)
- FranceANSM (Agence nationale de sécurité du médicament et des produits de santé)
- ItalyAIFA (Agenzia Italiana del Farmaco)
- BrazilANVISA (Agência Nacional de Vigilância Sanitária)
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.