Synthetic steroid (STEAR)
Tibolone in the United Kingdom: prescription, brands, pricing
This page summarises the situation of Tibolone in the United Kingdom under MHRA (Medicines and Healthcare products Regulatory Agency): prescription status, available brands and generics, pharmacy dispensing, and online options in GBP. Tibolone belongs to the Synthetic steroid (STEAR) class.
- Regulator
- MHRA (Medicines and Healthcare products Regulatory Agency)
- Currency
- GBP
About Tibolone
Tibolone is approved (in countries where licensed) for treatment of moderate-to-severe vasomotor menopausal symptoms and prevention of postmenopausal osteoporosis in women at least 12 months past their last natural menstrual period. In the UK, most active medications are POM (Prescription-Only Medicines), with a smaller P (pharmacy) tier dispensed at pharmacist discretion and a GSL (general sales) tier for wider retail. NHS prescriptions follow a fixed levy.
Mechanism and action
Tibolone is a prodrug; on absorption it is rapidly converted to three active metabolites (3α-OH-tibolone, 3β-OH-tibolone and Δ4-tibolone) with different tissue-selective activity.
Brands and generics in the United Kingdom
In the United Kingdom, Tibolone is typically dispensed as one internationally recognised brand along with their corresponding authorised generics. Community pharmacies (Boots, Lloyds, independents) play a strong role in primary care, with pharmacist-led consultations and Pharmacy First services for several conditions. Brand-to-generic substitution is decided by the pharmacist under local MHRA (Medicines and Healthcare products Regulatory Agency) equivalence rules, and the price difference in GBP is usually substantial.
Online and tele-prescribing access
GPhC-registered online pharmacies and tele-prescribing platforms are widespread in the UK and provide a regulated path to prescription medication without an in-person visit. For Tibolone specifically, the legal online options in the United Kingdom depend on its Rx-or-OTC classification under MHRA (Medicines and Healthcare products Regulatory Agency).
Frequently asked questions
Is Tibolone available in the United Kingdom? ▾
Yes — Tibolone and its brands are available in the United Kingdom through pharmacies authorised by MHRA (Medicines and Healthcare products Regulatory Agency), in various strengths depending on the commercial product. Authorised generics offer a lower-cost alternative with the same active substance.
Do I need a prescription for Tibolone in the United Kingdom? ▾
In the UK, most active medications are POM (Prescription-Only Medicines), with a smaller P (pharmacy) tier dispensed at pharmacist discretion and a GSL (general sales) tier for wider retail. NHS prescriptions follow a fixed levy. The exact status of Tibolone (Rx or OTC) is determined by MHRA (Medicines and Healthcare products Regulatory Agency); most active ingredients in the Synthetic steroid (STEAR) class require prescription, although there are exceptions by country and formulation.
How much does Tibolone cost in the United Kingdom? ▾
The price in GBP depends on the manufacturer (brand vs authorised generic), the strength and the pack size. Generics are typically substantially cheaper than brands and serve as the economic reference for ongoing use.
Products with Tibolone in the United Kingdom
Tibolone in other countries
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.