Synthetic steroid (STEAR)
Tibolone dosage guide: how much to take and when
Choosing the right dose of Tibolone (Tibolone) is the most important practical decision after starting therapy. Tibolone is supplied as tablet in 2.5mg, and the right dose for a given person depends on the indication, age, comorbidities and tolerance to the active ingredient Tibolone.
Starting dose and titration
According to the prescribing information, most adults begin Tibolone at the lowest available strength of 2.5mg and titrate up only if symptom control is insufficient and tolerability is good. Higher doses are reserved for selected cases. Older adults, people with renal or hepatic impairment, and those taking interacting medications should usually start at the lowest dose.
When to adjust
Dose adjustment is guided by symptom response and side effect burden, not by arbitrary schedules. 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. If side effects are limiting at a given dose, going down a step is usually preferred over stopping abruptly. If the response is incomplete after several weeks, a higher dose can be tried under medical supervision.
Frequently asked questions
What is the standard starting dose of Tibolone? ▾
Most adults start Tibolone at the lowest strength of 2.5mg, with adjustment based on symptom response and tolerance. Older adults and those with reduced kidney or liver function generally start lower. The prescriber decides the exact starting dose for each person.
Can I take a higher dose of Tibolone if it isn't working? ▾
Higher doses of Tibolone should only be used after consulting the prescriber. Doubling on your own is unsafe, especially with active ingredients in the Synthetic steroid (STEAR) class. The prescriber can confirm whether titration is appropriate or whether the medication needs to be changed.
Products containing Tibolone
More on Tibolone
- With alcoholTibolone and alcohol — is it safe to drink?
- With foodShould Tibolone be taken with food?
- Side effectsTibolone side effects: common, rare and warning signs
- OnsetHow fast does Tibolone start working?
- DurationHow long does Tibolone last?
- Missed doseWhat to do if you miss a dose of Tibolone
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.