Tibolone: the way to beat many a postmenopausal ailments

Expert Opin Pharmacother. 2008 Apr;9(6):1039-47. doi: 10.1517/14656566.9.6.1039.

Abstract

Objective: The effects of tibolone on climacteric symptoms, osteoporosis, cardiovascular disease, breasts and the endometrium are summarised, and its role in clinical practice is reviewed in this article.

Background: Tibolone has tissue-specific effects on receptors and enzymes that influence the synthesis and metabolism of endogenous sexual steroid hormones.

Methods: This evaluation was based on the findings from several randomised studies, which addressed the basic and clinical research on tibolone.

Results/conclusion: Clinical trials prove that tibolone is effective in the treatment of the menopausal symptoms and for the postponement and calming of symptoms accompanying age-related diseases. The findings of basic researchers that tibolone affects the metabolism of every cell, including malignant cells, opened a door to a whole new domain of research that has a promising future.

Publication types

  • Review

MeSH terms

  • Breast Neoplasms / chemically induced
  • Cardiovascular Diseases / chemically induced
  • Climacteric / drug effects
  • Endometrium / drug effects
  • Endometrium / physiopathology
  • Estrogen Receptor Modulators / adverse effects
  • Estrogen Receptor Modulators / pharmacology
  • Estrogen Receptor Modulators / therapeutic use*
  • Estrogens / metabolism
  • Female
  • Hot Flashes / drug therapy
  • Hot Flashes / physiopathology
  • Humans
  • Menopause / drug effects*
  • Menopause / physiology
  • Norpregnenes / adverse effects
  • Norpregnenes / pharmacology
  • Norpregnenes / therapeutic use*
  • Osteoporosis, Postmenopausal / drug therapy
  • Osteoporosis, Postmenopausal / prevention & control
  • Postmenopause / drug effects
  • Postmenopause / physiology
  • Randomized Controlled Trials as Topic
  • Risk Factors
  • Stroke / chemically induced

Substances

  • Estrogen Receptor Modulators
  • Estrogens
  • Norpregnenes
  • tibolone