Answer
Spotting or bleeding can occur, particularly after starting or missing tablets. Persistent, newly starting or post-treatment bleeding requires clinical assessment.
Sources for this answer
- Tibolone 2.5 mg Tablets — Current selected SmPCemc · Summary of Product Characteristics
- NHSNHS · NHS medicine guidance
General medicine information. Follow the instructions for your own medicine and speak to a pharmacist or clinician about your individual circumstances.