Check before you startThis one has documented interactions with medication classes where the consequences are serious. If you take any prescription medicine, run it past a pharmacist before starting.
How long to take it
Up to six months, then reassess. Not indefinite.
Who it's actually for
Women with menopausal symptoms, after discussing options with a doctor.
Safe upper limit
UnverifiedNo formal limit; 40 mg daily in trials, for up to six months
Documented cases of liver injury. Regulatory agencies in several countries require a liver warning.
No source attached yet. Treat this as a starting point, not a citation, until reviewed.
Interactions to know about
- Liver disease or impairment — Hepatitis, cirrhosis, fatty liver
- Hormone therapy — HRT, tamoxifen, testosterone, anti-androgens
- Chemotherapy / cancer treatment — Any active oncology treatment
Run your full list through the interaction check.
Practical notes
- Stop for jaundice, dark urine, or unusual fatigue.
- Avoid with liver disease or a history of hormone-sensitive cancer without specialist advice.