{"medicine": "Tibolon", "atc": null, "as_of": "2026-09-22T16:30:18Z", "active_in": ["IT", "SE"], "key_facts": ["As of 22 September 2026, Tibolon has active availability issues in 2 of 10 tracked European registers.", "Registers reporting issues: Italy, Sweden.", "Longest-running open report: since 2025-09-10 (12 months, Italy).", "Data source: 2 official medicines-agency registers, refreshed daily."], "records": [{"country": "IT", "product": "MENEC", "substance": "TIBOLONE", "status": "active", "reason": "Problemi produttivi: forniture discontinue", "start": "2025-09-10", "expected_end": "", "alternatives": "AIFA: an alternative treatment is available (ask your doctor).", "url": "https://www.aifa.gov.it/farmaci-carenti"}, {"country": "SE", "product": "Livial 2,5 mg Tablett", "substance": "tibolon", "status": "active", "reason": "", "start": "2026-07-20", "expected_end": "2026-07-31", "alternatives": "Alternative(s) available — see the national register.", "url": "https://www.lakemedelsverket.se/sv/behandling-och-forskrivning/forskrivning/lakemedelstillganglighet/sok-anmalda-forsaljningsuppehall"}], "page": "https://www.mobidoctor.eu/medicine-shortages/medicine-shortages/tibolon/", "license": "cite as European Medicine Shortage Tracker (MobiDoctor)"}