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Levonorgestrel vs Latanoprost: side-by-side comparison

Levonorgestrel (Synthetic progestin (emergency contraception)) and Latanoprost (Prostaglandin analogue) belong to different therapeutic classes and are rarely substitutes for each other. The comparison is useful when a single patient is weighing both options for adjacent or overlapping needs.

Property Levonorgestrel Latanoprost
Therapeutic class Synthetic progestin (emergency contraception) Prostaglandin analogue
CAS 797-63-7 130209-82-4
ATC G03AC03 S01EE01
Molecular weight 312.5 g/mol 432.59 g/mol
Brands with this active ingredient 1 1

What they share

Levonorgestrel and Latanoprost share the common regulatory framework for prescription active ingredients, bioequivalence standards for generics, and pharmacist oversight. Beyond that, points in common are limited.

Key differences

Levonorgestrel acts by a different mechanism than Latanoprost, with indications that barely overlap. Comparing the two is useful when a clinician has mentioned both in the same context or the patient wants to understand why one was prescribed instead of the other.

Mechanisms compared

Levonorgestrel: In emergency contraception, levonorgestrel works primarily by delaying or inhibiting ovulation when taken before the LH surge. Latanoprost: Latanoprost is a prodrug ester hydrolysed by corneal esterases to its active free acid, which selectively binds the prostaglandin F (FP) receptor.

Indications compared

Levonorgestrel: Levonorgestrel is approved for emergency contraception (single 1.5mg dose), regular oral contraception (combined with ethinylestradiol or as progestin-only), and as the active component of hormonal intrauterine devices f… Latanoprost: Latanoprost is approved in adults and children for the treatment of ocular hypertension and chronic open-angle glaucoma.

Safety profile

Levonorgestrel: Common adverse effects of emergency contraceptive use include nausea, headache, fatigue, dizziness, breast tenderness and menstrual cycle changes. Latanoprost: Common adverse effects include conjunctival hyperaemia, ocular irritation, eyelash growth and darkening, and progressive iris pigmentation, which is permanent.

Frequently asked questions

Is Levonorgestrel better than Latanoprost?

Levonorgestrel and Latanoprost are not "better or worse" — they treat different things. The sensible question is which fits your specific need.

Can Levonorgestrel and Latanoprost be combined?

Whether they can be combined depends on the indications and the interaction profile of each. If both are in a single prescription, the prescriber has weighed it; in self-medication they should never be combined.

Do they have the same side-effect profile?

No — they belong to different classes and have distinct side-effect profiles. Each has its own prescribing information.

Products with Levonorgestrel

Products with Latanoprost

The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.