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Plan B vs Ativan: side-by-side comparison

Plan B (Levonorgestrel) 1.5mg tablet
Plan B
vs
Ativan (Lorazepam) 0.5mg tablet
Ativan

Plan B (Hormones and Birth Control) and Ativan (Anti-anxiety Medications) belong to different therapeutic classes and are rarely interchangeable. This page compares the medications' purposes, mechanisms and the situations where each is used.

Property Plan B Ativan
Active ingredient Levonorgestrel Lorazepam
Manufacturer Foundation Consumer Healthcare Pfizer
Class Hormones and Birth Control Anti-anxiety Medications
Strengths 1.5mg 0.5mg, 1mg, 2mg
Forms tablet tablet, oral concentrate, injection

What's the same

Plan B and Ativan are used in very different patients, and the points in common are limited. The main shared element is that both meet regulatory standards for efficacy and safety and benefit from pharmacist oversight.

Key differences

Plan B belongs to Hormones and Birth Control while Ativan belongs to Anti-anxiety Medications. Indications, mechanisms and target populations differ. The comparison is most useful when a clinician has mentioned both medications and the patient wants to understand where each fits.

Mechanism and action

Plan B: Plan B's primary mechanism is delaying or preventing ovulation when taken before the LH surge. Ativan: Lorazepam binds the benzodiazepine site of the GABA-A receptor and allosterically enhances inhibitory chloride conductance.

When Plan B is preferred

Plan B is indicated for emergency contraception after unprotected intercourse or known/suspected contraceptive failure, in women of reproductive age.

When Ativan is preferred

Ativan is approved in adults for the short-term management of anxiety disorders and anxiety-related insomnia.

Frequently asked questions

Is Plan B or Ativan better?

Plan B and Ativan are not interchangeable — they treat different conditions. Asking which is "better" is meaningful only when a clinician has weighed both for the same specific clinical scenario.

Can I switch from Plan B to Ativan?

Switching between Plan B and Ativan is rarely an appropriate decision since they belong to different classes and treat different conditions. The real question is usually whether the diagnosis calls for one medication or the other — which the prescriber resolves.

Do Plan B and Ativan have the same side effects?

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

More Plan B comparisons

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