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Plan B vs Xalatan: side-by-side comparison

Plan B (Levonorgestrel) 1.5mg tablet
Plan B
vs
Xalatan (Latanoprost) 0.005% ophthalmic solution
Xalatan

Plan B (Hormones and Birth Control) and Xalatan (Eye Care and Ophthalmic Treatments) 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 Xalatan
Active ingredient Levonorgestrel Latanoprost
Manufacturer Foundation Consumer Healthcare Pfizer
Class Hormones and Birth Control Eye Care and Ophthalmic Treatments
Strengths 1.5mg 0.005%
Forms tablet ophthalmic solution

What's the same

Plan B and Xalatan 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 Xalatan belongs to Eye Care and Ophthalmic Treatments. 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. Xalatan: Latanoprost is a prodrug ester hydrolysed by corneal esterases to its active free acid, which selectively binds the prostaglandin F (FP) receptor.

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 Xalatan is preferred

Xalatan is approved in adults and children for the reduction of elevated intraocular pressure in patients with chronic open-angle glaucoma or ocular hypertension.

Frequently asked questions

Is Plan B or Xalatan better?

Plan B and Xalatan 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 Xalatan?

Switching between Plan B and Xalatan 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 Xalatan 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.