Preventive is the original adjective corresponding to prevent, but preventative has gained ground—now appearing about a third as often as preventive—and most dictionaries list it as an accepted variant. The two are the same in all their meanings.
As of late 2011, preventive is about three times as common as preventative in web searches. And as the Ngram at the bottom of this post shows, preventive has been far more common in published books for over a century.
Since publishing this post, we’ve received comments saying that preventive is an adjective and preventative is a noun. This would be a useful distinction, but it is not consistently borne out in practice (the NYT example below notwithstanding). We find no dictionaries or style guides that make the distinction, and those that mention the issue at all simply recommend preventive over preventative without differentiating them.
Examples
Preventative is most often used in publications and websites not known for high editorial standards—for example:
Free preventative services coverage kicks in on many health plans this coming September. [Babble.com]
Shouldn’t all fishing come to a halt as a preventative measure? [CNN.com]
It’s not just those treated who benefit from the preventative approach. [Huffington Post]
Most higher-standards publications use preventive—for example:
In addition, new private plans will have to offer free preventive care, without co-payments or deductibles. [NY Times]
And people weren’t getting tests or preventive care that could help them avoid heart attacks, diabetes or cancer. [WSJ]
Preventive measures are simple and cost-effective. [Financial Times]
This New York Times op-ed uses both words within a single paragraph, with preventative used as a noun and preventive as an adjective:
But we cannot allow ourselves to forget for even a moment that force is effective only as a preventative — to prevent the destruction and conquest of Israel, to protect our lives and freedom. Every attempt to use force not as a preventive measure, not in self-defense . . . [New York Times]
We can’t explain this. We haven’t seen this noun/adjective distinction anywhere else.
Ngram
This Ngram shows the overall trend in preventive and preventative usage from 1880 to 2000. The data comes from all English-language books in Google’s database.



