# MedCalX vs Itaca

The clearest difference is in-app purchases: Itaca at none against MedCalX's 3. Itaca also leads on update cadence (every 2 weeks vs every 5 months) and iOS requirement (15.0 vs 17.0). On price, ads and device support there is nothing between them.

Both are free to download. MedCalX sells 3 one-off in-app purchases. Itaca asks for nothing beyond the download.

MedCalX ships an update every 5 months, Itaca every 2 weeks. The most recent releases landed on October 26, 2026 and October 16, 2026 respectively.

## The numbers

| Metric | MedCalX | Itaca |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[3.8 (31 ratings)](https://appshunter.io/ios/app/medcalx/id1041464932/reviews)** | — |
| Number of ratings | **31** | — |
| Positive reviews | 45.8% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 5 months | **Every 2 weeks** |
| Monetization | Free with in-app purchases | — |
| Size | 45 MB | 8 MB |
| Requires iOS | 17.0 | **15.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Ossus GmbH](https://appshunter.io/developer/286022405) | [Mnemea LLC](https://appshunter.io/developer/6786042820) |

## What reviewers say

### MedCalX

[App page](https://appshunter.io/ios/app/medcalx/id1041464932)

This medical calculator app provides healthcare professionals with a comprehensive tool for complex medical formulas, scores, and classifications. It offers an extensive library of over 300 medical calculations, patient management features, and sharing capabilities.

**Highlights:** Extensive medical formula library (300+), Patient management and data saving, Customizable workflows, Multiple result sharing options, Detailed information and references, US and SI unit support, iCloud synchronization for favorites

**Features:** macOS Compatibility, Family Sharing, Vision Pro support

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| MedCalc 3 Upgrade | Free | one-time |
| Doximity Registration | Free | one-time |
| MedCalX Unlock | $4.99 | one-time |

**What reviewers like**

- 👍 Intuitive and user-friendly interface
- 📱 Comprehensive collection of medical formulas and scores
- 🚀 Fast calculations and quick access
- 📚 Includes PubMed links and background information
- 🌍 Multi-language support

**What reviewers complain about**

- 💰 Paywalls for previously free calculators
- 🔄 Forced paid upgrades for existing users
- ❌ Missing many important medical scores
- ⏱️ Infrequent updates and maintenance
- 🐛 Frequent crashes and stability issues

**Reported bugs**

- App crashes on startup
- App crashes when taking patient photos
- App fails to open or becomes unresponsive
- Unable to restore previous purchases
- Doximity unlock feature not working

**Requested features**

- SCORE2 and other modern cardiovascular risk scores
- TRiP(cast) score
- Valve disease calculations
- Pediatric medication dosing calculators
- Electrolyte and fluid replacement calculations


### Itaca

[App page](https://appshunter.io/ios/app/itaca-ai-clinical-notes/id6786042818)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is MedCalX free?

MedCalX is free to download, with in-app purchases available.

### Is Itaca free?

Itaca is free to download, with no in-app purchases.

### Do MedCalX or Itaca have ads?

Neither MedCalX nor Itaca shows ads.

### Which is updated more often, MedCalX or Itaca?

MedCalX ships an update every 5 months, and Itaca every 2 weeks. Most recently, MedCalX was updated on October 26, 2026 and Itaca on October 16, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*