# enGuardia vs Espiro

The clearest difference is review sentiment: Espiro at 100% against enGuardia's 46%. Espiro also leads on in-app purchases (none vs 5). enGuardia's advantage is iOS requirement (13.0 vs 17.0). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. enGuardia sells 4 one-off in-app purchases. Espiro asks for nothing beyond the download.

enGuardia ships an update every 4 months, Espiro every 6 months. The most recent releases landed on September 18, 2026 and September 17, 2026 respectively.

## The numbers

| Metric | enGuardia | Espiro |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | 45.8% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 4 months** | Every 6 months |
| Monetization | Free with in-app purchases | **Free** |
| Size | 106 MB | 8 MB |
| Requires iOS | **13.0** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [iDoctus](https://appshunter.io/developer/530457103) | [FUNDACIO PRIVADA DE ATENCIO PRIMARIA](https://appshunter.io/developer/1499796161) |

## What reviewers say

### enGuardia

[App page](https://appshunter.io/ios/app/enguardia/id1055692600)

This medical app provides clinical doctors with essential diagnostic and treatment information, especially for urgent situations. It features differential diagnoses, pathologies, interactive algorithms, and urgent care tools, developed with a leading medical society.

**Highlights:** Differential diagnosis information, Pathology topics, Interactive diagnostic algorithms, Urgent care tools, Integrated navigation with iDoctus, Intuitive design for quick access

**Features:** macOS Compatibility

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 mes | $3.99 | one-time |
| 6 meses | $15.99 | one-time |
| 1 año | $26.99 | one-time |
| 1 año | $29.99 | one-time |


### Espiro

[App page](https://appshunter.io/ios/app/espiro/id1075892677)

This medical app interprets spirometry results, comparing patient values to theoretical ones based on anthropometric data. It follows scientific society recommendations to aid healthcare professionals in managing obstructive respiratory conditions.

**Highlights:** Interprets spirometry results, Compares patient values to theoretical, Follows scientific society algorithms, Aids in managing respiratory conditions, Available in six languages

**In-app purchases:** none


## Frequently asked questions

### Is enGuardia free?

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

### Is Espiro free?

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

### Do enGuardia or Espiro have ads?

Neither enGuardia nor Espiro shows ads.

### Which is updated more often, enGuardia or Espiro?

enGuardia ships an update every 4 months, and Espiro every 6 months. Most recently, enGuardia was updated on September 18, 2026 and Espiro on September 17, 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.*