# enGuardia vs Manual MSD versión pro

The clearest difference is review sentiment: Manual MSD versión pro at 94% against enGuardia's 46%. Manual MSD versión pro also leads on in-app purchases (none vs 5). 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. Manual MSD versión pro asks for nothing beyond the download.

enGuardia ships an update every 4 months, Manual MSD versión pro every 5 months. The most recent releases landed on September 18, 2026 and September 24, 2026 respectively.

## The numbers

| Metric | enGuardia | Manual MSD versión pro |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.9 (138 ratings)](https://appshunter.io/ios/app/manual-msd-version-pro/id1151854781/reviews)** |
| Number of ratings | — | **138** |
| Positive reviews | 45.8% of reviews | **93.7% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 4 months** | Every 5 months |
| Monetization | Free with in-app purchases | **Free** |
| Size | 106 MB | 186 MB |
| Requires iOS | 13.0 | 13.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [iDoctus](https://appshunter.io/developer/530457103) | [Merck Sharp & Dohme LLC](https://appshunter.io/developer/718617686) |

## 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 |


### Manual MSD versión pro

[App page](https://appshunter.io/ios/app/manual-msd-version-pro/id1151854781)

This app provides medical professionals with clear, practical explanations on thousands of conditions across major medical and surgical specialties. It covers etiology, pathophysiology, prognosis, and treatment options, featuring regular updates from over 350 academic physicians.

**Highlights:** Thousands of medical topics, Regularly updated by physicians, Photos and illustrations, Instructional videos, Quizzes and medical news, Expert editorials

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is enGuardia free?

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

### Is Manual MSD versión pro free?

Manual MSD versión pro is free to download, with no in-app purchases.

### Do enGuardia or Manual MSD versión pro have ads?

Neither enGuardia nor Manual MSD versión pro shows ads.

### Which is updated more often, enGuardia or Manual MSD versión pro?

enGuardia ships an update every 4 months, and Manual MSD versión pro every 5 months. Most recently, enGuardia was updated on September 18, 2026 and Manual MSD versión pro on September 24, 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.*