# Le Manuel MSD grand public vs SANTE CIV

The clearest difference is update cadence: SANTE CIV at fortnightly against Le Manuel MSD grand public's every 6 months. Le Manuel MSD grand public's advantage is iOS requirement (13.0 vs 16). On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Le Manuel MSD grand public ships an update every 6 months, SANTE CIV fortnightly. The most recent releases landed on October 26, 2026 and October 12, 2026 respectively.

## The numbers

| Metric | Le Manuel MSD grand public | SANTE CIV |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.3 (4 ratings)](https://appshunter.io/ios/app/le-manuel-msd-grand-public/id1242291244/reviews)** | — |
| Number of ratings | **4** | — |
| Positive reviews | 84.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 6 months | **Fortnightly** |
| Monetization | Free | — |
| Size | 185 MB | 46 MB |
| Requires iOS | **13.0** | 16 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [Merck Sharp & Dohme LLC](https://appshunter.io/developer/718617686) | [SANTE CIV](https://appshunter.io/developer/1663269017) |

## What reviewers say

### Le Manuel MSD grand public

[App page](https://appshunter.io/ios/app/le-manuel-msd-grand-public/id1242291244)

Access reliable health information written in plain language for patients and caregivers. This app provides details on thousands of conditions, including symptoms, diagnosis, and treatment, with supporting visuals and animations.

**Highlights:** Health and medical information updated by experts, Search by symptom, diagnosis, or treatment, Thousands of condition descriptions, Photographs and illustrations, Animations explaining diseases and treatments

**Features:** macOS Compatibility

**In-app purchases:** none


### SANTE CIV

[App page](https://appshunter.io/ios/app/sante-civ/id1663268655)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Le Manuel MSD grand public free?

Le Manuel MSD grand public is free to download, with no in-app purchases.

### Is SANTE CIV free?

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

### Do Le Manuel MSD grand public or SANTE CIV have ads?

Neither Le Manuel MSD grand public nor SANTE CIV shows ads.

### Which is updated more often, Le Manuel MSD grand public or SANTE CIV?

Le Manuel MSD grand public ships an update every 6 months, and SANTE CIV fortnightly. Most recently, Le Manuel MSD grand public was updated on October 26, 2026 and SANTE CIV on October 12, 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.*