# AVALIAN e vs dr. Federada

The clearest difference is update cadence: dr. Federada at every 5 weeks against AVALIAN e's every 6 months. 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.

AVALIAN e ships an update every 6 months, dr. Federada every 5 weeks. The most recent releases landed on May 16, 2026 and September 10, 2026 respectively.

## The numbers

| Metric | AVALIAN e | dr. Federada |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | No | No |
| Ads | Yes | Yes |
| Update frequency | Every 6 months | **Every 5 weeks** |
| Size | 54 MB | 53 MB |
| Requires iOS | 16.0 | 16.0 |
| Devices | iPhone | iPhone |
| Age rating | 17+ | 17+ |
| Developer | [ACA SALUD COOPERATIVA DE PRESTACION DE SERVICIOS MEDICO ASISTENCIALES LIMITADA](https://appshunter.io/developer/1235120617) | [Federada](https://appshunter.io/developer/1513270289) |

## What reviewers say

### AVALIAN e

[App page](https://appshunter.io/ios/app/avalian-e-doc/id1492736255)

**Features:** macOS Compatibility

**In-app purchases:** none


### dr. Federada

[App page](https://appshunter.io/ios/app/dr-federada/id1513270290)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is AVALIAN e free?

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

### Is dr. Federada free?

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

### Do AVALIAN e or dr. Federada have ads?

Both AVALIAN e and dr. Federada show ads.

### Which is updated more often, AVALIAN e or dr. Federada?

AVALIAN e ships an update every 6 months, and dr. Federada every 5 weeks. Most recently, AVALIAN e was updated on May 16, 2026 and dr. Federada on September 10, 2026.

---

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