# ASTHMAXcel ED vs Bitpal

The clearest difference is in-app purchases: ASTHMAXcel ED at none against Bitpal's 2. ASTHMAXcel ED also leads on iOS requirement (10.0 vs 15.1). Bitpal's advantage is update cadence (every 2 days vs every 2 months). On price, ads and device support there is nothing between them.

Both are free to download. Bitpal sells 2 in-app purchases, starting at $7.99 per month. ASTHMAXcel ED asks for nothing beyond the download.

ASTHMAXcel ED ships an update every 2 months, Bitpal every 2 days. The most recent releases landed on October 22, 2026 and October 25, 2026 respectively.

## The numbers

| Metric | ASTHMAXcel ED | Bitpal |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (4 ratings)](https://appshunter.io/ios/app/asthmaxcel-ed/id1502075465/reviews)** | — |
| Number of ratings | **4** | — |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 2 months | **Every 2 days** |
| Monetization | Free | — |
| Size | 112 MB | 30 MB |
| Requires iOS | **10.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 12+ |
| Developer | [Montefiore Applications, LLC](https://appshunter.io/developer/1378014760) | [Sulaiman Omar Marouf](https://appshunter.io/developer/1784073841) |

## What reviewers say

### ASTHMAXcel ED

[App page](https://appshunter.io/ios/app/asthmaxcel-ed/id1502075465)

Learn essential information about asthma management through animated videos and educational chapters. Understand how asthma affects your lungs, proper inhaler and spacer usage, and how to reduce triggers. This app is designed for educational purposes in an emergency department setting.

**Highlights:** Animated educational videos, Chapters on asthma facts, Inhaler and spacer usage guides, Trigger reduction strategies, Emergency department focus

**In-app purchases:** none


### Bitpal

[App page](https://appshunter.io/ios/app/bitpal-food-journal/id6757735262)

**Features:** macOS Compatibility

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| pro | $7.99 | per month |
| Pro | $49.99 | per year |


## Frequently asked questions

### Is ASTHMAXcel ED free?

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

### Is Bitpal free?

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

### Do ASTHMAXcel ED or Bitpal have ads?

Neither ASTHMAXcel ED nor Bitpal shows ads.

### Which is updated more often, ASTHMAXcel ED or Bitpal?

ASTHMAXcel ED ships an update every 2 months, and Bitpal every 2 days. Most recently, ASTHMAXcel ED was updated on October 22, 2026 and Bitpal on October 25, 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.*