# CEFREF vs Pain Manager

The clearest difference is update cadence: Pain Manager at weekly against CEFREF's every 3 weeks. On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. CEFREF sells 3 in-app purchases, starting at $2.99 per month and Pain Manager sells 2 one-off in-app purchases. Whichever you choose, the download price is not the number that matters.

CEFREF ships an update every 3 weeks, Pain Manager weekly. The most recent releases landed on October 11, 2026 and October 6, 2026 respectively.

## The numbers

| Metric | CEFREF | Pain Manager |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 3 weeks | **Weekly** |
| Monetization | Free with in-app purchases | — |
| Size | 81 MB | 43 MB |
| Requires iOS | 16.0 | **15.1** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 12+ | 17+ |
| Developer | [Ceftronics Limited](https://appshunter.io/developer/1594794451) | [My Learning Apps Ltd](https://appshunter.io/developer/493869417) |

## What reviewers say

### CEFREF

[App page](https://appshunter.io/ios/app/cefref-migraine-tracker/id1594794449)

This app simplifies migraine tracking with quick logging of pain and medication. It helps users identify patterns and generates shareable PDF reports for healthcare providers. Designed for ease of use without ads or distractions.

**Highlights:** Quick headache and medication logging, Identify migraine patterns and trends, Generate shareable PDF reports, Ad-free and private tracking, Simple, clutter-free interface

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| CEFREF Premium | $2.99 | per month |
| Data Export | $0.99 | one-time |
| CEFREF Premium | $9.99 | one-time |


### Pain Manager

[App page](https://appshunter.io/ios/app/pain-manager/id6770283549)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Multi meds | $0.99 | one-time |
| PDF export | $0.99 | one-time |


## Frequently asked questions

### Is CEFREF free?

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

### Is Pain Manager free?

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

### Do CEFREF or Pain Manager have ads?

Neither CEFREF nor Pain Manager shows ads.

### Which is updated more often, CEFREF or Pain Manager?

CEFREF ships an update every 3 weeks, and Pain Manager weekly. Most recently, CEFREF was updated on October 11, 2026 and Pain Manager on October 6, 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.*