# UpToDate vs Fagerstrom Test

The clearest difference is rating: Fagerstrom Test at 5.0 against UpToDate's 3.6. Fagerstrom Test also leads on monetization model (free vs subscription) and iOS requirement (13.0 vs 18.0). UpToDate's advantage is update cadence (every 5 weeks vs every 53 months) and ratings volume (583 vs 4). 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.

Fagerstrom Test holds the better App Store score, 5.0 against 3.6. That said, the two scores are not equally well evidenced: UpToDate has 583 ratings behind it against 4, so its average is the more settled of the two.

UpToDate ships an update every 5 weeks, Fagerstrom Test every 53 months. The most recent releases landed on October 22, 2026 and October 21, 2026 respectively.

## The numbers

| Metric | UpToDate | Fagerstrom Test |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.6 (583 ratings)](https://appshunter.io/ios/app/uptodate/id334265345/reviews) | **[5.0 (4 ratings)](https://appshunter.io/ios/app/fagerstrom-test/id1616448449/reviews)** |
| Number of ratings | **583** | 4 |
| Positive reviews | 28.2% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 5 weeks** | Every 53 months |
| Monetization | Subscription | **Free** |
| Best chart rank | **#200** | — |
| Size | 56 MB | 18 MB |
| Requires iOS | 18.0 | **13.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [UpToDate, Inc.](https://appshunter.io/developer/334265348) | [Fewlaps SL](https://appshunter.io/developer/483994933) |

## What reviewers say

### UpToDate

[App page](https://appshunter.io/ios/app/uptodate/id334265345)

**Currently charting:** #200 Top Free · Medical (US App Store)

This clinical decision support tool provides healthcare professionals with evidence-based guidance to improve patient care. It features AI-powered conversational answers, continuously updated medical content, and tools for drug reference, calculations, and patient education.

**Highlights:** Expert AI conversational guidance, Gold standard clinical content, Practice-changing updates, Patient education materials, Drug reference and interactions, Clinical calculators, Kidney dosing guidance

**Features:** Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 💎 Invaluable medical resource
- 🚀 Quick and easy to use
- 🔍 Comprehensive and up-to-date content

**What reviewers complain about**

- 🐛 Frequent crashes and freezing issues
- 🔌 Unreliable offline functionality
- 💰 Expensive subscription cost

**Reported bugs**

- Inability to download offline content
- Constant need to re-authenticate
- Incompatibility with recent iOS updates

**Requested features**

- Highlight and annotate content
- Improved institutional login support
- Dark mode and font size options


### Fagerstrom Test

[App page](https://appshunter.io/ios/app/fagerstrom-test/id1616448449)

This app implements a standard questionnaire to assess the intensity of physical nicotine addiction. It helps quantify dependence related to cigarette smoking by evaluating consumption, compulsion, and dependence levels. The results can assist healthcare professionals in documenting indications for nicotine withdrawal medication.

**Highlights:** Nicotine dependence assessment, Quantifies cigarette consumption, Evaluates compulsion to use, Measures physical dependence, Provides ordinal measure, Assists in medication documentation

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

**In-app purchases:** none


## Frequently asked questions

### Is UpToDate free?

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

### Is Fagerstrom Test free?

Fagerstrom Test is free to download, with no in-app purchases.

### Which has better reviews, UpToDate or Fagerstrom Test?

Fagerstrom Test is rated higher. UpToDate averages 3.6 out of 5 from 583 ratings, while Fagerstrom Test averages 5.0 from 4 ratings.

### Do UpToDate or Fagerstrom Test have ads?

Neither UpToDate nor Fagerstrom Test shows ads.

### Which is updated more often, UpToDate or Fagerstrom Test?

UpToDate ships an update every 5 weeks, and Fagerstrom Test every 53 months. Most recently, UpToDate was updated on October 22, 2026 and Fagerstrom Test on October 21, 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.*