TOXBASE vs ISTUMBLE
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
TOXBASE
This clinical toxicology database offers healthcare professionals comprehensive advice on poisoning features and management. It provides detailed information on various toxins and clear, evidence-based treatment guidance. The app is designed for quick reference and can be used offline.
- Detailed poisons information
- Traffic light triaging system
- Point-by-point treatment advice
- Evidence-based and peer-reviewed
- Offline database access
- 24/7 updated information
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TOXBASE® is the clinical toxicology database of the UK National Poisons Information Service, providing advice on the features and management of poisoning. Monographs are designed to be used by healthcare professionals involved in the management of poisoned patients. TOXBASE is freely available for users who are able to register using an NHS, MOD, ac.uk or UKHSA domain email address. If your domain is not accepted contact mail@toxbase.org for assistance and information. Key application features * detailed poisons information on industrial chemicals, pharmaceuticals, household products, plants and animal toxins * easy to follow traffic light system for triaging poisoned patients * point by point treatment advice which is clear and concise, evidence-based, peer-reviewed and updated 24/7 * no internet connection is required to search the database (although internet connection may be required to access all information on some entries) How the app works After download, users complete a registration form and receive an email containing a verification link. Once verified users will be able to use their login for the TOXBASE app and also for TOXBASE online at www.toxbase.org Account renewal is required annually. Disclaimer The information on the TOXBASE App is designed for healthcare professionals and requires expert clinical interpretation. Users are strongly advised to always discuss cases with their local experts in poisons management and should not solely rely on the App to make medical decisions. Users are required to accept our End User License Agreement before using the app. All material on TOXBASE is subject to UK Crown copyright protection.
ISTUMBLE
This medical assessment tool helps care providers determine the best course of action after a fall. It guides decisions on whether to lift a fallen person or call for an ambulance, aiming to reduce the time a person remains on the floor. The app is accredited for NHS use and works with lifting cushions for safe patient handling.
- Fall assessment algorithm
- Decision support for lifting or ambulance
- NHS accredited tool
- Works with Mangar Lifting Cushions
- Reduces time on floor
- Safe and dignified lifting
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Winncare has collaborated with the Welsh Ambulance Services NHS Trust to develop ISTUMBLE ®, an algorithm and app used to determine the appropriate course of action in the occurrence of a fall. ISTUMBLE® empowers care providers to make good decisions around when to lift a fallen person and when to call an ambulance. A nationally recognised tool, the ISTUMBLE ® app is accredited by Orcha for use within the NHS. Used in conjunction with Mangar Lifting Cushions, the combination safeguards a fallen person by providing a safe and dignified lift, whilst protecting healthcare workers and carers from injury acquired through manual handling. Importantly, the ISTUMBLE® algorithm has been demonstrated to reduce the length of time that a fallen person is on the floor.
Screenshots
Verdict
The clearest difference is in-app purchases: ISTUMBLE at none against TOXBASE's 1. TOXBASE's advantage is review sentiment (21% vs 0%). On price, update cadence, ads and monetization model there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. TOXBASE sells 1 one-off in-app purchase. ISTUMBLE asks for nothing beyond the download.
TOXBASE ships an update every 6 months, ISTUMBLE every 10 months. The most recent releases landed on September 26, 2026 and September 22, 2026 respectively.
| Parameter | TOXBASE | ISTUMBLE |
|---|---|---|
| Price | Free | Free |
| Rating | 1.0 (1 ratings) — better | — |
| Positive reviews | 20.5% of reviews — better | 0.0% of reviews |
| Number of ratings | 1 — better | — |
| Update frequency | Every 6 months — better | Every 10 months |
| Ads | No | No |
| In-app purchases | Yes | No — better |
| Monetization | Free | Free |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 15.5 | 15.1 — better |
| Further details — not scored | ||
| Size | 413 MB | 38 MB |
| Age rating | 17+ | 12+ |
| Developer | NHS Lothian | MANGAR INTERNATIONAL LIMITED |
Customer experience
TOXBASE
ISTUMBLE
In-app purchases
TOXBASE
- 1 year subscription$6.99
ISTUMBLE
No in-app purchases









