# TOXBASE vs ISTUMBLE

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.

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.

## The numbers

| Metric | TOXBASE | ISTUMBLE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[1.0 (1 ratings)](https://appshunter.io/ios/app/toxbase/id519248940/reviews)** | — |
| Number of ratings | **1** | — |
| Positive reviews | **20.5% of reviews** | 0.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 6 months** | Every 10 months |
| Monetization | Free | Free |
| Size | 413 MB | 38 MB |
| Requires iOS | 15.5 | **15.1** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [NHS Lothian](https://appshunter.io/developer/417219250) | [MANGAR INTERNATIONAL LIMITED](https://appshunter.io/developer/1449708947) |

## What reviewers say

### TOXBASE

[App page](https://appshunter.io/ios/app/toxbase/id519248940)

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.

**Highlights:** Detailed poisons information, Traffic light triaging system, Point-by-point treatment advice, Evidence-based and peer-reviewed, Offline database access, 24/7 updated information

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 year subscription | $6.99 | one-time |


### ISTUMBLE

[App page](https://appshunter.io/ios/app/istumble/id1449708948)

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.

**Highlights:** 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

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

**In-app purchases:** none


## Frequently asked questions

### Is TOXBASE free?

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

### Is ISTUMBLE free?

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

### Do TOXBASE or ISTUMBLE have ads?

Neither TOXBASE nor ISTUMBLE shows ads.

### Which is updated more often, TOXBASE or ISTUMBLE?

TOXBASE ships an update every 6 months, and ISTUMBLE every 10 months. Most recently, TOXBASE was updated on September 26, 2026 and ISTUMBLE on September 22, 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.*