TOXBASE vs ECG Builder
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.
ECG Builder
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Draw any 12-lead ECG in seconds. Describe it in plain words or build it tool by tool, then export it for your slide, handout or exam. DESCRIBE IT AND IT DRAWS "Inferior STEMI at 52 with reciprocal change." "Atrial fibrillation with RVR at 140." "LBBB with a paced rhythm." The sheet prints onto real millimetre paper, left to right, the way a recorder does. OR BUILD IT BY HAND Eleven tools, one question each: - Rhythm, Rate, Intervals - Conduction, Ischaemia, Repolarisation - Chambers, Ectopy, Pacing - Syndromes, Sequence NOT A LIBRARY OF PICTURES Every tracing comes out of a physiologic model, so the findings agree with each other. - Add inferior ST elevation and the reciprocal depression appears in aVL by itself - Drag the rate under 60 and sinus rhythm relabels itself sinus bradycardia - Pace the ventricle and the spike projects onto all twelve leads, with the right polarity in each WHAT IS IN IT - 26 rhythms, sinus arrhythmia through torsades to asystole - 21 named patterns in one tap: Wellens A and B, de Winter, Brugada 1 and 2, S1Q3T3, pericarditis, early repolarisation, hypothermia, digoxin, hyperkalaemia, LVH with strain, long QT and more - Sequence: the rhythm changes partway through the strip, with a shock where you want it - 5 layouts, including 3x4 with a rhythm strip and a stacked layout for the phone - 4 papers, thermal cream to defibrillator monitor - 25 or 50 mm/s, 10 mm/mV. Hold a ruler to the screen and the intervals measure correctly - Baseline drift, muscle tremor and mains hum, each on its own slider - A patient header the way a machine prints it: name, age, sex, rate, rhythm, date and time. All of it yours to set, all of it fictional TEACHING BOARD (IPAD AND IPHONE DUO) - Hide the tools and the sheet becomes a board - Draw on it with Apple Pencil, or a finger when no Pencil is set up. Marks stay on their beats at any zoom - The frontal axis wheel and the chest lead map sit beside it, each with room for the pen - Play runs all twelve leads live at the speed printed on the sheet - Record the screen while you teach and send the video to your students - Save the board as a Letter handout BUILT FOR IPHONE DUO - Open, it is the full studio: the sheet across the top, every tool below it - Closed, the cover runs the guided builder - Fold or unfold mid-build: the tracing, your step and your board marks stay put - The tools sit in the side column beside the clock, so the paper keeps the screen EXPORT - PNG for a slide - Vector PDF at true physical size, still measurable with a ruler once printed - Yours to use in slides, handouts, exams and question banks, including commercially FREE AND PRO Free builds a normal twelve-lead and will show you any other one. Ask for torsades de pointes and you get torsades de pointes, drawn in full, as a watermarked preview you can read but not edit or export. ECG Builder Pro is one purchase, not a subscription, and it covers Family Sharing. It unlocks every rhythm and every finding to edit, rolls a new patient with the same diagnosis, and lets the sheet leave the app clean. No account, no sign-in, no network. The app works in Airplane Mode and nothing you type leaves the device. EDUCATIONAL USE ONLY Every tracing is synthetic, generated. ECG Builder is not a medical device and must not be used for diagnosis, treatment, or any patient-care decision. ECG Builder is a CardioLens product.
Screenshots
Verdict
The clearest difference is update cadence: ECG Builder at every 2 weeks against TOXBASE's every 6 months. TOXBASE's advantage is iOS requirement (15.5 vs 17.0). On price, ads, in-app purchases and device support 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 and ECG Builder sells 1 one-off in-app purchase. Whichever you choose, the download price is not the number that matters.
TOXBASE ships an update every 6 months, ECG Builder every 2 weeks. The most recent releases landed on November 1, 2026 and October 31, 2026 respectively.
| Parameter | TOXBASE | ECG Builder |
|---|---|---|
| Price | Free | Free |
| Rating | 1.0 (1 ratings) — better | — |
| Positive reviews | 20.5% of reviews | — |
| Number of ratings | 1 — better | — |
| Update frequency | Every 6 months | Every 2 weeks — better |
| Ads | No | No |
| In-app purchases | Yes | Yes |
| Monetization | Free | — |
| Devices | iPhone, iPad, iPod — better | iPhone, iPad |
| Requires iOS | 15.5 — better | 17.0 |
| Further details — not scored | ||
| Size | 413 MB | 9 MB |
| Age rating | 17+ | 17+ |
| Developer | NHS Lothian | Mark Daniel Figueroa |
In-app purchases
TOXBASE
- 1 year subscription$6.99
ECG Builder
- ECG Builder Pro$24.99









