POTS Buddy vs Upright
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
POTS Buddy
This app helps individuals with POTS and dysautonomia monitor their heart health directly from their Apple Watch. It provides real-time heart rate tracking, guided standing tests, customizable alerts, and symptom logging, with data exportable for medical consultations. Designed with user privacy and a calming interface, it aims to be a supportive tool for managing daily health.
- Real-time heart rate monitoring
- Guided POTS standing test
- Customizable smart alerts
- On-the-go symptom logging
- Exportable charts and reports
- Privacy-focused, on-device data storage
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Meet your new heart health companion. POTS Buddy is the Apple Watch app built *with* the POTS and dysautonomia community in mind, not the other way around. Whether you're navigating daily symptom flares, preparing for a doctor's appointment, or just trying to understand what your heart is doing, POTS Buddy is right there on your wrist. **REAL-TIME HEART RATE MONITORING** Your Apple Watch already tracks your heart. POTS Buddy turns that data into something meaningful. See your heart rate, beat-to-beat changes (delta), and trend direction at a glance, color-coded so you always know where you stand without decoding numbers. **POTS STANDING TEST** The guided standing test walks you through a clinically-informed sit-to-stand protocol right from your wrist. Lie down for 5 minutes, then stand for 10. POTS Buddy records your heart rate at key intervals (1, 3, 5, and 10 minutes) and shows you the delta. Share the results with your cardiologist or keep them for your own records. **SMART ALERTS THAT ACTUALLY MAKE SENSE** Set your own alert thresholds based on your body, not generic defaults. POTS Buddy uses two alert levels: a gentle heads-up for elevated readings, and an urgent alert for extreme spikes. You're informed without being overwhelmed. Level 1 alerts quietly dismiss themselves after 60 seconds. Level 2 stays until you're ready to acknowledge it. **SYMPTOM LOGGING ON THE GO** Feeling dizzy? Chest fluttery? Log symptoms directly from your wrist in seconds using the Apple Watch Digital Crown. No fumbling with your phone, no interrupting your day. Every log is timestamped and ready when you need it. **CUSTOMIZABLE WATCH FACES** Make it yours. Choose from multiple themes, including a clean Time & Date only face for those moments when you just need a break from the numbers. Because sometimes the most helpful thing is *not* watching your heart rate. **EXPORTABLE CHARTS & REPORTS** See your heart rate trends visualized in beautiful charts, then export everything (graphs, CSVs and PDF reports) for your care team. Walk into your next appointment with data your doctor can actually use. **PRIVACY THAT ACTUALLY MEANS SOMETHING** We don't want your data. Seriously. Everything POTS Buddy collects stays on your device. No accounts, no cloud sync, no third-party sharing. Your health information is yours. Full stop. **DESIGNED FOR REAL LIFE WITH POTS** We know that anxiety about heart rate can *cause* heart rate spikes. POTS Buddy is designed to be reassuring, not alarming. Calm colors, supportive language, and customizable sensitivity mean the app works *for* you, not against you. --- **GOOD TO KNOW** To keep your heart rate on screen all day, the Apple Watch app runs like a workout, so Apple counts monitoring time as exercise. Your Exercise minutes and Move calories will be higher than your real activity while POTS Buddy is monitoring. POTS Buddy only reads your heart rate from Apple Health and never writes anything to it. You can stop monitoring any time from the watch Settings. The watch also uses noticeably more battery while monitoring. POTS Buddy works with iPhone (iOS 18.5 or later) and Apple Watch (Series 4 or later, watchOS 10.6 or later). *POTS Buddy is a wellness tool, not a medical device. Always consult your healthcare provider for medical advice.* --- **Your heart. Your data. Your choice.**
Upright
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Upright turns the chaos of POTS and dysautonomia into a pattern you can see, and hand to your doctor. POTS is invisible and exhausting: dizziness, brain fog, racing heart and fatigue that come and go with no obvious cause. Upright tracks the things that actually move the needle, in one simple daily loop. STANDING HEART RATE TEST Record your NASA lean test: resting heart rate lying down and peak heart rate standing. Upright flags the rise of 30 bpm or more used to define POTS and charts your trend. Add blood pressure readings to the same test: lying, then each standing measurement. SALT, FLUIDS & ELECTROLYTES One-tap logging toward your daily sodium and fluid targets, with progress rings. SYMPTOMS & TRIGGERS Log episodes, severity and triggers such as heat, standing, meals and your menstrual cycle. On a bad day, ask Siri to log a symptom in Upright without opening the app. MEDICATION REMINDERS Add midodrine, fludrocortisone, salt tablets or beta blockers with their dose times. Upright reminds you when each dose is due and tracks your adherence. HISTORY & TRENDS Browse every day you logged and see how your symptoms line up with low-salt days. DOCTOR-READY REPORT Standing heart rate trends, symptom frequency, medication adherence and salt and fluid compliance: the evidence that changes an appointment. YOUR DATA NEVER LEAVES YOUR PHONE No account, no cloud, fully offline. For everyone managing POTS, dysautonomia, MCAS, EDS, long COVID and chronic illness. UPRIGHT PRO PDF and CSV doctor reports, heart rate from Apple Health for your stand test, full trigger correlations and unlimited history. Start with a 7-day free trial on the annual plan. Invite a friend and you both get 30 days of Pro free. MEDICAL DISCLAIMER Upright is not a medical device and does not diagnose, treat or prevent any condition. Always consult your doctor or a qualified healthcare professional before changing your salt, fluid or medication routine. If you faint and are injured, have chest pain or feel seriously unwell, seek emergency care. Terms of Use: https://adelyons.com/apps/upright/terms.html Privacy Policy: https://adelyons.com/apps/upright/privacy.html
Screenshots
Verdict
The clearest difference is in-app purchases: POTS Buddy at none against Upright's 3. Upright's advantage is update cadence (every 11 days vs every 4 months) and iOS requirement (15.0 vs 18.5). On price, ads 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. Upright sells 3 in-app purchases, starting at $6.99 per month. POTS Buddy asks for nothing beyond the download.
POTS Buddy ships an update every 4 months, Upright every 11 days. The most recent releases landed on October 28, 2026 and October 25, 2026 respectively.
| Parameter | POTS Buddy | Upright |
|---|---|---|
| Price | Free | Free |
| Rating | 4.0 (10 ratings) — better | — |
| Positive reviews | 50.0% of reviews | — |
| Number of ratings | 10 — better | — |
| Update frequency | Every 4 months | Every 11 days — better |
| Ads | No | No |
| In-app purchases | No — better | Yes |
| Monetization | Free | — |
| Devices | iPhone, Apple Watch | iPhone, iPad, iPod — better |
| Requires iOS | 18.5 | 15.0 — better |
| Further details — not scored | ||
| Size | 5 MB | 29 MB |
| Age rating | 12+ | 4+ |
| Developer | MEDUSA LABS L.L.C. | Adelyons Software LLC |
In-app purchases
POTS Buddy
No in-app purchases
Upright
- Upright Pro (Monthly)$6.991 Month
- Upright Pro (Annual)7 Days trial$39.991 Year
- Upright Pro (Lifetime)$79.99









