Comparison

Substrata vs FichaMed

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Substrata

This app analyzes environmental factors like weather and noise alongside your personal health data, such as sleep and heart rate, to identify potential triggers for headaches and other symptoms. It uses on-device intelligence to provide plain-English explanations and predictive alerts, helping you understand what affects your well-being.

Highlights
  • Sleep condition scoring
  • Headache and symptom logging
  • Personal trigger profile building
  • Predictive alert system
  • On-device AI correlation
  • HealthKit and Apple Watch integration
  • PDF and CSV export
Features
Read full description

Wake up tired without knowing why? Headaches that hit out of nowhere? Substrata watches the noise, weather, and air around you, then pairs it with your sleep, heart rate, and HRV — so you can see exactly what's affecting how you feel. The analysis runs entirely on your iPhone using Apple Intelligence. After about two weeks, the on-device correlation engine starts surfacing connections — barometric pressure drops that match your migraine days, bedroom noise that quietly steals your deep sleep, weather patterns that drag down your HRV. Plain-English explanations you could share with your doctor. YOUR SLEEP, EXPLAINED - Sleep Condition Score: how well your bedroom actually treated you (noise, temperature, humidity, pressure stability) - Pairs with HealthKit sleep data + Apple Watch wrist temperature - Hourly, daily, weekly charts with WHO/EPA threshold zones color-coded HEADACHE & SYMPTOM TRIGGERS - Tap to log a headache (migraine, tension, cluster) with severity and notes - After 20-30 logged events, your personal trigger profile starts building - Predictive alerts when conditions match your past headache patterns - Also tracks allergies, mood, joint pain, energy ON-DEVICE INTELLIGENCE - All correlation analysis runs on your iPhone - Weather comes from Apple WeatherKit, using your approximate location - No accounts. No third-party analytics SDKs. - Microphone is not used in production; noise data comes from Apple Watch - Privacy nutrition label: no data collected WHAT YOU GET WITH PREMIUM - Every correlation the engine finds (free tier shows your top one) - Personal headache trigger profile + predictive alerts - AI-generated insight narratives - PDF and CSV export — bring a real report to your doctor - History beyond 30 days Requires iPhone with iOS 26.2 or later and an Apple Intelligence-capable device for AI insights. Apple Watch strongly recommended for environmental noise, HRV, and sleep-stage data; works without a Watch using weather, sleep duration, and headphone audio. Substrata is not a medical device and does not provide medical advice. It explores potential connections between environmental and health data for personal review. Consult a healthcare provider for diagnosis or treatment. Privacy Policy: https://kynossstudios.com/substrata-privacy.html Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/

About

FichaMed

Features
Read full description

FichaMed is a private health journal that lives on your phone. Take care of yourself every day, log visits, symptoms and medications in one place, and see patterns over time. No account. No required cloud. Your health story stays with you. DAILY CARE A simple checklist on your home screen: exercise, water and rest, each with its own daily target. Complete most of it and your streak grows. Log exercise sessions, see your weekly stats and read a new health tip every day. ACHIEVEMENTS 15 badges in bronze, silver and gold celebrate your consistency, from your first care day to a 30-day streak. YOUR HEALTH JOURNAL Build a continuous record: upcoming and past appointments, how you felt, what was prescribed and what to remember next time. The calendar shows your month at a glance. CARE TEAM AND PREP Keep the professionals you see organized by specialty. Before a visit, open the specialty summary so you arrive with context, not scattered notes. MEDICATIONS Keep a list of what you take: dose, how often, since when and who prescribed it. Finished courses stay in your history, and your current list travels into the specialty summary. It is a record, not an alarm clock: FichaMed does not send medication reminders. HEALTH TAB (PRO) Log symptoms with severity and notes, and track weight, blood pressure and blood sugar with charts and full history. Add your height to see your BMI. Choose kg or lb, mg/dL or mmol/L. PRIVACY BY DESIGN FichaMed is local-first and works offline. Health data is not uploaded as a condition of use: it stays on your device unless you export or share something yourself. FICHAMED PRO An optional subscription unlocks the Health tab, your own checklist tasks and targets, insights, the specialty summary with PDF export, multiple profiles, app lock, iCloud backup and more. IMPORTANT FichaMed is a personal organization tool, not a substitute for professional medical advice, diagnosis or treatment. Always consult qualified health professionals for medical decisions. LANGUAGES Available in English, Portuguese, Spanish, German, Italian and French.

Screenshots

Substrata4 screens
FichaMed4 screens

Verdict

The call

The clearest difference is iOS requirement: FichaMed at 16.4 against Substrata's 26.2. On price, update cadence, ads and in-app purchases 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

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Substrata sells 4 in-app purchases, starting at $4.99 per month and FichaMed sells 2 in-app purchases, starting at $1.99 per month. Whichever you choose, the download price is not the number that matters.

UpkeepUpdate frequency

Both ship on a similar rhythm, roughly every 4 days. The most recent releases landed on November 5, 2026 and October 31, 2026 respectively.

Scorecard1 real difference · 8 level
Substrata versus FichaMed: the parameters behind the verdict, then further details
ParameterSubstrataFichaMed
PriceFreeFree
Rating5.0 (4 ratings) — better—
Number of ratings4 — better—
Update frequencyEvery 4 daysEvery 4 days
AdsNoNo
In-app purchasesYesYes
MonetizationFreemium—
DevicesiPhoneiPhone
Requires iOS26.216.4 — better
Further details — not scored
Size7 MB53 MB
Age rating4+4+
DeveloperSteven KnaussNascimento Software Desenvolvimento de Programas LTDA

In-app purchases

4 purchases

Substrata

Subscriptions2
  • Substrata Premium Monthly7 Days trial$4.991 Month
  • Substrata Premium Annual7 Days trial$29.991 Year
One-time2
  • Substrata Premium$3.99
  • Substrata Premium Lifetime$89.99
2 purchases

FichaMed

Subscriptions2
  • FichaMed Pro Monthly7 Days trial$1.991 Month
  • FichaMed Pro Yearly7 Days trial$19.991 Year

Questions

Is Substrata free?
Substrata is free to download, with in-app purchases available.
Is FichaMed free?
FichaMed is free to download, with in-app purchases available.
Do Substrata or FichaMed have ads?
Neither Substrata nor FichaMed shows ads.
Which is updated more often, Substrata or FichaMed?
Substrata ships an update every 4 days, and FichaMed every 4 days. Most recently, Substrata was updated on November 5, 2026 and FichaMed on October 31, 2026.

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