# Opioid Tool vs DIRE

The clearest difference is review sentiment: DIRE at 100% against Opioid Tool's 40%. DIRE also leads on rating (5.0 vs 3.6). Opioid Tool's advantage is update cadence (every 5 days vs every 51 months) and ratings volume (8 vs 1). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

DIRE holds the better App Store score, 5.0 against 3.6. That said, the two scores are not equally well evidenced: Opioid Tool has 8 ratings behind it against 1, so its average is the more settled of the two. Written reviews point the same way: 40% of Opioid Tool's written reviews are positive against 100% of DIRE's.

Opioid Tool ships an update every 5 days, DIRE every 51 months. The most recent releases landed on September 10, 2026 and June 3, 2026 respectively.

## The numbers

| Metric | Opioid Tool | DIRE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.6 (8 ratings)](https://appshunter.io/ios/app/opioid-tool/id827561557/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/dire/id1188944849/reviews)** |
| Number of ratings | **8** | 1 |
| Positive reviews | 40.0% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 5 days** | Every 51 months |
| Monetization | Free | Free |
| Size | 1 MB | 8 MB |
| Requires iOS | **7.0** | 12.0 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 4+ | 17+ |
| Developer | [aaron sobol](https://appshunter.io/developer/358992561) | [Riemenrade Studios LLC](https://appshunter.io/developer/801028125) |

## What reviewers say

### Opioid Tool

[App page](https://appshunter.io/ios/app/opioid-tool/id827561557)

This medical app provides tools for healthcare professionals rotating through specific rotations. It includes an opioid conversion calculator, a 30-day refill calculator, and a reference for opioid metabolites. A prescribing checklist is also available to aid in patient care.

**Highlights:** Opioid conversion calculator, 30-day refill calculator, Opioid metabolite reference, Prescribing checklist

**Features:** macOS Compatibility

**In-app purchases:** none


### DIRE

[App page](https://appshunter.io/ios/app/dire/id1188944849)

This tool assists clinicians in evaluating the risk and potential success of prescribing opioids for chronic pain. It uses a scoring system based on seven factors to guide decision-making, but does not replace professional judgment.

**Highlights:** Opioid prescribing risk assessment, Seven-factor scoring system, Chronic non-malignant pain focus, Decision-making aid for clinicians, Risk vs. success prediction

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Opioid Tool free?

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

### Is DIRE free?

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

### Which has better reviews, Opioid Tool or DIRE?

DIRE is rated higher. Opioid Tool averages 3.6 out of 5 from 8 ratings, while DIRE averages 5.0 from 1 ratings.

### Do Opioid Tool or DIRE have ads?

Neither Opioid Tool nor DIRE shows ads.

### Which is updated more often, Opioid Tool or DIRE?

Opioid Tool ships an update every 5 days, and DIRE every 51 months. Most recently, Opioid Tool was updated on September 10, 2026 and DIRE on June 3, 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.*