Two commonly used drug references for point-of-care clinical decisions are Thomson Clinical Xpert and Tarascon Pocket Pharmacopoeia Deluxe, PDA Edition. Both of them have their upsides and downsides. When comparing and contrasting these two drug information references, let's look at memory requirements, compatibility with PDA operating systems, program specifics, frequency of subscribing, and cost of subscribing. Let's look at Thomson Clinical Xpert first.
Thomson Clinical Xpert has been trusted for over 28 years for relevant drug information. This drug reference offers information on over 4000 drugs, including dosage (adult and pediatric), dosing adjustments, administration, how supplied, indications (FDA and off-label), contraindications, precautions, adverse effects (common and serious), drug interactions, pregnancy categories, breast feeding, common trade name, generic name, and class of drug.
There is also a drug interaction tool that can be utilized. Up to 32 medications can be checked at one time for: severity, onset, adverse effects, probable mechanism, evidence, and clinical management.
Laboratory information is also available including: identifying appropriate tests, interpreting test results, monitoring drug levels, collecting samples, submitting tests, and monitoring therapeutic levels and side effects.
Information about diseases can also be found in Thomson Clinical Xpert. This includes evidence ratings, test and treatment options, and daily studies and alerts.
Toxicology information like clinical effects, treatment, and range of toxicity are available as well.
Information on over 300 alternative medicines includes: class, dosage (adult and pediatric), contraindications, drug interactions, how supplied, administration, indications, adverse effects, pregnancy category, and breast feeding.
Calculators are built in to perform dosages (dobutamine, dopamine, epinephrine, heparin, nitroglycerin, nitroprusside, norepinephrine, phenytoin level adjustment), IV rates, and over 20 measurement conversions. Other specific topics that the calculator works for include CrCl, ACLS/PALS, body weight, surface area, and BMI.
News information is available for FDA announcements, disease information, clinical updates, and upcoming product launches and announces from Micromedex.
Thomson Clinical Xpert is available for Palm OS, Pocket PC, and Windows Mobile. The most current version (2006) costs $99.95 to download. If you are a healthcare professional that is part of an institution with a subscription to Thomson Clinical Xpert, you can download this for free if you have the correct information. Thomson Clinical Xpert also requires 20MB of hard drive space.
Tarascon Pocket Pharmacopoeia Deluxe, PDA Edition has been a portable drug reference since 1987. This source include expanded drug information from the Deluxe Edition of the print Pocket Pharmacopoeia (Extensive pediatric drug dosing, unique Canadian trade names and drugs, typical drug dosing (FDA and off-label), available trade and generic formulations, metabolism, and safety in pregnancy and lactation).
A tool for multiple drug interaction checking.
Continuous ongoing drug information auto-updates.
A fully integrated herbal and alternative therapy section.
47 reference tables
9 medical formula calculators.
Relative pricing codes (from $ to $$$$$) and exact drug prices from www.drugstore.com.
Tarascon Pocket Pharmacopoeia Deluxe, PDA Edition is available as a 12 month subscription from the manufacturer's website for $29.95 or from collectivemed.com for $37.95. It requires 4.5MB of hard drive memory for Palm OS and Pocket PC, and 5.2MB of hard drive memory for Blackberry.
Both Thomson Clinical Xpert and Tarascon Pocket Pharmacopoeia Deluxe, PDA Edition can be acquired after purchase via downloading from the internet. Tarascon Pocket Pharmacopoeia Deluxe, PDA Edition requires resubscribing every year to keep receiving up to date information (which will probably increase). I could not find any information on subsequent fees for Thomson Clinical Xpert.
I believe that Thomson Clinical Xpert has alot more to offer than Tarascon Pocket Pharmacopoeia Deluxe, PDA Edition, including laboratory and toxicology information. Also, if you hold onto Thomson Clinical Xpert long enough, you will make up the difference in price (unless you were able to download it for free of course). The downside to Thomson Clinical Xpert is its higher initial cost, larger memory requirement, and lack of compatibility with Blackberry.