RxCalc Cheats

RxCalc Hack 1.5 + Redeem Codes

Pharmacokinetics for iOS

Developer: Rob Fahrni
Category: Medical
Price: $2.99 (Download for free)
Version: 1.5
ID: com.applecorelabs.RxCalc

Screenshots

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Description

RxCalc puts commonly used pharmacokinetic calculations in the palm of your hand with your iPhone or iPod Touch. The fast interface and comprehensive results help you spend less time crunching numbers and more time working on other, more important issues.

This tool is designed to help pharmacists, and physicians, quickly perform the most commonly used pharmacokinetic calculations. Calculations for designing new vancomycin and aminoglycoside dosing regimens as well as patient specific post-level adjustments to current dosing regimens are included.

Version history

1.5
2020-06-30
Requires iOS 13
Supports Dark Mode
1.4
2017-09-22
Updated to support iOS 11
1.3
2015-09-26
Compatible with iOS 9
Uses numeric keypad for data entry

If you like RxCalc, please take a moment to leave a review, it really helps! If not, please send your feedback to [email protected] or visit http://applecorelabs.com/contact/ for help.
1.2.1
2012-11-22
1. iPhone 5 bug fixes
2. Requires iOS 5 or newer

Plus all this...
1. Support for dosing adjustment using single level vancomycin kinetics
a. The calculations are performed using both patient specific information supplied by the user as well as patient population parameters.
2. Literature supported High Dose Extended Interval (HDEI) (aka "once daily" or "pulse") aminoglycoside dosing
b. Calculations for gentamicin and tobramycin are based on 7mg/kg adjusted body weight
c. Calculations for amikacin are based on 15mg/kg adjusted body weight

RxCalc formula/models:
1. Industry standards for ideal body weight (IBW) calculations
2. Cockcroft-Gault equation for creatinine clearance calculations
3. Vancomycin utilizes the Creighton model for calculations:
a. Kel = 0.0044 + (CrCl x 0.00083)
b. Vd = 0.7 L/kg (using actual patient body weight)
c. Vancomycin Vd is adjustable based on user need between 0.5 L/kg and 1 L/kg (default 0.7 L/kg)
4. Aminoglycoside model utilizes the following:
a. Kel = (0.14 + (0.00293 * CrCl)
b. Vd 0.26 L/kg (using adjusted patient body weight)
a. Aminoglycoside Vd is adjustable based on user need between 0.2 L/kg and 0.5 L/kg (default 0.26 L/kg)
b. Adjusted body weight for aminoglycoside calculations is calculated as follows: IBW + ((ActBW - IBW) x 0.4)
1.2
2010-10-07
Release 1.2 of RxCalc adds improved functionality including:
1. Support for dosing adjustment using single level vancomycin kinetics
a. The calculations are performed using both patient specific information supplied by the user as well as patient population parameters.
2. Literature supported High Dose Extended Interval (HDEI) (aka "once daily" or "pulse") aminoglycoside dosing
b. Calculations for gentamicin and tobramycin are based on 7mg/kg adjusted body weight
c. Calculations for amikacin are based on 15mg/kg adjusted body weight

RxCalc formula/models:
1. Industry standards for ideal body weight (IBW) calculations
2. Cockcroft-Gault equation for creatinine clearance calculations
3. Vancomycin utilizes the Creighton model for calculations:
a. Kel = 0.0044 + (CrCl x 0.00083)
b. Vd = 0.7 L/kg (using actual patient body weight)
c. Vancomycin Vd is adjustable based on user need between 0.5 L/kg and 1 L/kg (default 0.7 L/kg)
4. Aminoglycoside model utilizes the following:
a. Kel = (0.14 + (0.00293 * CrCl)
b. Vd 0.26 L/kg (using adjusted patient body weight)
a. Aminoglycoside Vd is adjustable based on user need between 0.2 L/kg and 0.5 L/kg (default 0.26 L/kg)
b. Adjusted body weight for aminoglycoside calculations is calculated as follows: IBW + ((ActBW - IBW) x 0.4)
1.1
2010-05-28
Customize Units of Measure
1) Height - Inches or Centimeters
2) Weight - Pounds or Kilograms
3) SCr - mg/dL or micromol/L

Customize Volume of Distribution
1) Aminoglycoside - Between .20 and .50
2) Vancomycin - Between .50 and 1.0

Usability Enhancements

The User Interface is now less rigid. Now allows scrolling while the keyboard is showing. You can freely move between cells without seeing the "Zero value" error.
1.0.1
2009-07-29
Fixed a usability problem that hid the final adjustment table section. Now auto scrolls to the section.
1.0
2009-07-04

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Ratings

4.6 out of 5
5 Ratings

Reviews

Nomad16,
Very helpful
This has been the most useful app for doing pharmacokinetics that I found. It does the calculations for aminoglycosides, vancomycin and high dose extended interval dosing. I have been using it for over five years. It's efficient, no frills interface is quick and can save a lot of time. Highly recommended!
Pharmentator,
Use this Almost Every Day
This app is very useful for the clinical pharmacist responsible for kinetic dosing. It is quick, simple to use and works well. Have found this provides more accurate predictions for geriatric patients, in comparison to other kinetics calculators tried in the past.
Meforever2015,
Love it
I like this app it's simple and to the points. Pretty handy when your on the floor. You don't have too many options to confuse you but you can still adjust VD to your liking. I'm surprised this app is not reviewed or used that much.
rbmartiniv,
RxCalc is Quite Useful
As already mentioned, there may be some underdosing initially. Perhaps, one tends to expect too much when the equations predict a serum level of 13.7 mcg/ml and then the actual measured level turns out to be ONLY 12.1 mcg/ml and, therefore, is incorrect!. Mathematical equations, by their nature, are very exact. Yet they are applied in the same manner to the many differences among our patients. When I use any pharmacokinetic dosing model in an empirical fashion I am simply looking to be in the correct ball park once I have an actual level with which to work. RxCalc helps me do this without spending a lot of time and effort coming up with a regimen that will most likely be changed after the first serum level is measured and reported. Not having many options is no reason not to use RxCalc. This is an iPhone app after all, not software to run on the hospital's mainframe! However, I am disappointed that when adjusting dosing based on measured levels I must have both a peak and a trough. Most of the time I only have a trough and am unable to use RxCalc to assist in adjusting the dosing. I have been assured by Apple Core Labs that making the entry of a peak level optional is currently being tested and should be expected in the next RxCalc release.

Robert Martin, PharmD
Lendos,
Great kinetics app!
I have been using this for a couple of weeks for both new starts and follow ups and think it is great. I was using a desk top program and it is so much more conveinent to have this on my phone. I'm not sure what the previous reviewer was complaining about. Of course you have to enter all the patient information in order to get any dosing information. You can't even figure something as basic as creatinine clearance without the patient's height and weight! Also, all kinetics programs that I have used give you sort of an odd dose and frequency. The program gives you the exact dose and frequency needed to get you exactly the levels you asked for and then you have to use your clinical judgement and plug in some numbers into the program to find a more reasonable dose. In any case, I am finding this to be a great app!
TXRph,
RxCalc
I have been a clinical pharmacist for 19-years. For the last 8-10 years, I have been using ClinRx on my palm. Unfortunately, ClinRx is not available for I-Pod/I-Phone. I misplaced my palm and was looking for an alternate program. I had seen a review from a professor at UC San Francisco praising RxCalc. I purchased this program based on that review. I found it less than useless. I plugged in the data for a large, relatively young patient with a high vancomycin trough. The data for the single level vancomycin trough provided data that was completely inaccurate. I tried again with similar data. Again, the resultant data was exactly opposite of what someone who is familiar with pharmacokinetics would expect. Example: 1500mg every 8 hours with a reported trough of 28 at 1/2 hour prior to next dose in a 128kg patient recommends a NEW dose of 1750mg every 8 hours for a goal trough of 18. If the trough is already higher than desired, why would you want to increase the dose? The original data on an actual patient provided a Tau of approximately 3 hours when the actual Tau should have been 12-18 hours.

I would not recommend this program, especially if the person purchasing the program does not have enough experience to recognize when the data being provided is not accurate.
GatoRx,
Handy kinetics app
I've been using this app for a week or so, comparing results to a program I've used on my Palm for several years. The two calculate very similar results, and I find myself using RxCalc more and more. There are a couple of tweaks that would be helpful (entering height in centimeters rather than inches, adjustable volume of distribution), but so far this has been a great app.
Lump.,
Handy, kinetics right at my fingertips!
I've been using this ap on a daily basis since the first release. It's a simple to use, concise ap that lets me blow through my new starts and make adjustments on the fly. Very convenient not to have to log in to our PC based kinetics application, which is cumbersome and clunky. (do it by hand, you say? Forget about it! I haven't it done one by "hand" since I HAD to, in school). A few minor things I'd like to see with the next upgrade, but mostly to do with personal preference. Definately a solid little ap that's easy and convenient to use. Great little timesaver.
STACIARIN,
Kinetics Slayer!
This is the kinetics calculator I have been waiting for! Well done to say the least. And at $5.99 it is a pure bargain! I put it through the paces and have been very pleased with its capabilities thus far. Screens are easy to navigate and there is plenty of dosing/serum level manipulation. A great start for some much needed pharmacy apps. Strong work Apple Core. Thanks!
No go for Vanco,
No like
The interface is rigid and clunky. Wouldn't let me get a ballpark on levels without filling in every single box, including height (140-age/SCr...I can get clearance that quickly in my head for the avg pt since 70kg is avg wt...just give me the option of putting in the CrCl myself and save me several minutes fighting with your funky screens...and while you're at it, take some constructive feedback to make a better product instead of posting bogus 5 star reviews). Rather put pen to paper. Never tried the ag calcs but to be honest will probably delete and never use. Bye bye 6 bucks.

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