You want to hear some numbers that’ll curl your toes?
An estimated 187 million Americans (58%) are on at least one prescription drug. (Source: Network for Excellence in Health Innovation [NEIH]). 110 million prescriptions a year are never even picked up. (Source: CVS Pharmacies based on 2008 data.) Up to 50% of us don’t take our medicines as prescribed (wrong times, wrong amounts, wrong meds), according to NEIH. And roughly 125,000 Americans die every year as a result. (Source: Research cited by the then-US surgeon general in 2012.)
They’re dying of what doctors call non-adherence—basically, not following instructions.
And you don’t have to be old & feeble to have trouble. When I was recovering from a kidney stone last year, my doctor told me to take ibuprofen, two pills, four times a day; phenazopyridine, one pill, three times a day; ciprofloxacin, two pills twice a day; docusate sodium, one capsule, three times a day; & solifenacin succinate, one pill, once a day.
Seriously? You’d need a spreadsheet.
Now imagine that you’re on 10 prescriptions. Or 20.
The point is: There should be an app that reminds you of what to take when, & records your adherence. In fact, there is an app like that—at least 47 of them, actually. I know, because I bought, installed, & tested every single one, on a quest for the best.
.An app that tracks your meds through the day. Is that so hard?
Here’s the complete list of apps I tried. (I originally located 75 of these apps yet eliminated apps that are over three years old, since they’re usually pretty creaky. Many apps have identical names, so I’ve included the full title as it appears on the app store. They’re free unless noted.)
Care4Today, CareZone, CeyHello, Do not forget your pills, Dose Direct, Dose Organizer ($1), Dosecast, Easy Pill ($3), GenieMD, iCare—Medication Reminder, Mango Health—Medicine Manager, Pill Reminder, Med Helper—Pill Reminder & Medication Tracker, MedBox—Medication Reminder & Rx Tracker, MedCoach Medication Reminder, Medi-Prompt—Medication Reminder & Log ($4), Medisafe Pill Reminder & Medication Tracker, MedOClock—Free Pill Reminder with Health Journal, Meds Alert, Meds Tracker: Medication Daily Reminder & Tracker, Memo Health—Smart pill reminder & meds manager, Memo Pill Reminder, Mr. Pillster—pill reminder & medication tracker ($5), MyMedSchedule Mobile, MyTherapy Meds & Pill Reminder with Health Diary, Pill Alert, Pill Alert—Medicine Reminder, Pill Alert—Med, Prescriptions Reminder & Tracker, Pill Box—Your Pill Reminder, Pill In Time, Pill Monitor, Pill Monitor Pro—Medication Reminders & Logs ($1), Pill Reminder—All in One, Medication Reminders…, Pill Reminder—Drugs.com, Pill Reminder— MedRem, Pill Reminder—Alarm for medicine, contraceptive, Pill Reminder Alarm—Reminder To Take Medication, Pill Tracker Box, Pillbox—Your Pill Reminder, Pillboxie ($2), Pills—Reminder for Daily Taking Medicine & Pills Medication Reminder ($1), PocketNurse—Pill Reminder, Round Health—Medicine Reminder & Pill Tracker, RX2—Meds & Pill Reminder ($3), rxRemind—Free Medicine Pill Reminder & Tracker.
Apparently, a pill reminder is what every coder attempts as My Very First App, because most of them are terrible. Some are just bare-bones, yet others are aggressively bad. Plenty of them crash on opening. Lots are full of typos & broken English. Many of them make it extremely awkward to enter the pill information. Almost all of them should instantly go into the Great App Trash Bin in the Sky.
Fortunately, there’s one shining exception.
What we want in a pill-reminder app
Dive into a few of these apps, & it rapidly becomes apparent that eight features separate the satisfactory stuff from the junk:
Easy to enter the med’s name. In offensive apps (most of them), you have to type out the name of the medicine with your finger, carefully glancing back to the drugstore bottle. In better apps, you can type the first few letters & then tap Search—and select from a list of matches. In the best apps, you obtain real-time autocomplete: A list of matches appears as you type. Pictures of the pills. The worst apps don’t even attempt graphics. Better ones let you take a photo of your pills, or select from a palette of pill shapes & colors. The best ones already know what the meds look like, because they’re plugged into online medicine databases. Compliance is much more likely if the reminders, instead of just saying phenazopyridine, also show a couple of maroon round pills. Easy to enter the times. The worst apps make you set reminder times manually. If you’re supposed to take a pill 3 times a day, for example, you might input 10 a.m., 6 p.m., & 2 a.m. The better ones let you enter “3x daily,” & the app proposes three evenly spaced times. The best ones do that yet moreover intelligently reset the timer if you’re late taking a pill at one of the three times. Drug warnings. The worst apps don’t have any actual knowledge of the drugs you’ve listed; it doesn’t know “ibuprofen” from “I love Lucy.” The better apps show you a page of information approximately each prescription. And the best apps automatically warn you if you’ve entered two drugs that shouldn’t be taken together. Family monitoring. The worst apps track only your meds. The better ones let you track other family members’ meds on your phone, so that you can moreover remember when it’s time to dose up your kid or your parent. The best ones moreover let you know remotely when a loved one has missed a dose. For example, if your grandfather doesn’t tap “Done” when he gets his 6 p.m. reminder to take his heart medicine, your phone lets you know, so you can call him up & bug him. To Do list. The worst apps just pop up reminders when it’s time to take a medicine. The better ones moreover show you a tidy timeline of upcoming pills you’ll have to take today. The best apps moreover keep a history—a handy report of your past pill-taking record—that you can send to, say, your doctor. Smart rescheduling. The worst apps just remind you when it’s time to take a dose. The better ones let you indicate either Taken or Missed for each reminder. The best ones moreover offer options to Skip or Postpone a dose. (For example, if you’re on hardcore pain medicine that you’re supposed to take no more often than every four hours, the reminder that pops up says, in effect, “You may take a pill now.” But if you don’t need it, you can hit Skip.) Lock-screen dismissal. All apps make an alert appear on your iPhone or Android phone’s Lock screen. Usually, in order to indicate that you’ve taken that pill, you have to swipe that alert to open the app. The best ones offer Taken or Skipped buttons right there on the Lock screen, for less disruption & fewer steps.
As it turns out, only one app delivers all of those features. It’s so much more complete than its rivals, with so much more polish, that the others should slink back to the app store in shame.
To make matters even better, this app is free. This winner, by a wide margin, is called Medisafe.
As you can see by the video above, Medisafe wins you over right at the top, by auto-completing your drug names as you enter them & showing you what they look like. It autocompletes both prescription & over-the-counter drug names.
If you obtain your prescriptions from CVS, Walgreens, RiteAid, or WalMart, the app can even import your complete meds list directly from those drugstore accounts, so you do no data entry at all.
It’s received drug-interaction warnings, & even—get this—videos that offer drug & dosage information. “This is Tamsulosin,” a doctor-looking man says in one, “and you should take your dose 30 minutes after a meal. You should swallow the capsule whole, & don’t crush or chew it.” He goes on to describe what it’s for & what the side effects can be. (The videos cover the drugs representing 85% of all prescriptions.)
.MediSafe is smart, simple, complete, & free.
This app makes it incredibly effortless to specify when & how many you’re supposed to take. It reminds you to refill your prescription, too.
The app shows your drug regimen as four “pill boxes,” representing morning, afternoon, & so on. To say you’ve taken your dose, you just swipe across the medicine’s name, or (if you take several at once) hit Take All. You can indicate that you’re skipping a dose, or postponing it.
There’s a To Do list, a History report, an Apple Watch app, a built-in tutorial, & notifications if a loved one has missed a dose.
So if Medisafe is free, how does it make money? Kind of clever: Its company makes money from drug companies, health plans, & doctors. Each has a vested interest in your sticking to your prescription routine: health insurers, because keeping you healthy costs them less; doctors, because (a) they want you healthy & (b) sometimes the insurance companies won’t pay them if you obtain re-admitted for the same ailment within 30 days; & pharma companies, because if you take your meds on time, you’ll have to buy refills from them sooner! Handy, no?
If you or someone you love could use a free, lovely, complete pill-reminder app, go download Medisafe.
Here are a few other apps worth mentioning.
Care4Today. This beautifully simple app is a close second place. It offers a quick visual way to check off doses as you take them, color-coded by urgency (below, left). Offers drug info, interaction warnings, autocomplete, & automatic pill pictures. Better yet, few apps go as far as this one to encourage adherence. For example, it shows weekly graphs of your adherence, including your running percentage score. And get this: For each day that you maintain 100% adherence, the company donates 25 cents to a charity (you can select from a set of 9).
.Care4Today is nicely & rich, complete with autocomplete (center) & charitable donations for each day you master your meds.
Pill Reminder—All in One, Medication Reminders. Very clean, very attractive, effortless to use. Type a few letters, then tap “Search U.S. FDA Database” to autocomplete (although it doesn’t list everything). You can specify either “3 times a day” or specify three exact times. Options to reschedule; auto-snooze. If you have more than two meds, you have to buy the $2 Pro version.
.“Pill Reminder – All in One…” looks tremendous & shows simple pill graphics.
Pill Reminder—Drugs.com. Superb, clean layout; the To Do list is moreover a calendar, so you can look ahead or back to other days. Autocomplete for drug names, option to photograph your pills. Tracks your refills; offers a password for privacy.
.“Pill Reminder – Drugs.com” is pretty great. (There are 4 other apps called Pill Reminder, though–don’t obtain confused.)
Pillboxie. Really simple app, heavy on clear, attractive graphics. For example, you schedule your dose times by dragging a picture of the pill into a time-labeled pill-box on the screen. Lots of assist screens. To Do list, History, pleasant reminder sounds.
.Pillboxie’s text & graphics are huge & clear enough to see without glasses.
Round Health—Medicine Reminder & Pill Tracker. Shows a round daily graph of your progress; offers a unique yet somewhat confusing “time window” system of reminder prompts. Great autocomplete that includes standard pill strengths—alas, no pictures. If you create an account, you can save your med history & sync data between multiple devices.
.Round Health shows your progress as a round graph (left). It moreover has autocomplete (right).
RX2—Meds & Pill Reminder. Super efficient to schedule your doses: If you tap “3x a day,” the app proposes the actual time slots (you can adjust the defaults in Settings, or on the spot). When the time comes, you can tap Take, Skip, or Reschedule. Clear, huge design. View by day, week, month. Autocomplete (although doesn’t know all med names). No pill pictures, though.
.RX2 has a bold, clear design & a choice of Day, Week, or Month views.Happy pill taking!
I’ve identified seven extraordinary, well designed apps that remind you to take your meds, & track your adherence; MediSafe & Care4Today, in particular, are spectacular.
Now, technically, I can appreciate that a tech column is more thrilling when it covers hybrid tablets or automated drones. But this time, I thought maybe the most thrilling product is one that can save your life.
Read more from David Pogue:
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David Pogue, tech columnist for Yahoo Finance, welcomes non-toxic comments in the Comments below. On the web, he’s davidpogue.com. On Twitter, he’s @pogue. On email, he’s firstname.lastname@example.org. You can read all his articles here, or you can sign up to obtain his columns by email.
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