Lexi-Comp On-Hand

Lexi-Comp for PDA is called Lexi-Comp On-Hand is the most comprehensive handheld database that I've seen yet. I don't feel I'd be able to adequately describe all that is available through these programs but more information and very useful online tours can be found at

www.lexi.com

The program can be used on the internet, on a desktop or on a handheld device. The web version obviously is better if you'd like to follow links and does have very complete information. Lexi-comp products encompass many databases and tools, some which can be purchased separately and downloaded onto a palm, pocketPC or blackberry device. Some of the smaller databases included Lexi-drugs, Lexi-interact, Lexi-DrugID, Lexi-Calc and many, many others. I don't believe there is much drug information out there that can't be found under one of the databases offered. For simplicity I will discuss the most used version, which is Lexi-Complete and it offers IV compatibility, drug information, interaction checker, and the calculators. As an aside the calculators are offered on ALL databases that are purchased.

Currently Lexi-Comp is having a sale, and you can purchase a one-year subscription for $75 to one database and add any other for $40.

Within Lexi-Complete you can reference 15 clinical database!! These include very useful installed books containing disease information, herbal drug information, medical abbreviations and many other useful bits of information. Within all the books, drugs and disease are linked to their information found in the other books so that complete information can be searched out easily. The drug database is very comprehensive and has links within that will lead you to important calculators for that drug, definitions of terms, important tables, and much more.

Lexi-interact is has, in my opinion, the most complete information and the most reference. The program actually cites it's sources!! However, because the program is so in depth I feel that it can sometimes be a little confusing to find what you need - even with their new search and "jump" features. If considering this database, I would spend some time on the internet going over the tours and product details, and then spend some time playing around with the database. Although it may be difficult to use at first, once mastered, the Lexi programs will be a great resource!!


Monthy Presribing Reference

Another Free Database! I really like this one, it offers a little bit of everything. Although the information doesn't seem to be too in depth, it has several unique features.

For downloading, as I said it's free, and compatible with any windows system so this includes all the PocketPC PDA's as well as many smartphones which we haven't seen yet. Of course it's accessible via the Internet so any system which has a connection could access this website.

You can search and COMPARE 3000 OTC and Rx drug monographs which include indications, dose, contraindications, precautions, interactions, adverse reactions and how supplied, all very concise. Drugs are listed by brand, generic, manufacturer and therapeutic category.

Other resources, besides monographs, include charts which easily depict comparisons of medication or flow diagrams of disease management and is definitely a unique feature of this reference. Their Prescribing Notes are general important therapeutic points for each drug class. These can be accessed by drug class or can be accessed by a link in the monograph of specific medications. Lastly MPR keeps you updated with news bulletins about drug information and new products.

Oh, and if they don't have the answer you need, check out the forums under the "We Got Answers" tab!

ClinicalXpert

Next up in PDA software comes ClinicalXpert which hails from the Thompson Micromedex Healthcare Series. Information on other Thompson products, including the web-based Micromedex can be found at:

http://www.micromedex.com

ClinicalXpert is free to those in an institution with a subscription to the Micromedex Healthcare Series, which includes many hospitals and clinics. It may be downloaded onto a PocketPC or PalmOS (3.5 or later) system and may run from PalmOS memory expansion cards. This program does not run on the iPhone or Blackberry but may run on a few select Smartphones. The complete list of compatible devices can be found here:

http://www.micromedex.com/support/certifieddevices/index.html

The amount of memory is takes to upload the product is variable since it comes with many optional programs. The program also has an Auto-Update feature which allows current users to get the most updated version of the software as soon as it's available. This enables users to keep the same program without having to delete and reload a new version each year.

Some of the products available include:

Drug Information
Users can search 4,000+ drugs and 300+ alternative drugs for

• generic names
• common trade names
• class
• dosage, adult
• dosage, pediatric
• dose adjustments
• administration
• monitoring
• how supplied
• indications (separated
by “FDA labeled” and
“non-FDA labeled”)
• contraindications
• precautions
• adverse effects (separated into
“common” and “serious”)
• drug interactions
• pregnancy category
• breast feeding

Disease Information
Disease topics written by physicians for clinical
practice including:

• evidence ratings
• test and treatment options
• daily studies and alerts

Drug Interaction Tool
Clinicians can check a patient’s entire list of medications
(up to 32 at once) for potentially harmful interactions.

Warnings include:
• severity • probable mechanism
• onset • evidence
• adverse effects • clinical management

Toxicology Information (very unique!!)
200+ of the most common poisonings and
drug overdoses, including information about:

• clinical effects
• treatment
• range of toxicity

Laboratory Information (Very useful, although sometimes difficult to search)
Details on 500+ laboratory tests, including help:

• identifying appropriate tests
• interpreting test results
• monitoring drug levels
• collecting samples
• submitting tests
• monitoring therapeutic levels and side effects

Also includes formulary information, calculators and a news feature similar to those seen in other programs.