PCF vs iatroX (2025): Symptom Control vs Disease Management

Last reviewed: 2025-12-19 · Reviewed by Dr Kola Tytler, MBBS CertHE MBA MRCGP

At a Glance

Who is it for?

iatroX:Generalists (GP/Hospital).

Palliative Care Formulary (PCF):Palliative Care Specialists.

Why choose iatroX?

  • **Standard Care**: Best for managing comorbidities (e.g. treating the diabetic patient who is palliative).
  • **Accessibility**: Free and easy to query.
  • **Guideline Links**: Connects to NICE End of Life guidance.

Why choose Palliative Care Formulary (PCF)?

  • **Off-Label Uses**: Detailed protocols for drugs used outside license (e.g. Levomepromazine for nausea).
  • **Syringe Drivers**: Definitive compatibility charts.
  • **Symptom Focus**: Prioritizes comfort over cure.

Feature Comparison

CapabilityiatroXPalliative Care Formulary (PCF)
Philosophy-Symptom Control
Scope-Deep (Palliative Only)

In-Depth Analysis

Overview

The PCF is for when the rules change. In palliative care, we often use drugs in ways (and doses) that standard references like the BNF or iatroX might flag as 'unlicensed'.

iatroX is useful in palliative care for general medical queries, but for specific symptom control and syringe driver compatibility, the PCF remains the specialist authority.

Use-Cases

Terminal Agitation

When to choose iatroX

  • Can summarize NICE guidance.

When to choose Palliative Care Formulary (PCF)

  • **Essential.** Detailed dosing for Midazolam/Levomepromazine drivers.

UTI in Palliative Patient

When to choose iatroX

  • **Recommended.** Provides standard antibiotic choices.

When to choose Palliative Care Formulary (PCF)

  • Less focused on acute infection management.

FAQs

Is iatroX safe for palliative care?
Yes, for standard guidance. However, palliative prescribing often involves specialist off-label use where the PCF is the superior reference.