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Single comment threadYou are looking at one branch of genuine question about mg/mL that I am slightly embarrassed to ask — 51 comments in the full submission. View in context.
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c/reconstitution·submitted 1 months ago by u/nadia_kjaer

genuine question about mg/mL that I am slightly embarrassed to ask

Discussionbranch of 10 comments

Asking properly rather than in a comment on somebody else’s thread: genuine question about mg/mL that I am slightly embarrassed to ask. Aim the stream down the wall of the vial rather than into the cake. Reconstitution is a solubility problem, not a mixing problem, and mechanical shear does nothing helpful.…

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10 comments, started 1 months ago
u/rina_bergstrom64 points·1 months ago

Shook the first vial because nobody told me not to. It was fine, but I have swirled every one since.

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u/viktor_kirchner29 points·1 months ago

Small fix — a U-100 syringe is 100 units per mL. If yours is marked differently it is not U-100 and the whole calculation changes.

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u/RetaAndRegret215 points·1 months ago

Shook the first vial because nobody told me not to.

Disagreeing with this line only: adding more water is not a safety margin, it is a different divisor.

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u/elin_ferrari21 points·1 months ago

bacteriostatic water has the preservative, sterile water does not

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u/nadia_kjaerOP44 points·1 months ago

units are a volume on a U-100 syringe, not a dose

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[removed]21 points·1 months ago

[removed by moderator]

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u/rosa_mensah11 points·1 months ago

I would not round that figure. At 1.67mg/mL a rounding error of two units is a real fraction of the intended amount.

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u/units_not_mgsyringe math-17 points·1 months ago

The lyophilised cake displaces a small volume, so the true concentration is very slightly lower than the arithmetic suggests. It is a fraction of a percent and it is dwarfed by fill tolerance.

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u/iman_falk1 point·1 months ago

The lyophilised cake displaces a small volume, so the true concentration is very slightly lower than the arithmetic suggests.

This is the sentence that makes the rest unnecessary. Write it on the vial and the problem is gone.

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u/emil_zamora1 point·1 months ago

Pushback on the syringe advice: a U-100 barrel reads units of volume. Calling them "doses" is how the confusion starts.

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About c/reconstitution

The arithmetic and the technique. Bacteriostatic versus sterile water, reconstitution volume as a concentration choice, converting mg/mL into insulin-syringe units, dead space, swirl-not-shake, stopper coring, and how long a reconstituted vial is actually good for. Math errors get corrected fast and politely.

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