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c/reconstitution·posted 2 years ago by u/gradient_goblin

[Discussion] the mg/mL advice in here is 3 years out of date

Discussion Clean Column ×3 Long Haul ×2

the mg/mL advice in here is 3 years out of date. Change my mind, genuinely — I have no stake in being right about this.

The relevant figures are 3 years, and they come from the same log I have kept the whole time.

Bacteriostatic water contains benzyl alcohol as a preservative, which is what makes repeated entry into the same vial reasonable. Plain sterile water has no preservative.

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.

Tell me where this is wrong. That is the useful part of posting it.

1,348 up / 377 down78% upvoted29 commentsid fvk1cc22 Mar 2024

29 comments

24 in this archive, depth 4

best — the order this archive was captured in

u/bac_water_banditMOD122 points·2 years ago

Left up and flaired Explainer — the numbers in this one check out.

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u/andres_sorensen39 points·2 years 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/georgi_adebayo48 points·2 years ago

Disagree with the "more water is safer" framing. It is not safer, it is just a different number to divide by.

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u/vial_math_verasyringe math77 points·2 years ago

If your calculation produces a fraction of a unit, the concentration is wrong for your dose. Change the water volume until the numbers land on whole units.

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u/piotr_bruun30 points·2 years ago

What is written on the vial right now?

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u/freya_onwuka15 points·2 years ago

What is written on the vial right now?

Adding one thing — put the date on the label too. Concentration plus date and you can never mix two vials up.

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u/viktor_erdogan22 points·2 years ago

What is written on the vial right now?

piotr_bruun has the units point exactly right. They are a volume on the barrel and nothing else.

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u/vito_beaulieu5 points·2 years ago·edited

How many mg in the vial and how many mL are you adding?

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u/ruben_cabrera-5 points·2 years ago

more water is not more drug, it is the same drug in a bigger volume

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u/alcohol_aversion56 points·2 years ago

label the vial with the date as well as the concentration

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[removed]37 points·2 years ago

[removed by moderator]

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u/nadia_kjaer47 points·2 years ago

dead space in the needle hub is real and it is small

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u/saskia_rahimi35 points·2 years ago

Research-use-only material is not approved for human use, so treat everything in this thread as arithmetic about solutions rather than instructions for a person.

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u/santiago_ndiaye8 points·2 years ago

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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u/bac_water_banditreconstitution27 points·2 years ago

This. Showing the working is the fastest way for somebody else to spot the mistake.

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u/gradient_goblinOP21 points·2 years ago

I keep a laminated card in the drawer with the arithmetic on it. Looks ridiculous. Has never once let me draw the wrong volume.

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u/batch_number_bertievetting15 points·2 years ago

The dead space question sent me down a rabbit hole for a week. It is a fraction of a unit and it is the same every draw.

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u/gradient_goblinOP6 points·2 years ago

Spent 11 weeks confused about this until somebody drew the table for me. 10mg, 1mL, 10mg/mL, 1mg is 10 units. That is the whole thing.

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u/cesar_ivaturi15 points·2 years ago

swirl, never shake

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u/ines_ekstrom8 points·2 years ago

Adding more water does not change how much peptide is in the vial. It changes the concentration, which changes the volume you draw for the same amount. That is the entire relationship.

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u/anjali_tamm3 points·2 years ago

if the maths gives you a fraction of a unit, change the concentration

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u/bruno_dumitru4 points·2 years ago

Cosigning the round-number approach. Reconstituting to something awkward is how you end up drawing 27.5 units at six in the morning.

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u/gradient_goblinOP2 points·2 years ago

Bacteriostatic or plain sterile water?

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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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