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c/reconstitution·posted 1 year ago by u/emil_okwuosa

the bacteriostatic water question that gets asked weekly, answered properly

PSA Clean Column ×2 Cold Box ×1

the bacteriostatic water question that gets asked weekly, answered properly. Change my mind, genuinely — I have no stake in being right about this.

The failure modes I have actually seen posted here, in order of frequency.

One: reconstituting at a different volume than intended and not writing it down, so the next draw is based on a remembered concentration. Two: treating units as a dose rather than a volume, which breaks the moment the concentration changes. Three: assuming a syringe is U-100 when it is not.

All three are solved by the same two habits — do the arithmetic before the water goes in, and write the result on the glass. Neither costs anything and between them they cover almost every question this board gets.

Asked SWB what volume they reconstitute to for their own stability testing and they answered in one line. Useful thing to know.

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.

Screenshot none of this. Read the whole thread, including the parts where I am told I am wrong.

3,314 up / 1,075 down76% upvoted51 commentsid 13jy3431 Mar 2025

51 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/rasmus_mensah251 points·1 year 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/units_not_mgsyringe math208 points·1 year 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/wanjiru_varga-28 points·1 year ago

5mg into 3mL is 1.67mg/mL, and 1.5mg of that is 90 units

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u/emil_okwuosaOP1 point·1 year ago

reconstituting at a round concentration makes every later dose easy

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u/honest_syringe_maybe2 points·1 year ago

write the concentration on the vial in marker, that is the whole post

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u/priya_weiss236 points·1 year ago

Careful — that arithmetic is wrong. 10mg in 2mL is 5mg/mL, so 2mg draws to 40 units, not what you wrote.

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u/batch_number_bertievetting109 points·1 year ago

Yes, and the dead-space point is worth repeating: it is small, it is real, and it is the same for every draw.

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u/signe_grimaldi108 points·1 year ago

Yes. Writing 5mg/mL on the vial takes four seconds and removes the entire class of error this board exists to fix.

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u/quarter_dose_queenlow and slow63 points·1 year ago

Yes.

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

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u/arne_restrepo37 points·1 year ago

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

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u/honest_syringe_202574 points·1 year 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/swirl_dont_shakeMOD88 points·1 year ago

Reminder: this board does maths, not dosing. Nobody here tells another member what amount to take.

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u/freya_onwuka68 points·1 year ago

The arithmetic in full: concentration is mass over volume, so 5mg into 3mL gives 1.67mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 0.75mg is 0.75 divided by 1.67 millilitres, which is 45 units.

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u/tuva_kirchner25 points·1 year ago

aim the stream at the glass wall, not at the cake

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u/units_not_mgsyringe math36 points·1 year ago

Right — the volume you add is the only variable you control here, and the cake does not change it meaningfully.

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u/niels_roos81 points·1 year ago

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

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u/emil_okwuosaOP53 points·1 year 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/rasmus_mensah75 points·1 year ago

Started reconstituting everything to a round concentration and the six-in-the-morning error rate went to zero.

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u/india_generic_g22 points·1 year ago

the number you write down is the number you will trust at 6am

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u/yusuf_nakamura15 points·1 year ago

label the vial with the date as well as the concentration

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u/anya_antonsen67 points·1 year 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/emil_okwuosaOP34 points·1 year ago

That is sterile water, not bacteriostatic. Same appearance, different product, and it matters for a multi-draw vial.

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u/ilias_steiner49 points·1 year 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/saskia_rahimi38 points·1 year 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/honest_syringe_202527 points·1 year ago

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

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

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u/niels_roos17 points·1 year ago

Is that a U-100 syringe? The barrel markings change the answer completely.

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u/santiago_ndiaye12 points·1 year ago

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

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/kenji_kimani28 points·1 year ago

That only works if the fill weight is exactly the label weight, and it usually is not exactly anything.

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u/dilara_szabo16 points·1 year 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/units_not_mgsyringe math4 points·1 year ago

a U-100 syringe reads 100 units to the millilitre, every time

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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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