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

someone explain insulin syringe to me like I have not read a paper in years

Discussion Clean Column ×5 Sourced ×1

The title is the whole question — someone explain insulin syringe to me like I have not read a paper in years — but here is why I am asking.

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.

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.

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.

Would rather be corrected in public than confident in private.

2,625 up / 514 down84% upvoted36 commentsid 143u5014 Nov 2024

36 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/signe_grimaldi392 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/clara_weiss313 points·1 year ago

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.

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[deleted]220 points·1 year ago

[deleted]

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u/oskar_kaufmann147 points·1 year ago

bacteriostatic water has the preservative, sterile water does not

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u/anya_antonsen204 points·1 year ago

Agreed — units are volume. Once that lands, the rest of the arithmetic is one division.

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u/arne_restrepo-5 points·1 year ago

Wrote the date on the vial as well as the concentration after losing track of which one was opened first.

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u/julia_erdogan0 points·1 year 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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u/ilias_cabrera103 points·1 year ago·edited

The arithmetic in full: concentration is mass over volume, so 15mg into 3mL gives 5mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 1.5mg is 1.5 divided by 5 millilitres, which is 30 units.

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u/saskia_rahimi38 points·1 year ago

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

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u/bruno_dumitru26 points·1 year 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/swirl_dont_shakereconstitution14 points·1 year ago

Same. I got this wrong once, caught it because the units looked absurd, and have written on every vial since.

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u/elin_ferrari19 points·1 year ago·edited

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

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

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u/arto_falk45 points·1 year ago

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

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u/liv_nkemeluOP0 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/runa_grimaldi66 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/sleep_apnea_sam19 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/tomas_kimani10 points·1 year ago

Correction: that gives 10 units, not what you have written. 10mg into 1mL is 10mg/mL and the division follows from there.

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u/kavya_radich4 points·1 year ago

Agreed on the swirl. There is no reason to shake it and a good reason not to.

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u/dexa_twice_yearlybody comp6 points·1 year ago

Did the maths give you a whole number of units, or a fraction?

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u/saskia_rahimi7 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/hedda_adeyemi13 points·1 year ago

Not quite. Bacteriostatic and sterile water are not interchangeable for a multi-draw vial, and the difference is the preservative.

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u/erez_perrin49 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/liv_nkemeluOP19 points·1 year ago

Spent 18 weeks confused about this until somebody drew the table for me. 10mg, 2mL, 5mg/mL, 2mg is 40 units. That is the whole thing.

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u/escrow_evangelist5 points·1 year ago

swirl, never shake

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u/liv_nkemeluOP14 points·1 year ago

the powder cake sits at the bottom, the volume you add is the volume that counts

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u/saskia_mwangi15 points·1 year ago

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

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u/ines_lindqvist10 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/karim_ilunga0 points·1 year ago

Careful — that arithmetic is wrong. 30mg in 3mL is 10mg/mL, so 2.5mg draws to 25 units, not what you wrote.

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u/lurker_for_years53 points·1 year ago

Reconstituted at 3mL when I meant to use a different volume. Caught it because the units looked wrong on the barrel. Now I write 10mg/mL on the glass before I put the cap back.

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u/vial_math_veraMOD20 points·1 year ago

Corrected the concentration in the title, which contradicted the body. Nothing else touched.

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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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