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

[Discussion] can we stop arguing about mg/mL until somebody posts a number

Discussion Clean Column ×2 Sourced ×1 Receipts ×3

can we stop arguing about mg/mL until somebody posts a number — that is what I am asking, and I have already read the wiki twice.

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.

The arithmetic in full: concentration is mass over volume, so 5mg into 1mL 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.

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.

Happy to answer the boring questions. Those are usually the ones worth asking.

5,487 up / 821 down87% upvoted46 commentsid 14dtqp19 Dec 2024

46 comments

13 in this archive, depth 3

best — the order this archive was captured in

u/nabila_espinoza428 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/tl_dr_tina333 points·1 year ago

Spent 20 weeks confused about this until somebody drew the table for me. 30mg, 1mL, 30mg/mL, 1.5mg is 5 units. That is the whole thing.

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u/yusuf_nakamura-2 points·1 year ago

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

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u/gradient_goblin1 point·1 year ago

reconstituting at a round concentration makes every later dose easy

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u/honest_syringe_maybe488 points·1 year ago

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

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u/rasmus_mensah209 points·1 year ago

What concentration did you actually reconstitute at, rather than what did you intend to?

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u/RetaAndRegret2162 points·1 year ago

twice as much water halves the concentration and doubles the units for the same dose

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u/marta_weiss78 points·1 year ago

twice as much water halves the concentration and doubles the units for the same dose

RetaAndRegret2 has the units point exactly right. They are a volume on the barrel and nothing else.

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u/swirl_dont_shakeMOD127 points·1 year ago

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

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u/priya_weiss99 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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[deleted]47 points·1 year ago

[deleted]

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u/erez_perrin39 points·1 year ago

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

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u/kenji_kimani74 points·1 year ago·edited

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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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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