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

[Meta] proposal — a flair for bacteriostatic water posts

Discussion Receipts ×4 Cold Box ×2 Long Haul ×3

Putting this to the board: proposal — a flair for bacteriostatic water posts.

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.

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.

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.

Would rather be corrected in public than confident in private.

5,027 up / 1,129 down82% upvoted51 commentsid 1ipoqc26 Dec 2023

51 comments

19 in this archive, depth 5

best — the order this archive was captured in

u/arto_falk463 points·2 years ago

The arithmetic in full: concentration is mass over volume, so 20mg into 2mL gives 10mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 2mg is 2 divided by 10 millilitres, which is 20 units.

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u/units_not_mgMOD284 points·2 years ago

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

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u/emil_okwuosa64 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/emil_wojcik23 points·2 years ago

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

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u/yusuf_nakamura188 points·2 years ago

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

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u/iman_falk149 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/cardio_endpoint_c36 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/swirl_dont_shakereconstitution92 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/reflux_reportOP50 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/gradient_goblin-23 points·2 years ago

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

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u/reflux_reportOP47 points·2 years ago

What is written on the vial right now?

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u/emil_wojcik38 points·2 years 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/gradient_goblin25 points·2 years 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/reflux_reportOP14 points·2 years ago

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

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u/reflux_report8 points·2 years ago·edited

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/mateusz_achebe6 points·2 years ago

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

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[removed]4 points·2 years ago

[removed by moderator]

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u/swirl_dont_shakereconstitution73 points·2 years ago

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

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u/yusuf_achebe73 points·2 years 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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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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