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

bacteriostatic water — 16 things I got wrong before I got it right

Discussion Clean Column ×8 Slow Clap ×1 Well Actually ×3

Posting this as a discussion rather than a claim: bacteriostatic water — 16 things I got wrong before I got it right.

Shook the first vial because nobody told me not to. It was fine, but I have swirled every one since.

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

Spent 24 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.

Ask me anything specific. Anything general I will probably get wrong.

5,609 up / 669 down89% upvoted46 commentsid 1jtn5426 Oct 2023

46 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/hedda_ekstrom633 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/bac_water_banditMOD349 points·2 years ago

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

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u/piotr_bruunOP374 points·2 years ago

Adding more water does not change how much peptide is in the vial.

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

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u/runa_grimaldi265 points·2 years 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/elin_ferrari79 points·2 years 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/andres_sorensen33 points·2 years ago

The arithmetic in full: concentration is mass over volume, so 30mg into 1mL gives 30mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 1.5mg is 1.5 divided by 30 millilitres, which is 5 units.

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u/ahmed_rasmussen-12 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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[deleted]36 points·2 years ago

[deleted]

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u/adaeze_cabrera180 points·2 years ago·edited

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/liv_nkemelu41 points·2 years ago

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

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u/ismael_nwosu301 points·2 years ago

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

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u/elin_ferrari191 points·2 years 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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u/runa_grimaldi91 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/iman_falk24 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/vito_beaulieu0 points·2 years ago

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

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u/lurker_for_years151 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/rina_bergstrom106 points·2 years 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/adaeze_cabrera143 points·2 years ago

Show the arithmetic — where did the unit figure come from?

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u/hub_opssite staff80 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/nadia_kjaer28 points·2 years ago

5mg into 3mL is 1.67mg/mL, and 0.5mg of that is 30 units

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u/kenji_kimani107 points·2 years ago

Reconstituted at 2mL 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/mateusz_achebe51 points·2 years ago

Careful — that arithmetic is wrong. 10mg in 2mL is 5mg/mL, so 0.5mg draws to 10 units, not what you wrote.

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u/india_generic_g14 points·2 years ago

do the arithmetic before you reconstitute, not while holding a syringe

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u/karl_fischer_kev0 points·2 years ago

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

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u/erez_perrin1 point·2 years ago

swirl, never shake

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u/piotr_bruunOP1 point·2 years ago

Asked GGPeps 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/soren_zamora1 point·2 years ago

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

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u/zaid_balogun75 points·2 years 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/quarter_dose_queenlow and slow40 points·2 years ago

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

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u/saskia_mwangi11 points·2 years 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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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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