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c/reconstitution·posted 4 months ago by u/ahmed_rasmussen

how much of what we believe about bacteriostatic water actually comes from dead space threads

Correction The Quiet One ×2 Receipts ×1

how much of what we believe about bacteriostatic water actually comes from dead space threads. If this has been answered properly somewhere, link me and I will delete.

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.

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.

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.

That is everything I have. The rest is opinion and I have tried to keep it out.

2,153 up / 429 down83% upvoted27 commentsid 2xtd6828 Mar 2026

27 comments

20 in this archive, depth 5

best — the order this archive was captured in

u/yusuf_achebe336 points·4 months 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/niels_roos277 points·4 months 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 1mg is 1 divided by 10 millilitres, which is 10 units.

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u/swirl_dont_shakeMOD182 points·4 months ago

Working has to be shown on arithmetic posts. Added a note asking for it rather than removing this one.

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u/ahmed_rasmussenOP104 points·4 months ago

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

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u/zaid_balogun87 points·4 months ago

reconstituting at a round concentration makes every later dose easy

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u/niels_roos116 points·4 months 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/andres_sorensen49 points·4 months ago

Cosigning the round-number approach. Reconstituting to something awkward is how you end up drawing 27.5 units at six in the morning.

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u/wanjiru_varga34 points·4 months ago

Cosigning the round-number approach.

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/soren_zamora12 points·4 months ago

Yes. Writing 10mg/mL on the vial takes four seconds and removes the entire class of error this board exists to fix.

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u/santiago_ndiaye76 points·4 months 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/india_generic_g-19 points·4 months 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/oskar_kaufmann1 point·4 months ago

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

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u/tomas_kimani1 point·4 months ago

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

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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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