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c/reconstitution·submitted 2 years ago by u/vial_math_vera

unpopular opinion: most of what gets said here about reconstitution is guesswork

Discussionbranch of 12 comments

unpopular opinion: most of what gets said here about reconstitution is guesswork — a position I have arrived at slowly and would like tested. Shook the first vial because nobody told me not to. It was fine, but I have swirled every one since. Wrote the date on the vial as well as the concentration after losing track…

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This branch

12 comments, started 2 years ago
u/hedda_ekstrom289 points·2 years ago

I would not round that figure. At 5mg/mL a rounding error of two units is a real fraction of the intended amount.

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u/aurel_boateng233 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/sock_puppet_spotter-38 points·2 years ago

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 2mg is 2 divided by 5 millilitres, which is 40 units.

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u/priya_guerrero66 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/arto_falk82 points·2 years ago

dead space in the needle hub is real and it is small

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u/sofia_danquah19 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/karim_ilunga0 points·2 years ago

I keep a laminated card in the drawer with the arithmetic on it.

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

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u/saskia_mwangi13 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/emil_okwuosa10 points·2 years ago

Asked KP 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/hedda_ekstrom50 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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u/mateusz_achebe31 points·2 years ago

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

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u/aleksi_lehtinen25 points·2 years ago

reconstituting at a round concentration makes every later dose easy

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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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