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[Question] mg/mL — what am I missing here

Question Receipts ×1 Cold Box ×2 Clean Column ×2

Slightly embarrassed to be asking this, but: mg/mL — what am I missing here.

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.

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.

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.

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

5,744 up / 895 down87% upvoted70 commentsid mj7chp25 Sep 2024

70 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/arne_restrepo264 points·1 year 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/swirl_dont_shakeMOD158 points·1 year ago

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

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[deleted]64 points·1 year ago

[deleted]

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u/batch_number_bertievetting48 points·1 year ago

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

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u/kavya_radich-21 points·1 year 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/karl_fischer_kev124 points·1 year ago

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

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u/ines_lindqvist184 points·1 year ago

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

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u/emil_wojcik98 points·1 year ago

Disagree with the "more water is safer" framing. It is not safer, it is just a different number to divide by.

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u/gradient_goblin97 points·1 year ago

Pushback on the syringe advice: a U-100 barrel reads units of volume. Calling them "doses" is how the confusion starts.

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u/rosa_mensah34 points·1 year 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/katrin_marchetti146 points·1 year ago

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

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u/nabila_espinoza90 points·1 year ago

Are you accounting for the powder volume, or is that where the confusion is?

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u/viktor_erdogan127 points·1 year ago

write the concentration on the vial in marker, that is the whole post

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u/india_generic_g93 points·1 year 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/rosa_mensah116 points·1 year ago

Reconstituted at 1mL when I meant to use a different volume. Caught it because the units looked wrong on the barrel. Now I write 5mg/mL on the glass before I put the cap back.

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u/viktor_kirchner95 points·1 year ago

Careful — that arithmetic is wrong. 15mg in 3mL is 5mg/mL, so 2.5mg draws to 50 units, not what you wrote.

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u/bruno_dumitru57 points·1 year ago

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

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u/saskia_rahimi174 points·1 year ago

The arithmetic in full: concentration is mass over volume, so 10mg into 2mL gives 5mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 0.75mg is 0.75 divided by 5 millilitres, which is 15 units.

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u/nadia_kjaer97 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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u/lurker_for_years32 points·1 year ago

label the vial with the date as well as the concentration

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u/a1c_arcT2D17 points·1 year 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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