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[Discussion] can we stop arguing about bacteriostatic water until somebody posts a number

Discussion The Quiet One ×5 Slow Clap ×1 Clean Column ×1

Slightly embarrassed to be asking this, but: can we stop arguing about bacteriostatic water until somebody posts a number.

Spent 2 weeks confused about this until somebody drew the table for me. 30mg, 3mL, 10mg/mL, 1mg is 10 units. That is the whole thing.

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.

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

4,332 up / 528 down89% upvoted28 commentsid 15rrr620 Oct 2024

28 comments

14 in this archive, depth 5

best — the order this archive was captured in

u/quarter_dose_queenlow and slow652 points·1 year 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/alcohol_aversion-23 points·1 year ago

Why "more water" keeps confusing people, including me for a month.

The vial contains a fixed amount of peptide. Water changes nothing about that amount. What it changes is concentration, and concentration is the divisor between the dose you want and the volume you draw.

So doubling the water halves the concentration and doubles the units for the same dose. Nothing is diluted in any sense that matters; you are simply reading a bigger number off the same barrel. Pick the water volume that puts your usual dose on a whole number of units and life gets easier.

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[removed]1 point·1 year ago

[removed by moderator]

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u/aleksi_lehtinenOP1 point·1 year ago

Correcting myself above: I wrote the concentration the wrong way up. Mass over volume, not volume over mass.

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u/ilias_steiner0 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/batch_number_bertievetting1 point·1 year ago

I would not round that figure. At 2.5mg/mL a rounding error of two units is a real fraction of the intended amount.

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u/nadia_kjaer1 point·1 year ago

I would not round that figure.

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/units_not_mgMOD338 points·1 year 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/janek_ferrari489 points·1 year ago

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

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u/ines_ekstrom718 points·1 year ago

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

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u/honest_syringe_maybe350 points·1 year ago

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

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

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u/nadia_kjaer431 points·1 year ago

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

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u/viktor_kirchner199 points·1 year ago

5mg into 2mL is 2.5mg/mL, and 2.5mg of that is 100 units

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u/hub_opssite staff397 points·1 year ago

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

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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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