vialroom

#reconstitution 2025-11-08

Saturday52 messages12 participantstimes are UTC
Highlights from this day
  • split_shipment — is it normal for the cake to look slightly collapsed on one side 10:57
  • triumph_watch — aim the diluent at the glass wall, not at the powder. it goes in gentler 13:56
  • two_four_ceiling — can i add more bac water later to a vial ive already reconstituted 13:57
  • impersonator_ip — dead space in a standard insulin syringe hub is small but it is not nothing over a month 14:40
DV

sorry to jump in the last few units are a real loss. i accept it rather than tilting the vial and drawing air

II

coming back to this is there any reason not to just always use 2ml
update from 18 months ago: switched to a single concentration and have not miscalculated since

DV

my vial pulled the water in on its own, is that the vacuum or did i do something

DD

coming back after 9 months, has the pinned recon volume advice changed

dead space

anyone else find the 40mg vials harder to get fully dissolved than the small ones

TF

slightly off topic but pick the volume so your dose is a whole number of units. thats the entire trick

DD

you can absolutely just always use 2ml, and honestly most of us should

unrelated but swirl it. do not shake it. the foam is denatured protein and you are not getting it back

SS

the vacuum will pull it in. let it. fighting it is how you get a face full of aerosol

i keep a spare vial of bac water in the fridge purely so i never rush the maths

is it normal for the cake to look slightly collapsed on one side

18

thats fine

FI

if the powder is on the stopper, tap it down before you add anything. it will still dissolve either way

why does everyone say 2ml specifically and not 1ml

label the date too. you will not remember which vial is which by week 33

AA

coming back to this my rule is one concentration for everything so i never have to think about it at 7am

VV

is it worth buying a 3ml syringe for the diluent or is the insulin one fine

VV

a slightly collapsed cake is cosmetic. a puddle in the bottom is not

VV

i was wrong about this last year: it is fine to draw cold, it just stings more going in, anyway

weighing the vial before you reconstitute is the only way to catch an underfill

check your maths

❤️7
VV

while im here lyophilised powder is far more robust than people think. it is the solution that is fragile

how do you all measure a half unit, or do you just not

took me a year to stop over-diluting. the measurement error at 4 units is worse than the convenience

TW

aim the diluent at the glass wall, not at the powder. it goes in gentler

📈11❤️2
TF

can i add more bac water later to a vial ive already reconstituted

10mg vial
  + 1.0ml  -> 10.0 mg/ml   0.5mg =  5u   1mg = 10u
  + 2.0ml  ->  5.0 mg/ml   0.5mg = 10u   1mg = 20u
  + 2.5ml  ->  4.0 mg/ml   0.5mg = 12.5u (dont)
  + 5.0ml  ->  2.0 mg/ml   0.5mg = 25u   1mg = 50u
II

update on the earlier thing is a slightly cloudy solution ever ok or is that always a bin it

VV

sanity check my maths before i pin myself with something stupid

II

dead space in a standard insulin syringe hub is small but it is not nothing over a month

10mg vial
  + 1.0ml  -> 10.0 mg/ml   0.5mg =  5u   1mg = 10u
  + 2.0ml  ->  5.0 mg/ml   0.5mg = 10u   1mg = 20u
  + 2.5ml  ->  4.0 mg/ml   0.5mg = 12.5u (dont)
  + 5.0ml  ->  2.0 mg/ml   0.5mg = 25u   1mg = 50u
VV

follow up it should be completely clear with no floaters. cloudy means stop

🙏12
FI

update on the earlier thing im getting bubbles in the barrel every single time, what am i doing wrong

VV

quick one 5mg in 2ml gives 2.5mg/ml, 0.25mg is 10 units. good for a starting dose

SD

update on the earlier thing update from 4 months ago: switched to a single concentration and have not miscalculated since, anyway