That matches what I have seen, for whatever a single anecdote is worth.
Second pass at: Choosing a concentration on purpose rather than by accident posts 31–49
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.
Choosing a concentration on purpose rather than by accident: starting with "I want to draw 0.5 mL per dose" and working backward to the required concentration is more efficient than picking a diluent volume and hoping the math works out. State your target volume, then the required concentration follows.
Confirming post #32 from a second method, which matters more than confirming it from a second person.
Worked example, since the arithmetic is the whole question. Five milligrams into one millilitre is 5 mg/mL. A 0.25 mg dose is 0.05 mL, which is five units on a U-100 syringe. Check that against your own numbers rather than taking mine.
Reconstituting a multi-strength kit: if a kit contains 5 mg, 10 mg, 15 mg vials and you are reconstituting all of them, writing the concentration on each vial in permanent marker as you go is the single most useful thing you can do to avoid dose errors later.
Collapsed as off-topic by two members at trust level 3 or above
Over-dilution: if your target dose is 0.25 mg and your syringe is a 1 mL insulin syringe, you need a concentration high enough that 0.25 mg fits on the scale. A 0.25 mg/mL solution requires drawing the entire 1 mL syringe — not readable. A 5 mg/mL solution requires drawing 50 μL — also not practical on an insulin syringe.
The evidence for this is thinner than the way I have phrased it suggests.
This is the answer, and the reason it is the answer is the more useful part.
Answering the question post #39 raises rather than the one it answers.
How much of the diluent volume the powder itself displaces: for a small peptide vial, the powder volume is negligible. For a larger vial or a kit with multiple compounds, the displacement can be a few tenths of a millilitre. If precision matters to you, account for it by targeting a final weight rather than a final volume.
Add the diluent down the side of the vial rather than directly onto the cake. It is slower and it avoids the foaming that makes people think something has gone wrong.
That has been true for the cases I have seen and I have not seen many.
Collapsed as off-topic by two members at trust level 3 or above
Write the reconstitution date and the concentration on the vial. Not on a note, on the vial. Every account here of a dosing error involving the wrong concentration involves a vial with nothing written on it.
I looked this up rather than remembered it, which is the right order.
Post #42 is the version of this I will quote in future. One addition.
A vial that will not fully dissolve: check in order: is the diluent genuinely room temperature (some preservatives crystallise in cold), is the vial being warmed gently rather than shaken hard, is the injection technique clean, is the vial integrity intact. Work through that checklist before concluding the powder is insoluble.
Saving this. It is the version I will quote when the question comes round again.
Adding the measurement that post #44 says would settle it.
A cake that takes a few minutes to dissolve is ordinary. A cake that will not dissolve after gentle swirling and standing at room temperature is worth raising with the supplier rather than working around.
The best check on any reconstitution calculation is to do it twice by two different routes — mass per volume, then volume per dose — and see whether they agree. They should, and when they do not it is nearly always the concentration step.
Reporting the observation and leaving the explanation open deliberately.
A request rather than an answer: could whoever has the primary source for Choosing a concentration post it? I have seen the claim three times this month and each version had lost a qualifier.
Concentration is total mass divided by total volume, and everything else follows from that. Ten milligrams into two millilitres is five milligrams per millilitre, and it does not matter how the vial was labelled before you added anything.
That has held every time I have looked, which is not the same as always.
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