What “reconstitution” means
Reconstitution means dissolving a dry substance (often lyophilized powder) with a compatible sterile diluent to create a known concentration (amount per mL).
BAC water vs sterile water (conceptual)
- Bacteriostatic water: sterile water with a preservative (commonly benzyl alcohol) intended for multiple withdrawals when appropriate.
- Sterile water (preservative-free): generally intended for single-use contexts unless product labeling says otherwise.
- Always verify compatibility and instructions in the product label/monograph for the specific substance.
Aseptic handling basics
- Use a clean preparation area and clean hands.
- Use new sterile needles/syringes for each access and each injection event.
- Do not reuse or "top off" with previously used supplies.
- Disinfect vial stoppers before access and avoid touching sterile needle tips.
Concentration math (core formula)
Concentration (mg/mL) = total peptide amount (mg) ÷ total reconstitution volume (mL)
Example: 10 mg reconstituted with 2 mL gives 5 mg/mL.
Converting mg and mcg
- 1 mg = 1000 mcg
- If concentration is 5 mg/mL, that is also 5000 mcg/mL.
Common pitfalls
- Mixing up mg and mcg.
- Forgetting final total mL after reconstitution.
- Assuming all products can be handled identically.
- Using unclear labels or undocumented concentrations.
Conservative quality-control checklist
- Label vial with date/time of reconstitution and final concentration.
- Track lot/batch and source documentation.
- Discard if appearance changes unexpectedly (cloudiness/particles) unless product docs explicitly describe expected appearance.
Sources
- CDC Injection Safety (clinical safety guidance) — https://www.cdc.gov/injection-safety/hcp/clinical-safety/index.html
- DailyMed: Bacteriostatic Water for Injection (product labeling examples) — https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=87d6e9dc-fe3b-4593-ac9a-d7493d1959c7
- USP General Chapter <797> (sterile compounding framework; official text via USP) — https://www.usp.org/compounding/general-chapter-797