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Does injection speed affect local reactions?

Asked 17 May 2024Modified 23 months agoViewed 29k times
8

My setup is a refrigerator with a logger and a small work area I wipe down, nothing more.

I want to know whether this is a real physical effect or an artefact of how it is measured.

What prompted the question is an inconsistency between two sources I otherwise trust.

Is the standard explanation correct, and if so, what is the evidence for it?

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GW
askedgel_pack_warm13k1817 May 2024

5 Answers

Accepted answer first, then by votes
89

Accepted answer

On the detail: the single most useful thing to do is write the arithmetic on the vial label, because you will reconstruct it from memory at an inconvenient moment if you do not.

Dead space quantified: a fixed-needle insulin syringe holds roughly 3 to 5 µL in the hub and needle after the plunger bottoms out. A luer-lock syringe with a detachable needle holds 35 to 100 µL depending on the hub design. At 5 mg/mL that is 15 to 25 µg lost per draw on the insulin syringe and 175 to 500 µg on the luer-lock — which over ten draws is the difference between losing a rounding error and losing half a milligram.

Concretely, breaking it down further: if a 10 mg vial has 96.5 per cent content, you have 9.65 mg of peptide. Divide that by 2.00 mL and your concentration is 4.825 mg/mL, not 5.00 mg/mL, which is a 3.5 per cent systematic error in every dose calculation.

Published data on syringe dead space quantifies low-dead-space designs as retaining under 2 µL against 35 µL or more for conventional detachable-needle syringes.

Worth noting: the concentration after reconstitution is not the same as the label claim, and most people do not account for the difference.

Do the arithmetic twice, ideally with someone else doing it independently.

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NK
answered · acceptednils_karlberg13k1726 Jul 2024
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80

The common error is getting the concentration right but then misreading the syringe scale, which is why checking the barrel marking rather than your memory matters.

Do not use the same needle to pierce the stopper and to administer. The tip is blunted by the stopper, and the hub now contains a dose you are about to lose to dead space anyway.

On the detail: number of stopper piercings matters less than the gauge doing the piercing. A 30G or 31G needle through a butyl stopper leaves a track that reseals; a 21G or 18G drawing needle punches a core and can drop it into the solution.

The limitation is that technique reduces risk, it does not remove it, and nothing you can do outside a controlled environment makes a non-sterile preparation sterile.

If in doubt, use more diluent and accept the shorter usable window.

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DV
answeredDr_Bram_Verhoeven85k24815 Jul 2024
39

To be exact about it, the answer depends on exactly which dose and which vial you are asking about, but the method is always the same.

Air bubbles at these volumes are a measurement problem rather than a safety one. A 2 mm bubble in a 0.3 mL syringe is roughly 4 µL, which at 10 units drawn is a four per cent error.

It helps to be literal here: room temperature before drawing is worth the ten minutes. Cold solution is more viscous, draws slower, and condensation on a cold barrel makes it harder to read the meniscus.

Write the arithmetic on the vial label. It costs nothing and removes the step where you reconstruct it from memory.

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HN
answeredhalvard_ness42k3823 Jun 2024
This should probably be in the site help pages rather than buried in an answer. – plate_count_9k 6 months ago
Good answer, but the confidence interval in the cited trial is wider than implied. – nine_point_nine 5 months ago
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31

Dose arithmetic has three parts: concentration from vial content and diluent, volume from dose and concentration, and units from volume and syringe scale.

On filtration: a 0.22 µm syringe filter will remove particulates and organisms, and it will also adsorb a fraction of your peptide onto the membrane — with a low-binding PVDF or PES membrane the loss is typically a few per cent.

Do the arithmetic twice, ideally with someone else doing it independently.

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TG
answeredtandem_gradient85k2484 Jul 2024
Minor: the trial name is hyphenated in the original publication. – Dr_Lena_Ostrowska 9 months ago
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25

The distinction that resolves most of these questions is understanding what concentration actually means and why it is not the same as label claim.

The rounding error accumulates if you round too many times — rounding concentration to 5.0, rounding the dose volume to 0.1 mL, rounding the unit reading to 10 — and the safest approach is to work the full precision and round only the final answer.

The insulin-unit standard U-100 means 100 units per millilitre, so one unit is 0.01 mL — this is the conversion that trips up more people here than any other single piece of arithmetic.

If in doubt, use more diluent and accept the shorter usable window.

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NN
answerednine_point_nine45k13829 Aug 2024
2I tested this on two lots and got the same answer, so at least it reproduces. – j_wierzbicki 8 months ago
The timing signature is the useful part. Everything else is confounded. – Dr_Sara_Kuusela 6 months ago
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Your answer

Ask PeptideStack is a static archive. Posting is closed, but the norms are worth stating: answer the question that was asked, show your working, cite the trial or the certificate, and say plainly where the evidence runs out.

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