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How many times can a rubber stopper realistically be pierced?

Asked 27 Jun 2025Modified 9 months agoViewed 11k times
23

I have photographs before and after reconstitution if the visual detail matters.

This is a procedural question rather than a theoretical one, and I would like the procedure rather than the theory.

What I have done so far is read the label documentation where it exists and the two pharmacopoeial monographs that are publicly available, which cover the licensed presentation and say nothing about a research one.

What would you do, and what would you check afterwards?

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HC
askedhaze_check17k2727 Jun 2025
4Does this hold at lower concentrations, or does adsorption dominate? – colm_dunphy 2 months ago
5Worth flagging that this changed in 2025, so older answers on the site are out of date. – low_dead_space 4 months ago
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5 Answers

Accepted answer first, then by votes
31

Accepted answer

Stated carefully, 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.

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.

Dead space by syringe type

ConfigurationDead volumeLoss at 5 mg/mLOver 20 draws
Fixed-needle insulin syringe3–5 µL15–25 µg0.3–0.5 mg
Low-dead-space, detachable<2 µL<10 µg<0.2 mg
Standard luer-lock + 30G35–60 µL175–300 µg3.5–6 mg
Luer-lock + 21G drawing needle70–100 µL350–500 µg7–10 mg

The underlying point is that 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.

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.

One qualification: if your arithmetic and someone else's disagree by a factor of ten, one of you has made a unit error, and writing out the units at every step is the diagnostic.

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

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AL
answered · accepteda_lindgren46k1384 Oct 2025
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10

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

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.

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.

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

edited 22 Jul 2025 by fib4_reader — added a caveat about sampling

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FR
answeredfib4_reader35k3829 Jun 2025
4This is the first explanation of that which has actually made sense to me. – Dr_Ingrid_Baumgartner 3 months ago
3Note that the label instructions differ between agents on precisely this point. – mz_4113 2 months ago
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10

Two people working through the same arithmetic independently should get the same answer, and if they do not, someone has made a unit error.

Rotation of injection site is a tolerability measure, not a pharmacokinetic one, but if you are going to do it you might as well do it right.

Specifically, the concentration you actually work with is label claim times content fraction divided by actual diluent volume, which is usually not the same as the nominal concentration because content is usually not 100 per cent and you rarely measure the diluent volume to 0.1 mL precision.

The Arrhenius relationship for drawing kinetics means that cold solution takes noticeably longer to draw than room-temperature solution.

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

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DR
answeredDr_Priya_Raghunathan94k24815 Oct 2025
4

Work in the order concentration, then volume, then units, and the arithmetic stops being confusing. Concentration is milligrams per millilitre and comes from the vial contents and the diluent volume. Volume per dose is dose divided by concentration. Units on a U-100 syringe are volume in millilitres multiplied by one hundred.

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.

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

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HP
answeredh_pergande86k25821 Jul 2025
-1

Write the units at every step, because units errors are the failure mode that catches everyone eventually.

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.

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

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RC
answeredRP_C1885k15810 Jul 2025
6The placebo-arm figure is the part everyone omits. – petra_hovland 10 months ago
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