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ForumsDosing & ProtocolsInsulin syringe unit conversion for compounded sema — my results so far Page 3

Insulin syringe unit conversion for compounded sema — my results so far

FranDenver Fri, Sep 26, 2025 at 3:28 PM 12 replies 1,282 viewsPage 3 of 3
Dr.KarenChen
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Sep 29, 2025 at 1:14 AM#11
Dr.GutHealth said:
Resolution therefore closed the doors unevenly, and the asymmetry follows from the bulks lists.

Agreed, and the enforcement dates were staggered by category — 503A first, 503B a few weeks later — because outsourcing facilities have manufactured inventory and clinic contracts to unwind while a 503A makes to order.

45 20julia.endo, JessicaM_2024, TomFromTexas and 42 others
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DeniseRN_TPA
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Sep 30, 2025 at 10:54 AM#12
oliver_london said:
The arithmetic is right and one caveat matters: a U-40 syringe changes the markings, not the volumes.

This is exactly what I could not find anywhere else.

44 19hyun_seoul, jim_asheville, matt_MKE and 41 others
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paul_denver
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Oct 1, 2025 at 8:33 PM#13
Dr.GutHealth said:
Resolution therefore closed the doors unevenly, and the asymmetry follows from the bulks lists.

I read this differently from Dr.GutHealth, on substance rather than tone. A research-chemical supplier selling lyophilised powder labelled research use only is not compounding and is not claiming to. It is a different legal universe with no pharmacy oversight, no patient relationship and no content guarantee, and conflating the two in these threads helps nobody.

Correct me if the detail matters more than I have assumed.

43 18wendy_avl, jason_paloalto, Dr.LeslieOBGYN and 40 others
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BethLabQueen
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Oct 3, 2025 at 6:12 AM#14
FranDenver said:
Two of us with identical vials and identical diluent arrived at different unit counts, which means one of us has a conceptual error rather than a…

Compounding pharmacy dose accuracy check for dosing arithmetic: I always verify my first dose from a new vial by weighing it on a milligram scale. Draw up your dose, weigh the syringe, subtract empty syringe weight, compare to expected water weight at that volume.

For a 10-unit dose (0.1mL): expected weight ~100mg of water. If it's significantly off, your syringe may be inaccurate. Cheap insulin syringes can have ±5% volume accuracy. Spring for quality brands like BD or Terumo.

Last edited: Oct 3, 2025 at 7:12 AM
42 17cory_ATX, lori_vegas, Dr.PulmRoch and 39 others
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Oct 4, 2025 at 3:50 PM#15

Moderator note: a couple of off-topic posts removed. No action needed from anybody.

41 16PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 38 others
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