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ForumsDosing & ProtocolsInsulin syringe unit conversion for compounded sema — 12 month update Page 2

Insulin syringe unit conversion for compounded sema — 12 month update

BrianDallas92 Tue, Dec 17, 2024 at 3:18 AM 34 replies 1,924 viewsPage 2 of 7
Dr.AddMedPHL
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Dec 17, 2024 at 4:25 AM#6
DataDave said:
Do it in two steps and it stops being confusing.

I am going to disagree with reconstituting low as a general rule. More diluent, more punctures, more in-use days at room temperature, and the stability trade-off is real. Precision is not the only variable being optimised.

Happy to go further on any of that.

47 17FitDadDave, RunnerRach, TrialNerd_Beth and 44 others
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wendy_avl
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Asheville, NC
Dec 17, 2024 at 4:51 AM#7

One concrete data point for the thread. Two things anyone can check: a state licence number for a 503A, and an FDA outsourcing-facility registration for a 503B. Both are publicly searchable, and a pharmacy unwilling to give you either has answered the question.

Last edited: Dec 17, 2024 at 10:51 AM
46 16DoseLogDan, SleepFixSam, PurityPaulOR and 43 others
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TinaHashiRN
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Dec 17, 2024 at 5:17 AM#8
Dr.AddMedPHL said:
I am going to disagree with reconstituting low as a general rule.

Adding the part of the answer the thread has not reached. Resolution therefore closed the doors unevenly, and the asymmetry follows from the bulks lists. For 503B the shortage clause was the only route to these molecules, so that route shut completely. A 503A pharmacy can still argue a doorway via "component of an approved drug" — but only for the substance in the form present in the approved product, which is exactly where the base-versus-salt argument lives, and it does nothing about the copy restriction, which came back into force on resolution.

Last edited: Dec 17, 2024 at 11:17 AM
45 15Dr.Martinez, mike_mod, SarahChen_PharmD and 42 others
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HealthEcon_DC
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Dec 17, 2024 at 5:43 AM#9

Following on from tyler_CSCS — and this may be the naive question:

How much material I am losing to dead space, and whether that explains why a 10mg vial gives me nine usable draws rather than ten?

Last edited: Dec 17, 2024 at 7:43 AM
44 14TirzTom, TrialTracker_MD, JennaRN and 41 others
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BrianDallas92
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Dec 17, 2024 at 7:48 AM#10

Closing the loop on my own question.

My error was treating units as a mass. Once I wrote mg/ml on the vial in marker and worked in millilitres first, the two of us got the same answer.

Last edited: Dec 17, 2024 at 8:48 AM
40 13GraceAZ_72, carl_compliance, DanielChem_CHI and 37 others
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