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ForumsCompounding & FormulationDumb question - what is bacteriostatic water exactly — need advice Page 2

Dumb question - what is bacteriostatic water exactly — need advice

AmyNC_wife Sun, Apr 6, 2025 at 12:08 AM 12 replies 1,479 viewsPage 2 of 3
Dr.PulmRoch
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Jun 2024
Rochester, MN
Apr 6, 2025 at 1:39 AM#6
AmyNC_wife said:
Do it in two steps and it stops being confusing.

Bacteriostatic water quality matters for dosing arithmetic reconstitution. Not all BAC water is created equal:

  • Should contain 0.9% benzyl alcohol as preservative
  • Must be sterile and pyrogen-free
  • Should come in a sealed, intact vial
  • Check expiration date — yes, BAC water expires
  • Store at room temperature, protected from light

I buy from a reputable medical supply company, not Amazon marketplace sellers. The $3 savings isn't worth the infection risk from unverified BAC water.

Last edited: Apr 6, 2025 at 2:39 AM
41 19rachel_ABQ, traveltech_sara, AttorneyGrant and 38 others
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alex_tucson
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May 2024
Tucson, AZ
Apr 6, 2025 at 2:14 AM#7

One thing that is still open after hans_munich’s answer:

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?

42 20labquiet_amy, emily_PDX, Dr.SleepRoch and 39 others
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Dr.AddMedPHL
Senior Member
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Mar 2024
Philadelphia, PA
Apr 6, 2025 at 2:49 AM#8
Dr.PulmRoch said:
Bacteriostatic water quality matters for dosing arithmetic reconstitution.

Just received my dosing arithmetic order — packaging review:

  • Outer box: plain brown, no medication identifiers (discreet) ✅
  • Inner insulation: Styrofoam with 2 gel ice packs ✅
  • Temperature: vials were cold to touch on arrival ✅
  • Labeling: lot number, BUD, compound name, concentration ✅
  • Included: COA, reconstitution instructions, dosing card ✅

This is what professional compounding pharmacy shipping looks like. If your order arrives without these basics, reconsider your vendor.

43 21mike.trainer_LA, sarah_nash92, FitDadDave and 40 others
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AmyNC_wife
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Jun 2024
North Carolina
Apr 6, 2025 at 3:24 AM#9

OP back with an update, since a thread like this is useless without one.

Follow-up: it was dead space. Switching to a low-dead-space fixed-needle syringe gave me the tenth dose back.

44 22Dr.NateNeph, PharmD_Rodriguez, julia.endo and 41 others
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fiona_VT
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Dec 2024
Vermont
Apr 6, 2025 at 6:13 AM#10
Dr.AddMedPHL said:
Just received my dosing arithmetic order — packaging review: Outer box: plain brown, no medication identifiers (discreet) ✅ Inner insulation:…

Agreeing with Dr.AddMedPHL, and the qualification matters more than the agreement. The arithmetic is right and one caveat matters: a U-40 syringe changes the markings, not the volumes. If someone hands you U-40 and you read it as U-100 you will be 2.5 times out, and that error has a direction — it is always an overdose.

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

Last edited: Apr 6, 2025 at 7:13 AM
48 23tampaLisa73, KarenAZ_mom, zoe_NC and 45 others
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