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Bacteriostatic Water Calculator

How much bacteriostatic water to add to a vial so each dose lands on an easy line, like 10 or 20 units, on a U-100 syringe.

Updated · By Niraj Kumar · 3 sources

Medication

What do you want to work out?What do you want to work out?

Vial strength

mg

The total mg on the vial.

units

10 or 20 units are easy to read on any syringe.

Your dose

mg

Exactly as written on your prescription. 1 mg is 1,000 mcg.

Dose unitDose unit
Bacteriostatic water to add2 mLMakes 2.5 mg/mL; each 0.25 mg dose is then 10 units
Dose
0.25 mg
250 mcg
Concentration
2.5 mg/mL
Exact volume
0.1 mL
10 units (1 unit = 0.01 mL on a U-100 syringe)
Doses in the vial
20
20 weeks at one dose a week. Most multi-dose vials must be discarded 28 days after first use; check yours.
Check
5 mg ÷ 2 mL
0.25 mg ÷ 2.5 mg/mL × 100 = 10 units (you asked for 10 units)
05101520253010 units
Draw 0.25 mg to the 10 units line of a 0.3 mL (30 units) U-100 syringe.
Semaglutide label doses at 2.5 mg/mLThe FDA-label titration for Wegovy and Ozempic, converted for your vial. Follow the schedule your prescriber gave you.
Weekly doseWhenUnitsmL
0.25 mgWeeks 1–410 units0.1 mL
0.5 mgWeeks 5–820 units0.2 mL
1 mgWeeks 9–1240 units (over capacity)0.4 mL
1.7 mgWeeks 13–1668 units (over capacity)0.68 mL
2.4 mgWeek 17 on (usual maintenance)96 units (over capacity)0.96 mL
7.2 mgOnly if prescribed after 4+ weeks at 2.4 mg288 units (over capacity)2.88 mL

How much bacteriostatic water should you add?

Water (mL) = vial mg × units you want per dose ÷ (dose mg × 100). To make a 0.25 mg dose draw 10 units from a 5 mg vial, add 5 × 10 ÷ 25 = 2 mL, which gives 2.5 mg/mL. Check any change to how a prescribed vial is mixed with your pharmacy first.

units = dose (mg) ÷ concentration (mg/mL) × 100

This page uses the same method as the GLP-1 Dosage Calculator, which explains each term and assumption in full.

A 10 mg vial and a 2.5 mg dose, by water added
Water addedConcentrationUnits per dose
0.5 mL20 mg/mL12.5 units
1 mL10 mg/mL25 units
2 mL5 mg/mL50 units
3 mL3.333 mg/mL75 units

Worked example

A 5 mg vial, a 0.25 mg dose, and doses wanted at 10 units each.

  1. 1Water: 5 mg × 10 units ÷ (0.25 mg × 100) = 2 mL
  2. 2Concentration: 5 mg ÷ 2 mL = 2.5 mg/mL
  3. 3Check: 0.25 ÷ 2.5 × 100 = 10 units

Add 2 mL of bacteriostatic water; each 0.25 mg dose is then 10 units.

Frequently asked questions

Why do pharmacies use bacteriostatic water?

It is sterile water with 0.9% benzyl alcohol, which stops bacteria growing between doses, so one vial can be used for several weeks. Plain sterile water is for single use. Use the diluent your pharmacy specifies.

Is there a limit to how much water I can add?

The vial has to hold it, and most hold 2 to 3 mL comfortably. More water also means more injected volume per dose. If the answer is over the vial's size, choose fewer units per dose.

Sources

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