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In summary, Bacteriostatic Water for Injection should only be used as directed to dilute or dissolve drugs for injection, and it must be made approximately isotonic with the added medication or solution prior to intravenous administration

Document weekly dose, date, and injection sites to maintain consistency

See the Amount & Handling tab for a worked reconstitution example

Li H, Jia J, Wang W, Hou T, Tian Y, Wu Q, et al

Key handling errors that can cause problems include: Shaking the vial vigorously during reconstitution, which denatures the peptide Using sterile water instead of bacteriostatic water, which lacks preservatives and allows bacterial growth Storing reconstituted peptide at room temperature instead of refrigerated Leaving the vial exposed to light, which degrades photosensitive amino acids Using reconstituted peptide beyond its stability window, typically 3-4 weeks Properly handled AOD 9604 should be clear and colorless in solution