Multi-Use Vial Contamination

[GreenMachineX]

For those on daily or eod, how many times do you puncture the same vial? The way my script is written, I get 12 1ml testosterone cyp vials labeled for single use but at my dose (4mg daily), each of those tiny little vials would last 50 days or so. I can't imagine puncturing the same vial 50 times is safe, is it? Any concerns with contamination? Any thoughts?

 

[tareload]

For those on daily or eod, how many times do you puncture the same vial? The way my script is written, I get 12 1ml testosterone cyp vials labeled for single use but at my dose (4mg daily), each of those tiny little vials would last 50 days or so. I can't imagine puncturing the same vial 50 times is safe, is it? Any concerns with contamination? Any thoughts?

I have punctured a 10 ml vial (2000 / 35) or about 57 times over the course of months with aseptic technique. No problems. 27 g insulin pin.

Same thing with hCG vial using 30 g pin. 25 draws (10000 / 400).

 

[GreenMachineX]

I have punctured a 10 ml vial (2000 / 35) or about 57 times over the course of months with aseptic technique. No problems. 27 g insulin pin.

Same thing with hCG vial using 30 g pin. 25 draws (10000 / 400).

Thanks. Guess my paranoia is at play again.

 

[tareload]

Thanks. Guess my paranoia is at play again.

No worries and hang in there. Good question. Wipe those vial tops and prep skin. Focus here is aseptic technique.

Best practices for injection - WHO Best Practices for Injections and Related Procedures Toolkit - NCBI Bookshelf

Sections 2.1.4, 2.2.3 and 2.2.4

 

[GregHynson]

For those on daily or eod, how many times do you puncture the same vial? The way my script is written, I get 12 1ml testosterone cyp vials labeled for single use but at my dose (4mg daily), each of those tiny little vials would last 50 days or so. I can't imagine puncturing the same vial 50 times is safe, is it? Any concerns with contamination? Any thoughts?

Always swab the top of the vial with alcohol as well as the injection site, your needles are sterile just don't re-use them, ever.

 

[nodoctor]

Also, if it became slightly contaminated, would I not notice after one contaminated injection because the injection site would get infected and I would realize what is going on and toss the vile anyway? I would think the bigger danger would be contaminating avail and then not using it for a couple of years while the bacteria spreads and then using it again at which point you’d be injecting tons of bacteria.

 

[GreenMachineX]

Also, if it became slightly contaminated, would I not notice after one contaminated injection because the injection site would get infected and I would realize what is going on and toss the vile anyway? I would think the bigger danger would be contaminating avail and then not using it for a couple of years while the bacteria spreads and then using it again at which point you’d be injecting tons of bacteria.

If doing daily injections though, you may do a couple of a few injections before the first one becomes infected, resulting in several infections.