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Is a 30G needle the right choice for drawing liraglutide at 1 mg/mL?

Asked 30 Sept 2024Modified 18 months agoViewed 41k times
38

Concretely: a 30G needle · liraglutide · 1 mg/mL.

I would like the axes of comparison first and the recommendation second.

I have tried the first option and it works; the question is whether the second is better rather than merely different.

What is the actual trade-off, and does it matter at the scale I am working at?

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MH
askedm_haraldsen21k2730 Sept 2024
6Can you add the vial size and the diluent volume? Everything follows from those two. – Dr_Marek_Zielinski 35 days ago
7Is this U-100 or U-40? It changes the arithmetic by a factor of two and a half. – kwn_analytical 3 months ago
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5 Answers

Accepted answer first, then by votes
143

Accepted answer

At 1 mg/mL a 1 mg dose is 1 mL — 100 units on a U-100 barrel — and no needle gauge changes that number. Gauge changes three other things: how long the draw takes, how much stays behind in the hub, and how much rubber you core out of the stopper. On the 30G scale a larger number is a finer needle, so a 30G needle is fine enough that a viscous solution draws slowly and a hurried draw pulls bubbles. If you are drawing 100 units at a time, the dead space matters more than the bore: a fixed-needle barrel loses microlitres, a luer hub loses tens of them, and at 1 mg/mL each microlitre is 1 µg.

Answering this needs to know the viscosity of what is being drawn, since a viscous solution through a fine needle is slow enough to encourage bad technique.

Drawing a viscous or foamy solution through a fine needle takes long enough that people rush the plunger, which causes more foaming. Using a wider drawing needle is the fix.

Very fine needles are more prone to bending and to blocking with any particulate, which is a practical argument for inspecting the solution before drawing.

Needle gauge to outer diameter correspondence is standardised and published; the inverse relationship between gauge number and diameter is the reason for the counter-intuitive labelling.

Angle the bevel and insert gently to avoid coring the stopper.

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LB
answered · acceptedlaminar_bench69k5729 Nov 2024
4Small correction: the units in the third paragraph should be micrograms, not milligrams. – kwn_analytical 13 days ago
5Would this be different for a peptide that foams? Mine does and I have never known why. – Dr_Lena_Ostrowska 2 months ago
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56

Answer first: use the largest bore you tolerate for drawing and the smallest for injecting, because the two operations have opposite requirements.

A 30G or 31G needle through a butyl stopper leaves a track that reseals, which is why fine-gauge repeated entry is tolerable and coarse-gauge repeated entry is not.

In practice, flow through a needle scales with the fourth power of the internal radius under the Hagen–Poiseuille relation. Halving the radius reduces flow sixteen-fold at the same pressure, which is why a 31G needle draws so much more slowly than a 21G.

Butyl rubber closures are specified for resealing after piercing up to a stated gauge, which is the basis for the fine-gauge repeated-entry practice.

Big to draw, small to inject, never the same one twice.

edited 7 Jan 2025 by Dr_Idris_Coulibaly — reworded for clarity after a comment

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DC
answeredDr_Idris_Coulibaly33k13710 Dec 2024
Thank you — this is the answer I was looking for. – tess_amankwah 7 months ago
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41

Coring the stopper with a large-bore needle is the risk at the drawing end, and it is real.

Typical outer diameters: 21G is about 0.82 mm, 23G about 0.64 mm, 25G about 0.51 mm, 29G about 0.34 mm and 31G about 0.26 mm. The gauge number and the diameter move in opposite directions.

The underlying point is that fixed-needle insulin syringes are supplied in 29G to 31G and cannot be swapped for drawing, which is the trade-off against their much lower dead space.

Higher gauge is not automatically better; it is thinner, which has costs as well as benefits.

Gauge numbers run backwards. Higher number, thinner needle.

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PC
answeredpierce_count24k387 Nov 2024
33

It helps to be literal here: this is a straightforward answer that people over-complicate because the numbering is counter-intuitive.

Stopper coring — punching a disc of rubber into the solution — is a large-bore phenomenon. An 18G or 21G needle inserted straight and fast is the classic way to do it; inserting at a slight angle with the bevel up reduces the risk.

If a solution will not draw through a 25G needle, the problem is the solution rather than the needle.

Flow goes as the fourth power of radius. That is why the difference feels so large.

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LS
answeredlow_dead_space37k3718 Nov 2024
27

The relevant physics is the fourth-power dependence of flow on radius, which makes small gauge differences enormous in practice.

For injecting, 29G to 31G is the usual range and the difference in perceived discomfort between them is small. Needle length matters more than gauge for comfort at these volumes.

The Hagen–Poiseuille relation gives flow proportional to the fourth power of radius, which is the quantitative basis for every gauge recommendation here.

Length affects comfort more than gauge does at these volumes.

edited 5 Feb 2025 by laminar_bench — added a caveat about sampling

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LB
answeredlaminar_bench69k5713 Jan 2025

Your answer

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