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Should I use an 18G drawing needle to draw and something finer to administer?

Asked 15 Mar 2026Modified 9 days agoViewed 9.8k times
19

I have a logging thermometer, a box of insulin syringes and no illusions about my worktop being sterile.

I have read the obvious sources and they disagree with each other, so I would rather ask people who have actually done this.

I have a working setup and a notebook, and I am prepared to be told that my setup is inadequate if that is the answer.

Which parts of this are load-bearing and which parts are habit?

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RS
askedrota_site36k2715 Mar 2026

5 Answers

Accepted answer first, then by votes
54

Accepted answer

Yes, and 18G is the number that makes the case: the gauge scale runs backwards, so 18G is deliberately coarse and the drawing and administering jobs want opposite ends of it. Drawing wants bore — a wide needle empties a vial quickly and does not cavitate as the plunger pulls. Administering wants the opposite, because the hole it leaves is the hole the solution can leak back out of. The cost of doing both with an 18G drawing needle is paid on the stopper: every puncture with a 18G point cuts an annulus of rubber, and the coring risk is worst on the wide end. The cost of swapping is one extra connection and whatever dead space that connection holds — which is a real loss, so measure it rather than assume it is nothing.

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

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.

Reading a lyophilised cake

AppearanceInterpretationAction
Intact opaque puck, proud of baseCycle ran correctlyProceed
Slumped to one sideShipped before fully dry, or vibrationUsually usable; note it
Glassy translucent filmCollapse above glass transitionTest before use
Melt-back ring at stopperThermal excursion in transitTest before use
No visible cake at allVery low fill, or nothing thereWeigh it; query the supplier

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.

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 21 Apr 2026 by gunnar_isaksen — added the method parameters

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GI
answered · acceptedgunnar_isaksen14k1728 Mar 2026
4Two of us worked through this independently and arrived here, so at least it reproduces. – felix_araya 9 months ago
5Would this be different for a peptide that foams? Mine does and I have never known why. – halvard_ness 20 days ago
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45

On the detail: the relevant physics is the fourth-power dependence of flow on radius, which makes small gauge differences enormous 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.

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.

Coring risk as a function of needle gauge and insertion technique is documented in pharmacy compounding guidance.

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

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TG
answeredtandem_gradient61k2488 Apr 2026
18

The honest answer is that injection gauge is a comfort decision and drawing gauge is a stopper-coring decision.

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.

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.

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.

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ED
answerede_dziedzic51k1474 Jul 2026
Minor: the filter membrane chemistry matters as much as the pore size for adsorption. – k_szabo 5 months ago
Adding that a fixed-needle syringe loses about a tenth of what a luer one does. – tobias_maartens 7 months ago
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17

Start with the fact that gauge numbers run backwards — a higher number is a thinner needle — which is the source of half the confusion in this tag.

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.

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

Gauge numbers run backwards. Higher number, thinner needle.

edited 21 Jul 2026 by low_dead_space — corrected a unit error in the worked example

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LS
answeredlow_dead_space37k3723 Jun 2026
-2

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.

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.

Nothing here is medical advice.

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

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SC
answeredstopper_core28k12717 Mar 2026
Does this change at lower concentrations, or does adsorption start to dominate? – tare_weight 5 months ago
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