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dosing-math

Page 24 of 32 · 764 questions tagged dosing-math.

764 questions · sorted by votes · page 24 of 32

12 votes 2 answers6.7k views
Is there a pharmacokinetic case for moving survodutide injection day by twenty-eight days?

The particulars: survodutide · twenty-eight days. I want to know whether this is a real physical effect or an artefact of how it is measured. What prompted the…

missed-dose
missed-dose

What the label instructions for a missed weekly dose are, why they differ between agents, and what the pharmacokinetics say about drift in an…

41 questions
glp1-mechanism
glp1-mechanism

Receptor-level pharmacology: GLP-1R as a class B GPCR, cAMP and PKA signalling, biased agonism, internalisation and resensitisation, and the…

132 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
survodutide
survodutide

A GLP-1 and glucagon receptor dual agonist with a substantial published MASH dataset. Use this tag for its hepatic endpoints, its dose ladder, and…

225 questions
asked by imani_dube 8.9k · 10 months ago
12 votes 5 answers5.9k views
Can I reconstitute liraglutide at 4 mg/mL and still measure a small dose accurately?

For reference: liraglutide · 4 mg/mL. I would like to define my thresholds before I have a result, for obvious reasons. I want a plan with explicit stopping rules,…

diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
insulin-syringe
insulin-syringe

U-100 and U-40 insulin syringes as measuring instruments. A U-100 syringe is graduated in insulin units where 100 units equals 1 mL, so one unit…

244 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
liraglutide
liraglutide

A once-daily GLP-1 receptor agonist and the compound that established the class. Still relevant for its shorter half-life, its paediatric and…

235 questions
asked by rune_thoresen 16k · 3 months ago
12 votes0 answers5.8k views
Why do two papers on REDEFINE-1 report different headline figures?

I have the full paper rather than the abstract, and the supplementary appendix. I suspect the usual explanation for this is wrong, or at least incomplete. I am aware…

clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
semaglutide
semaglutide

A GLP-1 receptor agonist with a fatty-acid-acylated backbone and a roughly one-week half-life, marketed for type 2 diabetes and for weight…

470 questions
asked by threadlock7 19k · 2.3 years ago
12 votes0 answers3.9k views
What is the dead-space loss per draw with a 25G drawing needle at 5 mg/mL?

Setup, so nobody has to ask: a 25G drawing needle · 5 mg/mL. I have worked this out and I would like someone to find the error, because I suspect there is one. My…

dead-space
dead-space

The volume trapped in the syringe hub and needle after the plunger bottoms out. It is small in absolute terms and large as a fraction of a small…

117 questions
insulin-syringe
insulin-syringe

U-100 and U-40 insulin syringes as measuring instruments. A U-100 syringe is graduated in insulin units where 100 units equals 1 mL, so one unit…

244 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
asked by amara_nwachukwu 20k · 11 months ago
12 votes0 answers2.8k views
Is 4 mg/mL a sensible working concentration for oral semaglutide, or should I go lower?

The case in front of me: 4 mg/mL · oral semaglutide. I would like the axes of comparison first and the recommendation second. I have tried the first option and it…

diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
oral-glp1
oral-glp1

Oral routes for GLP-1 receptor agonism: peptide formulations rescued by absorption enhancers such as SNAC, and true small molecules that need no…

219 questions
asked by birk_nordahl 16k · 7 months ago
12 votes 2 answers2.1k views
Does splitting a 0.25 mg weekly dose of a GLP-1 receptor agonist across two administrations change anything?

What I am working with: 0.25 mg · a GLP-1 receptor agonist. The empirical answer seems settled. The explanation does not. If the honest answer is that nobody knows, I…

split-dosing
split-dosing

Dividing a weekly dose across more than one administration. Questions here concern the pharmacokinetic rationale, whether the peak-to-trough ratio…

44 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
glp1-mechanism
glp1-mechanism

Receptor-level pharmacology: GLP-1R as a class B GPCR, cAMP and PKA signalling, biased agonism, internalisation and resensitisation, and the…

132 questions
asked by ines_brandt 113k · 3 months ago
11 votes 5 answers33k views
Can I reconstitute survodutide at 2 mg/mL and still measure a small dose accurately?

Conditions: survodutide · 2 mg/mL. The failure mode I am trying to avoid is making this decision emotionally. I have twelve months in view and I would like the plan…

diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
insulin-syringe
insulin-syringe

U-100 and U-40 insulin syringes as measuring instruments. A U-100 syringe is graduated in insulin units where 100 units equals 1 mL, so one unit…

244 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
survodutide
survodutide

A GLP-1 and glucagon receptor dual agonist with a substantial published MASH dataset. Use this tag for its hepatic endpoints, its dose ladder, and…

225 questions
asked by seamus_brady 15k · 2.1 years ago
11 votes5 answers22k views
If I reconstitute a 5 mg vial with 2 mL of bacteriostatic water, what concentration do I end up with?

Setup, so nobody has to ask: 5 mg · 2 mL · bacteriostatic water. I have worked this out and I would like someone to find the error, because I suspect there is one. My…

reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
bacteriostatic-water
bacteriostatic-water

Water for injection containing roughly 0.9 per cent benzyl alcohol as a bacteriostatic agent. It suppresses growth in a multiple-withdrawal vial;…

149 questions
asked by tri_gly_ala 24k · 2.2 years ago
11 votes 4 answers21k views
How many units on a U-40 insulin syringe is a 4 mg dose at 20 mg/mL?

What I am working with: a U-40 insulin syringe · 4 mg · 20 mg/mL. The units are where I keep going wrong, so please be explicit about them. I have sanity-checked the…

dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
insulin-syringe
insulin-syringe

U-100 and U-40 insulin syringes as measuring instruments. A U-100 syringe is graduated in insulin units where 100 units equals 1 mL, so one unit…

244 questions
reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
asked by stopper_core 28k · 23 months ago
11 votes 5 answers15k views
What does SURMOUNT-1 report at the 15 mg dose level?

Conditions: SURMOUNT-1 · 15 mg. I would like to know the limits of what can be inferred from this. What I am trying to avoid is over-reading a single result, which I…

clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
asked by coring_risk 27k · 2.4 years ago
11 votes0 answers14k views
How many units on a low-dead-space syringe is a 2 mg dose at 6.67 mg/mL?

Concretely: a low-dead-space syringe · 2 mg · 6.67 mg/mL. I want the working, not the result — I need to be able to redo it with different numbers. I care about the…

dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
insulin-syringe
insulin-syringe

U-100 and U-40 insulin syringes as measuring instruments. A U-100 syringe is graduated in insulin units where 100 units equals 1 mL, so one unit…

244 questions
reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
asked by lucia_marchetti 19k · 22 months ago
11 votes 5 answers11k views
How many vial-days does a 2 mg vial give at 1 mg/mL on a weekly schedule?

Numbers first: 2 mg · 1 mg/mL. This should be a straightforward calculation and I keep getting two different answers. The numbers are arbitrary; the method is what I…

dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
cost-analysis
cost-analysis

Cost arithmetic done honestly: cost per milligram after dead-space loss, list versus net price, comparing a multi-dose vial to a fixed-dose pen,…

260 questions
diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
asked by otto_brenner 12k · 9 months ago
11 votes 5 answers9.3k views
What is the arithmetic to convert 40 mg in 3 mL into units on a U-100 scale?

Concretely: 40 mg · 3 mL. Please show the division. I want to check my own against yours. I would like the general form as well as the specific number, so I can apply…

dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
insulin-syringe
insulin-syringe

U-100 and U-40 insulin syringes as measuring instruments. A U-100 syringe is graduated in insulin units where 100 units equals 1 mL, so one unit…

244 questions
reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
asked by fibre_or_fragment 13k · 5 months ago
11 votes 3 answers9.2k views
What is the dead-space loss per draw with a 25G drawing needle at 20 mg/mL?

What I am working with: a 25G drawing needle · 20 mg/mL. The units are where I keep going wrong, so please be explicit about them. I have sanity-checked the order of…

dead-space
dead-space

The volume trapped in the syringe hub and needle after the plunger bottoms out. It is small in absolute terms and large as a fraction of a small…

117 questions
insulin-syringe
insulin-syringe

U-100 and U-40 insulin syringes as measuring instruments. A U-100 syringe is graduated in insulin units where 100 units equals 1 mL, so one unit…

244 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
asked by mira_sundqvist 7.1k · 5 months ago
11 votes 2 answers6.7k views
Does a U-40 syringe change my arithmetic or just my markings?

I have photographs before and after reconstitution if the visual detail matters. The empirical answer seems settled. The explanation does not. If the honest answer is…

insulin-syringe
insulin-syringe

U-100 and U-40 insulin syringes as measuring instruments. A U-100 syringe is graduated in insulin units where 100 units equals 1 mL, so one unit…

244 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
needle-gauge
needle-gauge

Gauge and length selection, the trade-off between draw time and tissue trauma, coring risk with larger-bore needles, and why a fixed-needle…

91 questions
asked by harriet_lonsdale 35k · 3 months ago
11 votes5 answers6.7k views
How do I convert the SURMOUNT-1 hazard ratio into an absolute risk reduction?

I have three data points across nine months, which I hope is enough to see a trend. This should be a straightforward calculation and I keep getting two different…

cardiovascular
cardiovascular

Cardiovascular outcomes: the SELECT major-adverse-event result, SOUL, SUSTAIN 6 and REWIND, how to convert a hazard ratio into an absolute risk…

68 questions
clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
asked by rania_haddad 13k · 12 months ago
11 votes 5 answers6.4k views
Is there any defensible dose-equivalence between different receptor profiles?

My setup is a refrigerator with a logger and a small work area I wipe down, nothing more. Both of these get recommended confidently by different people, which…

dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
semaglutide
semaglutide

A GLP-1 receptor agonist with a fatty-acid-acylated backbone and a roughly one-week half-life, marketed for type 2 diabetes and for weight…

470 questions
tirzepatide
tirzepatide

A dual GIP and GLP-1 receptor agonist. Questions here cover the SURPASS and SURMOUNT programmes, the practical differences from a pure GLP-1…

370 questions
asked by drawn_and_capped 12k · 13 months ago
11 votes 4 answers5.5k views
If I reconstitute a 50 mg vial with 5 mL of phosphate-buffered diluent, what concentration do I end up with?

For reference: 50 mg · 5 mL · phosphate-buffered diluent. I would rather understand the derivation than memorise the outcome. Two people I asked gave two answers that…

reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
asked by dermot_kiely 12k · 9 months ago
11 votes 5 answers5.4k views
How many vial-days does a 30 mg vial give at 10 mg/mL on a weekly schedule?

What I have: 30 mg · 10 mg/mL. This should be a straightforward calculation and I keep getting two different answers. The numbers are arbitrary; the method is what I…

dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
cost-analysis
cost-analysis

Cost arithmetic done honestly: cost per milligram after dead-space loss, list versus net price, comparing a multi-dose vial to a fixed-dose pen,…

260 questions
diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
asked by cake_collapsed 14k · 3 months ago
11 votes0 answers5k views
If I reconstitute a 40 mg vial with 2 mL of 0.9% sodium chloride, what concentration do I end up with?

The case in front of me: 40 mg · 2 mL · 0.9% sodium chloride. I want the working, not the result — I need to be able to redo it with different numbers. I care about…

reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
asked by teodora_ilic 17k · 8 months ago
11 votes0 answers4.9k views
How many units on a U-100 insulin syringe is a 2 mg dose at 8 mg/mL?

For reference: a U-100 insulin syringe · 2 mg · 8 mg/mL. I would rather understand the derivation than memorise the outcome. Two people I asked gave two answers that…

dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
insulin-syringe
insulin-syringe

U-100 and U-40 insulin syringes as measuring instruments. A U-100 syringe is graduated in insulin units where 100 units equals 1 mL, so one unit…

244 questions
reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
asked by cal_hennessy 17k · 9 months ago
11 votes 5 answers4.3k views
Is 2.5 mg/mL a sensible working concentration for oral semaglutide, or should I go lower?

The case in front of me: 2.5 mg/mL · oral semaglutide. I would like the axes of comparison first and the recommendation second. I have tried the first option and it…

diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
oral-glp1
oral-glp1

Oral routes for GLP-1 receptor agonism: peptide formulations rescued by absorption enhancers such as SNAC, and true small molecules that need no…

219 questions
asked by olu_babatunde 6.2k · 4 months ago
11 votes 5 answers3.4k views
Is 2.5 mg in 0.5 mL of 0.9% sodium chloride a sensible presentation for a GLP-1 receptor agonist?

Conditions: 2.5 mg · 0.5 mL · 0.9% sodium chloride · a GLP-1 receptor agonist. I want to decide this in advance so that I am not deciding it under pressure later.…

diluent-volume
diluent-volume

Choosing how much diluent to add, which is really a question about what you want your measurement resolution to be. Larger volumes buy you…

295 questions
reconstitution
reconstitution

Taking a lyophilised vial to a solution of known concentration: choice of diluent, volume selection, how to add liquid without shearing the cake,…

313 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
asked by colm_dunphy 8.2k · 4 months ago
11 votes 2 answers3.4k views
How do I convert the SURPASS-2 hazard ratio into an absolute risk reduction?

I am reading the trial table rather than the press release, which is why the numbers differ. I can do the algebra. I am not confident about the conversion factors. If…

cardiovascular
cardiovascular

Cardiovascular outcomes: the SELECT major-adverse-event result, SOUL, SUSTAIN 6 and REWIND, how to convert a hazard ratio into an absolute risk…

68 questions
clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
asked by unit_math 6.2k · 4 months ago