Bacteriostatic Water

Bacteriostatic water is sterile water for injection with 0.9% benzyl alcohol as a preservative, which keeps a punctured vial usable for about four weeks.

Not a dosed compoundReconstitution supply reference

Also known as: BAC Water, Bacteriostatic Water for Injection

(how we review)

Reported protocols for Bacteriostatic Water

What published studies and recent community write-ups report about amounts, timing and course length. 2 clinical and 4 community-reported rows, each linked to its source. These are descriptions of what others report, not instructions, and nothing here is medical advice.

ContextDoseFrequencyRouteCourseSource
Clinical2 rows
FDA label: multiple-dose diluent, 30 mL vialAdults and children other than neonates, as a vehicle for drugs that require dilution or dissolution before injection0.9% (9 mg/mL) benzyl alcohol in water for injection; some presentations carry 1.1% (11 mg/mL)Repeated withdrawals from one vial with aseptic techniqueDiluent for intravenous, intramuscular or subcutaneous drugs; never given on its ownMultiple-dose containerNot applicableDailyMed, National Library of Medicine2026
The label gives a pH of 5.7 (4.5 to 7.0) and states the preparation is designed solely for parenteral use after a drug has been added. It must be made approximately isotonic before use, is not for fluid replacement, is not for epidural or spinal anaesthesia, and must not be used in neonates because of benzyl alcohol toxicity. Animal studies cited on the label suggest an estimated intravenous dose of up to 30 mL could be given to an adult without toxic effect, while about 9 mL in a 6 kg infant could change blood pressure, which is the scale of the benzyl alcohol margin.
UK summary of product characteristicsPatients receiving benzyl alcohol-preserved diluent, with specific limits for children under 3 and neonates9.45 mg/mL benzyl alcohol in 1 mL pre-filled syringesAs a diluent onlyDiluent for injectionNot more than 1 week in children under 3 years unless necessaryNot applicableelectronic medicines compendium (emc)2026
The UK label spells out the hazard behind the neonatal contraindication: intravenous benzyl alcohol has been associated with serious adverse events and death in infants, known as gasping syndrome, and the minimum toxic amount is not known. It also asks prescribers to consider the combined daily benzyl alcohol load from all sources in liver or kidney impairment and in pregnancy or breastfeeding, because accumulation can cause metabolic acidosis. For a peptide user the relevance is simply that the preservative is a drug with a dose, not an inert ingredient.
Community-reported4 rows
Community reconstitution guide: volume sets concentration1 mL per 5 mg vial gives 5 mg/mL; 2 mL per 5 mg vial gives 2.5 mg/mLOnce, at reconstitutionInjected slowly down the inside wall of the peptide vial, taking at least 30 seconds per mLUse within 28 days of first punctureNot applicableCommunity resource2026
This 2026 guide describes the two most common conventions and the technique that goes with them: let the water trickle down the glass so it pools around the cake rather than hitting it, then swirl gently. It treats 28 days at 2 to 8 degrees as a firm deadline because there is no way to assess potency afterwards without laboratory testing, and notes that robust peptides such as BPC-157 probably outlast fragile growth hormone secretagogues. The volume is a measurement choice, not a dose: more water means a lower concentration and a larger draw for the same amount.
Community guide: ratio math and common mistakesPeptide mass in mg divided by water volume in mL equals concentration in mg/mL; 2 mL per 5 mg vial is the math-friendly defaultOnce, at reconstitutionDown the vial wall, swirled not shaken28 days, described as the preservative's in-use window rather than a peptide stability figureNot applicableCommunity resource2026
This guide makes a point the others often miss: the 28-day figure comes from the bacteriostatic preservative's in-use window under refrigeration, not from stability data on any particular peptide, so actual stability varies by compound. It explains why shaking is discouraged, citing formulation studies in which air-liquid interfaces and shear promote protein unfolding and aggregation, and says to discard any solution that turns cloudy, discolours or develops particles.
Community guide: volumes for small doses and storage by peptide class2-5 mL per 5 mg vial (1-2.5 mg/mL) when doses of 100-300 mcg need to be measuredOnce, at reconstitutionReleased down the inner glass wall, then swirled; full dissolution expected within 60 secondsAbout 30 days refrigerated for most synthetic peptides; about 14 days for recombinant proteins, oxytocin, NAD+ and other oxidation-prone compoundsNot applicableCommunity resource2026
The worked example is the one most calculators reproduce: 5 mg in 2 mL is 2.5 mg/mL, so 10 units on a U-100 syringe is 0.1 mL and 250 mcg. The guide's three rules cover most problems: use bacteriostatic rather than sterile water for anything stored and drawn from repeatedly, add the diluent slowly down the wall, and never shake. It also says a solution still cloudy after five minutes of swirling should be discarded rather than used.
Community guide: bacteriostatic versus sterile water shelf lifeWater volume in mL equals peptide amount in mg divided by the desired concentration in mg/mL; 5 mg in 2 mL gives 2.5 mg/mLOnce, at reconstitutionNeedle at about 45 degrees so the liquid runs down the wallAbout 28 days refrigerated with bacteriostatic water; about 24 hours with plain sterile waterNot applicableCommunity resource2026
This guide's storage table is the clearest statement of why the preservative matters: a vial reconstituted with bacteriostatic water is described as usable for roughly 28 days in the refrigerator, while the same vial made up with preservative-free sterile water is given 24 hours. Unopened lyophilised powder is listed at 24 to 36 months frozen. Dissolution is expected within 30 to 60 seconds of gentle rotation.

How a course is commonly described

  1. Reconstitution: the first minuteCommunity-reported

    Both stoppers are wiped with alcohol, the calculated volume is drawn, and the water is released slowly down the inside wall of the peptide vial rather than onto the powder. The vial is swirled or rolled, never shaken, and most lyophilised peptides clear within one to two minutes.

  2. In use: up to 28 days refrigeratedCommunity-reported

    The vial is labelled with concentration and date, kept at 2 to 8 degrees and protected from light. The 28-day convention is the preservative's in-use window; oxidation-prone compounds are often given about 14 days instead, and anything that turns cloudy is discarded.

  3. The 30 mL diluent vial itselfClinical

    The diluent is also a multiple-dose vial that is punctured repeatedly, so the same aseptic technique applies to it, and the label's benzyl alcohol warnings travel with every millilitre drawn from it.

  • Bacteriostatic water has no dose of its own. The volume added to a vial only sets the concentration; the amount of peptide per injection is decided separately, and a larger volume simply means a larger draw for the same amount.
  • The preservative is the point and the hazard at once. Benzyl alcohol is why a punctured vial lasts about four weeks, and it is also why the product is contraindicated in newborns and carries a warning about cumulative load in liver or kidney impairment and pregnancy.
  • Plain sterile water for injection is a single-use, preservative-free product; community guides give a vial made up with it about 24 hours rather than 28 days. The two are not interchangeable for anything stored and drawn from repeatedly.
  • The 28-day figure describes the diluent, not the peptide. Stability after reconstitution varies by compound, and the only honest statement about potency past that window is that it has not been measured.
Sources for this section (8)
  1. Bacteriostatic Water for Injection, USP (Hospira): Prescribing InformationDailyMed, National Library of Medicine2026Clinical
  2. Bacteriostatic Water for Injection, USP: Multiple-dose Vial LabelingPfizer2026Clinical
  3. Bacteriostatic Water for Injection: Summary of Product Characteristicselectronic medicines compendium (emc)2026Clinical

Plus 5 community resources (dosing guides, forum threads and vendor write-ups), reported above but not linked.

Overview

Bacteriostatic water is sterile water for injection with 0.9% benzyl alcohol as a preservative, which keeps a punctured vial usable for about four weeks. It is supplied in 30 mL multiple-dose vials so that repeated withdrawals can be made to dissolve or dilute drugs for injection, and that preservative is why it is the standard diluent for lyophilised peptide vials where plain sterile water is a single-use product. It is a licensed prescription product with its own label, which contraindicates it in newborns and says it must be made approximately isotonic before use, and there is no single PubChem record because it is a two-ingredient formulation rather than a compound.

What researchers are exploring

These themes describe recurring questions in published research. They are not claims of effectiveness or recommendations for use.

  • 1

    Reconstitution supplies

    Diluents and buffers a lyophilised vial is dissolved in.

  • 2

    FDA label: multiple-dose diluent, 30 mL vial

    The label gives a pH of 5.7 (4.5 to 7.0) and states the preparation is designed solely for parenteral use after a drug has been added. It must be made approximately isotonic before use, is not for fluid replacement, is.

  • 3

    UK summary of product characteristics

    The UK label spells out the hazard behind the neonatal contraindication: intravenous benzyl alcohol has been associated with serious adverse events and death in infants, known as gasping syndrome, and the minimum toxic.

  • 4

    Community reconstitution guide: volume sets concentration

    This 2026 guide describes the two most common conventions and the technique that goes with them: let the water trickle down the glass so it pools around the cake rather than hitting it, then swirl gently. It treats 28.

  • 5

    Community guide: ratio math and common mistakes

    This guide makes a point the others often miss: the 28-day figure comes from the bacteriostatic preservative's in-use window under refrigeration, not from stability data on any particular peptide, so actual stability.

  • 6

    Community guide: volumes for small doses and storage by peptide class

    The worked example is the one most calculators reproduce: 5 mg in 2 mL is 2.5 mg/mL, so 10 units on a U-100 syringe is 0.1 mL and 250 mcg. The guide's three rules cover most problems: use bacteriostatic rather than.

What the current evidence can support

Study models remain visible so laboratory and animal findings are not mistaken for established human outcomes.

  • Human

    Human studies and registrations

    2 protocol rows on this page come from human trials, trial registrations, regulator labels or reviews of human data. Approval status and populations are stated per row.

  • Not graded

    Community-reported use

    4 rows record what blogs, vendor write-ups or forums describe for Bacteriostatic Water. None has been verified against primary literature.

Limitations and unknowns

Important limitations

  • Every amount on this page is a report of what a source describes, not a protocol to follow.
  • Preclinical and community rows do not establish a human amount, schedule or route.
  • Formulation, purity and presentation vary by supplier and are not covered by the dossier.

Sources

5 curated references, each with its journal, year and study model, plus 5 community resources reported but not linked.

  1. Water (PubChem CID 962)PubChem, National Library of Medicine2026Not graded
  2. Benzyl alcohol (PubChem CID 244)PubChem, National Library of Medicine2026Not graded
  3. Bacteriostatic Water for Injection, USP (Hospira): Prescribing InformationDailyMed, National Library of Medicine2026Human
  4. Bacteriostatic Water for Injection, USP: Multiple-dose Vial LabelingPfizer2026Human
  5. Bacteriostatic Water for Injection: Summary of Product Characteristicselectronic medicines compendium (emc)2026Human