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Physician Clinical Exchange > Best method for Botox

I purchased the Norm-Ject no waste syringes from a company called Zoro. $17-$20 for 100. Best price I found online. I draw up with a 27 G needle then switch to a 32G needle for administration.
These needles have a stopper that goes all the way to the bevel so no dead space. I
I'd rather not switch needles, but I don't want to go through the stopper with a small gauge needle.
Does anyone has experience with removing the stopper from the 100 unit vial then using an insulin syringe with attached 32 G needle to draw it up? Any downsides to this method? Can the stopper be placed safely placed back in the vial? Any risk of damaging the stopper or contaminating the Botox product? I am also concerned about air exposure. Can you remove the stopper and place it on sterile gauze while you draw up the product then put the stopper back on the bottle and refrigerate it for the next patient?

02.22 | Registered CommenterChadha MD

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