The quick comparison

Water What it is Preservative? Best for
Bacteriostatic water Sterile water with 0.9% benzyl alcohol Yes Multi-dose vials when the product instructions specify it
Sterile water for injection Sterile water, nothing added No Single use: mix and use immediately
Saline (0.9% sodium chloride) Sterile salt solution Plain: no Mostly IV dilution; not the usual peptide diluent
A vial of bacteriostatic water with an insulin syringe, used only when specified by product or pharmacy instructions
A vial of bacteriostatic water with an insulin syringe. Use bacteriostatic water only when it is specified by approved product information, your prescriber, or your pharmacist.

Bacteriostatic water: preserved sterile water

Bacteriostatic water is sterile water with 0.9% benzyl alcohol as a preservative, which slows bacterial growth after the vial is punctured. It's often specified for multi-dose use, but it doesn't replace your product's directions. Follow its label and your instructions for discard timing. How long the mixed product keeps varies by medicine.

Sterile water: single use only

Sterile water for injection has nothing added. With no preservative, an opened vial is single use, and leftovers are discarded. After mixing, follow the product's storage instructions, and if there are none, don't store or reuse it.

Benzyl alcohol isn't suitable for newborns, and a few people are sensitive to it. Their instructions may specify sterile water or another diluent instead, and the mixed vial is then usually single use.

Saline: not the usual choice

Saline is 0.9% sodium chloride, a sterile salt solution used mainly for intravenous fluids and dilution. Plain saline has no preservative, so it's single use once opened. A preserved version, bacteriostatic saline, exists. Use either only when your instructions name it.

Supplies

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Frequently asked questions

Can I use sterile water instead of bacteriostatic water?

Only if your product information, prescriber or pharmacist specifies sterile water. It has no preservative, so treat it as single use once opened or mixed unless your instructions say otherwise.

A vial storage case keeps vials upright, cushioned and organised. It doesn't control temperature, so follow your product's temperature requirements separately.

Is saline OK for reconstituting peptides?

Only if your instructions specify it. Plain saline has no preservative and is single use once opened.

Why can't I just use tap or distilled water?

They aren't sterile, so they can carry bacteria into the injection.

Who should not use bacteriostatic water?

Newborns, and the few people sensitive to benzyl alcohol. Their instructions may specify sterile water or another diluent, usually single use.

This guide compares injection supplies and is not medical advice. Follow approved product information and your prescriber or pharmacist for your medicine.