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Solutions: Use a higher concentration with smaller reconstitution volume, which does not actually solve the stability issue since the same amount of time passes Start at a higher dose point if your protocol allows (only if you have already titrated up with a smaller vial) Consider aliquoting into smaller sterile vials and freezing portions for later use (reduces contamination risk to the main vial) Share the reconstitution timing with your dosing schedule, only reconstituting when you are at a dose where you will use the vial within 28-60 days For researchers at 10 mg or 15 mg weekly, the 60 mg vial is perfect

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10.1161/STROKEAHA.115.008686 Stroke 9 ChuH.HuangC.DingH.DongJ.GaoZ.YangX.et al (2016)

Make sure that you are about to administer: The correct drug The correct amount of drug (correct dose) The it is definitely supposed to be given IM (correct route) That you are giving it at the correct time of day To the correct horse Injection Site Select location for injection (neck or hindquarters and left or right) Try to alternate between locations especially if injecting a large volume (i.e

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