HGH Storage, Reconstitution, and Injection: Complete Guide (Powder & Liquid)
For patients prescribed somatropin (HGH). Educational only; always follow your product label and your clinician’s instructions.
Quick summary:
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Before mixing: Most lyophilized (powder) HGH should be refrigerated 2–8 °C (36–46 °F) and protected from light.
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After mixing: Keep refrigerated; usable window varies by brand and diluent (e.g., ~14 days with bacteriostatic water for some products; shorter with sterile water). Some liquid pens allow limited room-temperature use after first use. Always confirm on your exact label.
What is HGH (Somatropin) and how is it supplied?
HGH (somatropin) is supplied either as:
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Lyophilized powder in vials (requires reconstitution before injection), or
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Prefilled liquid pens/cartridges (already in solution, used with a pen device).
Brand handling and stability rules differ (e.g., Genotropin, Omnitrope, Humatrope, Norditropin). Always default to the instructions that came with your specific product.
Storage — Before Reconstitution (Powder Vials)
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Temperature: Store in a refrigerator (2–8 °C / 36–46 °F) unless your label explicitly allows otherwise.
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Light / handling: Keep in original carton, protect from light; do not freeze.
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Travel: Use an insulated pouch/cold pack; avoid heat spikes.
Some labels allow limited room-temperature periods before mixing; this is brand-specific. Follow your exact insert.
Reconstitution (Mixing) — Powder Vials
What you’ll typically need
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Your HGH vial (powder)
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Diluent: usually Bacteriostatic Water for Injection (0.9% benzyl alcohol) for multi-dose use; some kits include Sterile Water for Injection (single-use, much shorter shelf life)
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Alcohol swabs, insulin syringes or mixing device, clean surface
Shelf life after mixing depends heavily on diluent: many labels list ~14 days refrigerated with bacteriostatic water and ~24 hours with sterile water. Confirm on your product’s insert.
Step-by-step (general, brand-agnostic)
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Clean & check: Wash hands. Wipe vial stoppers with alcohol; let dry.
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Add diluent slowly: Insert the diluent needle through the stopper and let the diluent run down the side of the vial. Do not shake; this helps prevent foaming/denaturing.
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Dissolve gently: Swirl or roll the vial gently until fully dissolved. Solution should be clear and particle-free; if cloudy or with particles, do not use.
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Label & store: Mark the date/time mixed and put it immediately in the refrigerator (2–8 °C / 36–46 °F) unless your label specifies otherwise.
Storage — After Reconstitution (Mixed Solution)
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Refrigerate at 2–8 °C (36–46 °F). Do not freeze. Protect from light.
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Use-by window depends on brand & diluent:
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Humatrope: after mixing, use within 14 days refrigerated (bacteriostatic water). If mixed with sterile water, use within 24 hours.
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Genotropin pen cartridges: discard after 28 days refrigerated between uses.
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Omnitrope cartridges: stable up to 28 days refrigerated after first use. (Vial reconstituted with non-preserved diluent may be 24 hours.)
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Norditropin FlexPro liquid pens: after first use, may be kept at room temperature (≤25 °C/77 °F) for up to 3 weeks, or refrigerated for up to 4 weeks (choose one option). Keep away from light; do not freeze.
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If the solution becomes cloudy, develops particles, or has been frozen/overheated, discard it per your label.
Prefilled Liquid Pens / Cartridges (No Reconstitution)
Many brands supply pens with ready-to-use liquid. General themes (verify your label):
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Store refrigerated before first use.
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After first use, some pens (e.g., Norditropin FlexPro) permit room-temperature storage up to ~3 weeks, or refrigerated up to ~4 weeks; unused pens must remain refrigerated.
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Discard any remaining medication after the label’s stated time from first use (e.g., ~28 days for certain Genotropin/Omnitrope cartridges).
How to Inject HGH (Subcutaneous) — General Patient Education
Important: This section is general information for patients who have already been shown how to inject by a clinician. It is not a substitute for live training. Always use the device and technique your product was designed for.
Sites
Common subcutaneous sites: abdomen (at least 2″ from the navel), front/outer thigh, back of upper arm, buttock/hip. Rotate sites to reduce local irritation and lipoatrophy.
Supplies
Pen device (if using a pen) or insulin syringe (e.g., 29–31G), alcohol swabs, sharps container.
Steps (vial/syringe or pen)
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Prepare: Wash hands; gather supplies. Check that solution is clear and in date.
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Clean: Wipe the rubber stopper (vial) and the skin at the injection site with alcohol; let dry.
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Draw / dial dose:
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Vial & syringe: Inject air into the vial (equal to dose), invert, draw dose slowly. Tap out bubbles; do not shake the vial.
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Pen: Attach a new needle, prime if required, dial the prescribed dose per device instructions.
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Inject: Pinch a fold of skin. Insert the needle at 90° (or per clinician’s advice), inject slowly, then wait a few seconds before withdrawing.
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Dispose: Do not recap. Place needle in an approved sharps container.
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Store: Return the medication to refrigeration (or room temp if your pen allows it per label). Keep away from light.
If you hit blood, see unusual redness/swelling, or the solution looks wrong, stop and contact your prescriber or pharmacist.
Bacteriostatic vs Sterile Water — What’s the difference?
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Bacteriostatic Water (with benzyl alcohol): Intended for multi-dose use; many labels allow longer in-fridge use (often ~14 days).
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Sterile Water (no preservative): Single-use only; mixed solution typically must be used within 24 hours and kept refrigerated.
Always use the exact diluent specified for your product and device.
Common Mistakes to Avoid
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Shaking the vial/pen (can denature protein).
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Storing outside the label’s temperature/time limits (e.g., forgetting a pen in a hot car).
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Reusing needles or failing to rotate sites.
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Mixing with the wrong diluent or using tap water.
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Keeping mixed solution past its allowed time (14–28 days for some preserved products; often ≤24 hours with sterile water).
FAQ
Can I keep lyophilized HGH at room temp before mixing?
Sometimes, but only if your label allows it and usually for limited time; refrigeration is the default safest choice.
My pen says I can store at room temperature after first use — really?
Some brands (e.g., Norditropin FlexPro) permit room temp (≤25 °C/77 °F) for up to ~3 weeks after first use, or refrigerated up to ~4 weeks. Follow your device’s insert exactly.
How long is mixed HGH good for?
Depends on brand & diluent: e.g., Humatrope ~14 days refrigerated with bacteriostatic water; Genotropin/Omnitrope cartridges commonly 28 days refrigerated; Sterile water mixes may be ~24 hours. Check your label.
Safety & Legal
This content is educational and not medical advice. HGH is a prescription medicine; use only under medical supervision and exactly as labeled for your product and device. Storage/injection rules vary by brand; your label and clinician’s directions override this guide. Dispose of sharps properly and follow local regulations.
