Bacteriostatic water (BAC water)

Sterile water containing a bacteriostatic agent, supplied as a diluent for reconstituting compatible medications rather than as an active therapeutic on its own.

Educational only

This page is for general educational and informational purposes only. It is not medical advice and does not replace professional medical judgment. Always consult a qualified clinician before starting, stopping, or changing any medication or protocol.

Overview

Bacteriostatic water (often labeled "BAC water") is sterile water for injection that contains a small amount of a bacteriostatic agent, typically benzyl alcohol.

It is supplied as a diluent to reconstitute compatible medications and is not a therapeutic agent by itself.

Mechanism of action

The bacteriostatic component inhibits growth of certain bacteria in the solution, allowing limited multi-dose use from a single vial under appropriate sterile conditions.

Indications and use context

BAC water is used to dissolve or dilute medications that are specifically labeled as compatible with bacteriostatic diluents.

Some products require preservative-free sterile water instead; matching the correct diluent to the product label is essential.

Safety and side effects

High-level safety themes

Safety considerations include potential sensitivity to benzyl alcohol and the need for strict sterile technique.

BAC water is not appropriate for all patient populations (for example, neonates may require preservative-free preparations). Product labeling and local policy provide detailed guidance.

Pharmacology and dosing considerations

BAC water does not have a dose in the therapeutic sense; the volume used is determined by the medication being reconstituted and the instructions in that medication’s labeling.

This page does not provide mixing or administration instructions for any specific drug.

Formulations and combinations

BAC water is packaged in multi-dose vials of varying volumes. It is used in combination with injectable medications that explicitly allow a bacteriostatic diluent.

Research and evidence snapshot

BAC water is a well-established pharmaceutical excipient; safety and compatibility considerations are addressed in pharmacopeial standards and product-specific labeling rather than in traditional clinical trials.

Frequently asked questions

Future FAQs may clarify when bacteriostatic versus preservative-free diluents are appropriate, how long reconstituted products can be stored, and what questions to ask a pharmacist or clinician about mixing injectable medications. Answers will remain educational and non-prescriptive.

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