Two parts of your vial label
Your vial has two different sections:
Ingredients (what’s in each mL)
Signature Note (how much to inject and how often)
1. Ingredients = what’s in each 1 mL
Example: ketamine HCl 100 mg/mL + hydroxocobalamin 250 mcg/mL + pyridoxine 4 mg/mL
This is the formula for the liquid, not how much liquid is in the vial.
The vial volume (for example, 2.5 mL) is the total liquid in the vial.
2. Signature Note = how to use it
Example Signature:
Inject 0.6 mL (60 mg) subcutaneously every 3–7 days x3.
Do not exceed 60 mg every 3–7 days.
Do not refill for 9 days.
This tells you:
How much to inject: 0.6 mL (yours will differ)
How often: every 3–7 days, for 3 injections (yours will differ)
When a refill can be ordered: After 9 days from shipment (yours will differ)
Example 2: If your RX says "inject 80 mg every 7 days x3"
This means one injection of 80 mg every 7 days, for a total of three doses. Do not exceed 80 mg within any 7-day period
Important Details
Your dose is based on the mL in the Signature Note, not the “100” in “100 mg/mL.”
Vials come in sizes of 1.7 mL, 2.5 mL, or 3.4mL. This is the amount of liquid in the vial.
Most vials are multi-dose. They contain enough medication for 2–3 sessions, depending on your specific dose. After each session, store the vial safely for your next use.
It's possible you may need to take liquid from 2 vials to fill 1 syringe.
Only discard remaining liquid after all sessions in your prescription are complete.
When drawing medication into a syringe, small measurement variations are normal — but the total prescribed dose across all sessions should not exceed the labeled vial volume. If your prescribed total (dose per session × number of sessions) is greater than your labeled vial volume, contact Support before dosing so we can review with your clinician.
Always verify the labeled total volume and strength rather than judging by appearance.
Smaller vials may be sent as replacements due to issues like temperature sensitivity during shipping.
If Your Vial Seems Insufficient
If you suspect your vial contains insufficient medication:
Verify Dosage Instructions: Check your clinician’s instructions in the Mindbloom app to confirm the prescribed dosage and session plan.
Measure Remaining Medication: Accurately measure the remaining medication to determine if it aligns with your dosage requirements.
Contact Support: If discrepancies persist, reach out to your clinician or support team for clarification or assistance.
If your labeled vial volume is smaller than your prescribed total, do NOT proceed with dosing. Contact Support with photos of your vial label and Signature Note, and our team will review with your clinician to correct the order.