mg to units — it depends on the concentration
There is no fixed number of units in a milligram. A milligram is an amount of drug.
A unit is a volume of liquid — one hundredth of a millilitre. How many units carry a milligram
depends on how much drug is dissolved in each millilitre, which is the concentration on your vial.
units = mg ÷ (mg/mL) × 100. So 1 mg at 10 mg/mL is 10 units. The same
1 mg at 2.5 mg/mL is 40 units. Same drug, four times the liquid.
The formula, whichever way round you need it
The ×100 is the only place the syringe comes in, and it's the definition of a U-100 syringe:
100 units to the millilitre. If your syringe says U-40, it's ×40 — see
units to mL.
mg to units at the common concentrations
Red on the right means it doesn't fit in a syringe. Red on the left means it's under
4 units — a draw so small that one mark is a large percentage of the dose. Both are fixed by a
different concentration, not by better aim.
Units to mg
The other direction: you drew a number of units and want to know the milligrams. Same
concentration, opposite sum.
For the two drugs people actually ask this about, with the common numbers written out:
tirzepatide units to mg ·
semaglutide units to mg.
Insulin is the exception
If the drug is insulin, you don't convert. Insulin is prescribed in units, the U-100 syringe was
built for it, and the number your prescriber gave you is the mark you draw to. "1 mg of insulin"
isn't a dose anyone is given. The conversion on this page is for drugs that come in milligrams —
compounded GLP-1s, mostly — and get drawn with an insulin syringe because it's the right size.
mg to mL, when there's no syringe involved
Drop the ×100. mL = mg ÷ (mg/mL). A 250 mg dose from a 50 mg/mL
vial is 5 mL. It's the same first line of the table above; the units step is only there because
insulin syringes are marked in units rather than millilitres.