Drug Treatment Centers Philadelphia

Refilling Darvocet Early?

Question by Kiki R: Refilling Darvocet Early?
My doctor wrote me a 30 day prescription for darvocet for my severe fibromyalgia pain. 3 a day basically. I had a particularly bad flare up and had to take 1 and a 1/2 about 4-5 times a day to just get through it (I know, I should have called and asked, but I’d been told by this doctor before that I could do that). I’m about out, and I called to ask the pharmacy when I could get it filled, and she said no earlier than Nov. 21, which is exactly 30 days after I had it filled. But I’ve gotten my refill a week or so early before on other occasions. I talked to my doctor, and he doesn’t want to refill it early, and wants to try physical therapy instead. But, I’m in a lot of pain, and while I can handle it now, I don’t know if I can take it for two more weeks. And I can’t really afford physical therapy.

I’m in Indiana, by the way. Will the pharmacy refill my prescription at all early, or do I have to wait until exactly 30 days are up?
I’m not concerned about the insurance. In all honesty, I’m not even sure I’m still on my parents’ policy. So I’m not asking how soon insurance will refill it, just the pharmacy. When I spoke to the pharmacist on the phone, she said even without insurance it was Nov 21 at the earliest.
I’m also a little annoyed with the pharmacy. I got the last one refilled at about 19 days (same prescription, same dosage), and when I told the pharmacist that, she got kind of snotty with me and said, “Well, that shouldn’t have happened” as though it was my fault I was given a refill earlier than I should have been, and was now under the impression I could refill it a little earlier than 30 days.
I’m doubtful PT would help. I was in PT for this before it was diagnosed as fibromyalgia and it only made the pain worse. Plus, I can’t afford it, especially since I’m probably not covered on my parent’s insurance.

Same for pain management. This was actually something I brought up with my parents because I did think it might be a good idea, but it’s clear that there simply isn’t the money between us right now.

Best answer:

Answer by Laundry expert
Call the pharmacy and tell them you want to take four Advil at a time and ask them how many hours apart you can take them and how many days you can take it like this. The Advil will help just call the pharmacy and ask them these questions and follow through wil there advice.

Answer by browneyez08
I think with insurance you have to wait the 30 days…but I would make sure with the pharmacy. Why not ask your doc for a different prescription. If you are double dosing you are at risk of addiction. You should try to space out the meds so you don’t run out. Either that or see if you can take some over the counter med to help a little with the pain.
My other suggestion would be acupuncture…and other forms of herbal or alternative procedures.

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please help me by providing full information about ACUTE LYMPHOBLASTIC LEUKEMIA L1. THANKS.?

Question by foreveryoung: please help me by providing full information about ACUTE LYMPHOBLASTIC LEUKEMIA L1. THANKS.?
I need to know about ACUTE LYMPHOBLASTIC LEUKEMIA L1.All the details of the ailment, please. Causes, symptoms, treatment and prognosis. I’d be grateful to whoever will provide enlightenment on the matter, THANK YOU very much!

Best answer:

Answer by kuku
Most patients feel a loss of well-being. They tire more easily and may feel short of breath when physically active. They may have a pale complexion from anemia. Signs of bleeding because of a very low platelet count may be noticed. These include black-and-blue marks occurring for no reason or because of a minor injury, the appearance of pinhead-sized, red spots under the skin, called petechiae, or prolonged bleeding from minor cuts. Discomfort in the bones and joints may occur. Fever in the absence of an obvious cause is common. Leukemic lymphoblasts may accumulate in the lymphatic system, and the lymph nodes can become enlarged. The leukemia cells can also collect on the lining of the brain and spinal cord and lead to headache or vomiting.

Answer by grafi_me
Acute lymphoblastic leukemia (ALL), also known as acute lymphocytic leukemia, is a cancer of the white blood cells, characterised by the overproduction and continuous multiplication of malignant and immature white blood cells (referred to as lymphoblasts) in the bone marrow. It is a hematological malignancy. It is fatal if left untreated as ALL spreads into the bloodstream and other vital organs quickly (hence “acute”). It mainly affects young children and adults over 50.


Initial symptoms of ALL are quite aspecific, but worsen to the point that medical help is sought:

* Generalised weakness and fatigue
* Anemia
* Frequent or unexplained fever and infections
* Weight loss and/or loss of appetite
* Excessive bruising or bleeding from wounds, nosebleeds, petechiae (red pinpoints on the skin)
* Bone pain, joint pains (caused by the spread of “blast” cells to the surface of the bone or into the joint from the marrow cavity)
* Breathlessness
* Enlarged lymph nodes, liver and/or spleen

The signs and symptoms of ALL result from the lack of normal and healthy blood cells because they are crowded out by malignant and immature white blood cells. Therefore, people with ALL experience symptoms from their red blood cells, white blood cells, and platelets not functioning properly. Laboratory tests which might show abnormalities include blood counts, renal functions, electrolytes and liver enzymes.


Diagnosing leukemia usually begins with a medical history and physical examination. If there is a suspicion of leukemia, the patient will then proceed to undergo a number of tests to establish the presence of leukemia and its type. Patients with this constellation of symptoms will generally have had blood tests, such as a full blood count.

These tests may include complete blood count (blasts on the blood film generally lead to the suspicion of ALL being raised). Nevertheless, 10% have a normal blood film, and clinical suspicion alone may be the only reason to perform a bone marrow biopsy, which is the next step in the diagnostic process.

Bone marrow is examined for blasts, cell counts and other signs of disease. Pathological examination, cytogenetics (e.g. presence of the Philadelphia chromosome) and immunophenotyping establish whether the “blast” cells began from the B lymphocytes or T lymphocytes.

If ALL has been established as a diagnosis, a lumbar puncture is generally required to determine whether the malignant cells have invaded the central nervous system (CNS).

Lab tests (mentioned above) and clinical information will also determined if any other medical imaging (such as ultrasound or CT scanning) may be required to find invasion of other organs such as the lungs or liver.


The etiology of ALL remains uncertain although some doctors believe that ALL develops from a combination of genetic and environmental factors. However, there is no definite way of determining the cause of leukemia.

Scientific research has shown that all malignancies are due to subtle or less subtle changes in DNA that lead to unimpaired cell division and breakdown of inhibitory processes. In leukemias, including ALL, chromosomal translocations occur regularly. It is thought that most translocations occur before birth during fetal development. These translocations may trigger oncogenes to “turn on”, causing unregulated mitosis where cells divide too quickly and abnormally, resulting in leukemia. There is little indication that propensity for ALL is passed on from parents to children.

There have been indications that excessive exposure to high dose radiation (such as that of nuclear reactors, notably Chernobyl, and the atomic bombs in Hiroshima, Japan 1945) increases the risk of developing acute leukemia. There has also been inconclusive evidence suggesting that chemicals such as benzene have an increased risk of developing acute leukemia.


Subtyping of the various forms of ALL is done according to the FAB (French-American-British) classification, which is used for all acute leukemias (including acute myelogenous leukemia, AML). As ALL is not a solid tumour, the TxNxMx notation used in those cancers is of little use.

The FAB classification is:

* ALL-L1: small uniform cells
* ALL-L2: large varied cells
* ALL-L3: large varied cells with vacuoles (bubble-like features)

Note: The recent WHO International panel on ALL recommends that this classification be abandoned, since the morphological classification has no clinical or prognostic relevance. It instead, advocates the use of the immunophenotypic classification mentioned below.

Each subtype is then further classified by determining the surface markers of the abnormal lymphocytes, called immunophenotyping. There are three main immunologic types: B-cell, pre-B cell and T-cell. Subtyping helps determine the prognosis and most appropriate treatment in treating ALL.

Some cytogenetic subtypes have a worse prognosis than others. These include:

* A translocation between chromosomes 9 and 22, known as the Philadelphia chromosome, occurs in about 20% of adult and 5% in pediatric cases of ALL.
* A translocation between chromosomes 4 and 11 occurs in about 4% of cases and is most common in infants under 12 months.
* Not all translocations of chromosomes carry a poorer prognosis. Some translocations are relatively favourable.



The earlier acute lymphocytic leukemia is detected, the more effective the treatment. The aim is to induce a lasting remission, defined as the absence of detectable cancer cells in the body (usually less than 5% blast cells on the bone marrow).

Treatment for acute leukemia can include chemotherapy, steroids, radiation therapy, intensive combined treatments (including bone marrow or stem cell transplants), and growth factors.


Chemotherapy is the initial treatment of choice. Most ALL patients end up receiving a combination of different treatments. There are no surgical options, due to the body-wide distribution of the malignant cells.

As the chemotherapy regimens can be intensive and protracted (often about 2 years in case of the GMALL or UKALL protocols; about 3 years for males on COG protocols), many patients have an intravenous catheter inserted into a large vein (termed a central venous catheter or a Hickman line).

Radiation therapy

Radiation therapy is used on painful bony areas, in high disease burden, or as part of the preparations for a bone marrow transplant (total body irradiation). Radiation in the form of whole brain radiation is also used for central nervous system prophylaxis, to prevent recurrence of leukemia in the brain.


ALL accounts for approximately 80 per cent of all childhood leukemia cases, making it the most common type of childhood cancer. It has a peak incident rate of 2-5 years old, decreasing in incidence with increasing age before increasing again at around 50 years old. ALL is slightly more common in males than females.


Advancements in medical technology and research over the past four decades in the treatment of ALL has improved the overall prognosis significantly from a zero to 20-75 percent survival rate, largely due to the continuous development of clinical trials and improvements in bone marrow transplantation (BMT) and stem cell transplanation (SCT) technology.

However the prognosis for ALL differs between individuals depending on a wide variety of factors:

* Sex: females tend to fare better than males.
* Ethnicity: Caucasians are more likely to develop acute leukemia than African-Americans, Asians and Hispanics and tend to have a better prognosis than non-Caucasians.
* Age at diagnosis: children between 1-10 years of age are most likely to be cured.
* Lymphoblast cell count at diagnosis
* Whether the cancer has spread to the brain or spinal cord
* Morphological, immunological, and genetic subtypes
* Response of patient to initial treatment
* Genetic disorders such as Down’s Syndrome

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Does anyone know of a low cost or no cost rehab in southern california?

Question by worriedsister: Does anyone know of a low cost or no cost rehab in southern california?
My brother is addicted to drugs and alcohol and needs help. He is not working and we cannot afford to place him in a private facility.

Best answer:

Answer by George
How old is your brother? Is this something he wants to do? First thing you can do is check with the county health services or the salvation army both have rehab services that are free or low cost, or they know who does. There are inpatient and out patient treatment programs personally I believe the impatient program is a better way to go it gets you out of the environment where the drugs are available. How ever unless your brother is ready to stop using and wants help the program probably won’t work. If he is ready and wants help be very supportive of him it plays a big part in recovery it is a big step for him and very difficult but well worth it.
Good Luck

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My Brother has some problem’s that stress him out and make him drink, how can I find a place to help him??

Question by dohm84: My Brother has some problem’s that stress him out and make him drink, how can I find a place to help him??
He is very lonely and I just don’t know what to do. He goes out and drinks every night and spends all his money on beer and then does not have the money to pay bills. He is a great guy and has 2 GREAT little girls. He is a wonderful father, yet the stupid court says they are best with there mom (thats crap but its a differnt story) althought that is a big reason also why he drinks. Anyways, he really wants to get help and I want to help him. I finally talked him into checking himself into the hospital and he went but they would not take him. Sad huh? So now I don’t know what to do. He does not have money to pay for someplace to help him. He lives in a small town of Michigan City, IN. Like I said he is a great guy but has had a hard life. He feels sad that out of all 6 of us kids he has the worse life. I think he has a good life if he only know how to look at it. I just want to help him out. Is there a website or anything that I can use to find him a good place to get help
He wants help, he talkes to me all the time about it. But the hospital won’t let him check himself in. He tried that.

Best answer:

Answer by Child of Abba
Alcoholism is called a family disease because it affects everyone. It can be gut-wrenching to have a family member who is an alcoholic.

The upper midwest seems to be pretty well educated in alcoholism, anyway a lot better than Nevada.

I think Minnesota has the best treatment centers. I went there in 1984, it was my second time, but I’ve not had anything to drink, nor have I used any drugs since then.

My daughter went to treatment in Cincinnati while we were living there and they had good programs also.

It is good that you want to help him, but as AA will say, he has to to want help or it won’t work.

I’m sorry you are having to go thru something like this because it is no fun to watch a loved one destroying themselves and their life. I would strongly urge you to go to Alanon. You will gain much education there.

Good luck, I will be praying for both of you. You sound like a very caring sister.

Answer by Elena M
Well, the good thing is the first step to getting better from an addiction is admiting u have a problem. The other problem with people who have addiction is that they need to help themselves. We wish we could help them but we really cant especially if there older. You need to talk to him and explain how you feel and mabye that will help determine him more. You cant force him or tell him to do anything but the most you can do is support and care.

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