Discuss differences in cultural values/beliefs regarding acceptance of psychotropic medications. 

(4-5 paragraphs)

What has contributed to limited pharmacologic research across different ethnic groups?

Discuss differences in cultural values/beliefs regarding acceptance of psychotropic medications.

With the rise in migration mental instability may present at any given time. As we know Mental stigma is not well embraced in many cultures, yet patients and clinicians must face presented underlying mental cases that are perceived differently in each culture. Many factors affect full acceptance due to language barrier, cultural commitment and value in traditional medications and side effects. Patients presenting for somatic symptoms sometimes have no medical explanation and may be affected by a psychiatric condition. The sealed culturally beliefs may block the connection to mind and body existence to accept a dual diagnosis (Bhugra et al. 2011).

How does this affect engagement, adherence rates, medication selection, patient education?

2

For the diagnosis of gastroesophageal reflux disease (GERD), write a prescription for a medication used to treat GERD.

Be sure to indicate drug name, strength, amount per dose, route, frequency of dose, amount to dispense, allow generics, number of refills and any special instruction to the patient

Should be less than 100 words.

3

Choose a prescription drug that has a generic available. Choose three different types of pharmacies. Examples:

1. Large chain pharmacy such as Walgreens, CVS, Eckards, etc.
2. Grocery store associate pharmacy such as Publix, Krogers, etc.
3. Privately owned local pharmacy
4. Pharmacy associated with a “big box” store such as Target, Walmart, etc.
5. Online pharmacy (must be in the United States)

Do not use any drugs on the pharmacy’s four dollar or other special price list. If the pharmacy has a “club card” or other special way of getting lower cost, do not use this cost.

Compare the cash cost of the brand and the generic making sure that the dose (milligrams, micrograms, etc.) and number of pills are the same.

Example: Synthroid .05 milligrams and levothyroxine .05 milligrams, prescription for 30 pills.

For over-the-counter products, use identical products including formulation (liquid, capsules, etc.), dose (mgs per tablet, mgs per cc, etc.) and size of packaging (20 tablets in the box, 90cc fluid in the bottle, etc.). Try to avoid products that contain multiple ingredients like cold preparations as these are hard to compare due to differing quantities of ingredients within each product.

Example: Benadryl (brand) 25 mg per capsule, 25 capsules per bottle and diphenhydramine (generic) 25 mg per capsule, 25 capsules bottle.

(Make a chart using the below)

Cash Price at Pharmacy A

Cash Price at Pharmacy B

Cash Price at Pharmacy C

Brand name prescription drug

Generic of above prescription drug

Over-the-counter drug

Generic or store brand of the over-the-counter drug used above

3 pages