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In conclusion, antibiotics are freely available for purchase over the Internet without a prescription, and the general structure of transactions encourages self-medication and poor quality care. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. The medical community and the public health and regulating agencies, as well as pharmaceutical companies, need to expand efforts to control antibiotic resistance beyond initiatives centered on prescribing behavior to include self-medication and sources of antibiotics obtained without prescription. If patients who are now denied antibiotics through their physician can access over-the-counter medications, the overall level of antibiotic use in the general population can actually increase and thus have a significant effect on rates of resistance to microbial degradation. The US Food and Drug Administration forbids ordering prescription drugs from outside the United States: Thus, in virtually all instances, individual citizens are prohibited from importing prescription drugs into the United States. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. The frequency of relevant Web sites declined substantially after the first 300. Third, we categorized the classes of antibiotics available for purchase. The vendors identified in this study do not appear to be fearful of prosecution. Our study suggests that the opposite might be the case. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. This practice also occurs in the United States even though the United States regulates the acquisition of antibiotics, which will be limited by prescription only. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. Although more than half of the identified sites provided online consultation for prescribing, the lack of interaction between the patient and the doctor did not lead to any opportunity for patient education.