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Thus, as soon as patients receive over-the-counter antibiotics and self-treating self-limiting illnesses with drugs, such as upper-respiratory tract infections without complications, they are likely to suggest that the antibiotic was effective, and self-medicate in the future. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. Although the vast majority of websites were in English, some were in other languages. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription. If those who are self-medicating are taught that they put their own health at risk, they may be less likely to use these online pharmacies. 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. Self-administration of antibiotics occurs in all countries, but it is particularly problematic where the use of antimicrobials without a prescription is encouraged by the lack of laws restricting antibiotic sales or a failure to enforce the laws. The links to these advertised sites were also investigated. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. Fourth, we have limited our count to English language websites. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. We assessed whether individuals could purchase penicillins, macrolides, fluoroquinolones, and cephalosporins, because the availability of multiple classes of antibiotics would affect additional selective pressure in the community. Finally, and potentially the biggest limitation on the importance of this study, is that we were unable to describe how this Internet-based purchasing strategy was used to purchase people with antibiotics in the United States. Fifth, we estimated the expected delivery time to take antibiotics. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. In some cases the URL did not take the reader to an actual medication vendor; rather, the Web site contained multiple advertisements and links to other sites for purchasing antibiotics.