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Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade. Thus, vendors targeting foreign-language speakers in the United States would have been missed. The findings described in this study suggest that there is a potentially large pool of antibiotics in the United States that is not affected by initiatives to change physician-prescribing practices and may be contributing to antibiotic resistance. The purpose of this study was to examine antibiotics available to patients without a prescription, a phenomenon on the Internet. After completing the online medical history, the customer would be given a prescription that would allow the purchase to be completed. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. The frequency of relevant Web sites declined substantially after the first 300. 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. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription. 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. Other providers are trying to upset this law by providing online diagnoses and prescriptions based on medical records without a physical examination and without a long relationship between the patient and the doctor, a practice that is not considered an adequate standard of care. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. The links to these advertised sites were also investigated. This reservoir of antibiotics is likely to be used inappropriately-the Web sites promote self-diagnosis and self-medication, and antibiotics are likely to be used in inappropriate dosages. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each.