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In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. Fifth, we estimated the expected delivery time to take antibiotics. This study was not meant to be an exhaustive census of these sites, primarily because with the questionable legality of some of these practices, these sites rapidly come and go. No prescription was required, and no online consultation was necessary. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. We considered more than 6 pills to be excessive and could lead to future self-medication with the unused pills. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. 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. This phenomenon has not been the focus of initiatives to control antibiotic resistance. In usual face-to-face health care visits for respiratory tract infections during which antibiotics are prescribed, more than 90% of prescriptions are filled on the day of the office visit. Third, we categorized the classes of antibiotics available for purchase. 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. For example, we found that servers at Dartmouth College, East Carolina University, University of Pittsburgh, Carnegie Mellon University, and California State University in San Francisco were all used, most likely without their knowledge, to be reassigned to online pharmacies. Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient self-medication. First, although all of the included providers would sell antibiotics without a prescription, we assessed whether the supplier would sell antibiotics without any form of prescription or whether a prescription created for the purchase based on the completion of an online medical history was required.