Buy Amoxicillin in Bell Gardens, California
All these obstacles cause the illegal acquisition of antibiotics by patients. Although the vast majority of websites were in English, some were in other languages. 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. Third, we categorized the classes of antibiotics available for purchase. Finally, in order to determine whether these sites actually provide a product that they intended to sell over the counter, we submitted an online order to 1 vendor for 6 tablets of azithromycin, 500 mg each. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. 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. Our study suggests that the opposite might be the case. This activity suggests that some vendors are aware of the questionable legitimacy of their business. To examine the types of Web sites and vendors dispensing antibiotics on the Internet, we conducted a search using 2 major search engines (Google and Yahoo) and the key words "purchase antibiotics without prescription" and "online (English only). Unfortunately, other disturbing evidence suggests that this problem may not be easily fixed through education, a troubling issue in controlling antibiotic use. That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws. European countries struggled with the problem of self-medication with antibiotics and found that the belief in the appropriateness of self-medication with antibiotics for bronchitis and the perceived availability of antibiotics without a prescription was associated with an increased likelihood of self-medication. The vendors identified in this study do not appear to be fearful of prosecution. Thus, vendors targeting foreign-language speakers in the United States would have been missed.