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Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient self-medication. The purpose of this study was to examine antibiotics available to patients without a prescription, a phenomenon on the Internet. There are several limitations to this study. Fourth, we categorized whether a person could buy antibiotics, especially broad-spectrum antibiotics, in quantities greater than what would be considered adequate 1 course of treatment for acute respiratory tract infection. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. As part of this study, we bought over-the-counter antibiotics over the counter. Fourth, we have limited our count to English language websites. Unfortunately, this strategy of focusing on prescribing practices does not address the behavior of self-medication with antibiotics. Patients are increasingly using the Internet not only to access health information but also to obtain medication. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. 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. Thus, vendors targeting foreign-language speakers in the United States would have been missed. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. 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. After completing the online medical history, the customer would be given a prescription that would allow the purchase to be completed.