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Our final list of URLs included 184 links to single vendors of antibiotics. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. Fifth, we estimated the expected delivery time to take antibiotics. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. Recent evidence in ethnic communities in the United States indicates a high level of self-medication with antibiotics either obtained without a prescription in a foreign country and imported into the United States or acquired in the United States without a prescription at stores in ethnic communities. There are several limitations to this study. 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 links to these advertised sites were also investigated. We compared identifying telephone numbers, street addresses, and site headers for each site as a way to sort out duplication. All these obstacles cause the illegal acquisition of antibiotics by patients. No prescription was required, and no online consultation was necessary. 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. 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. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each.