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In addition, the ability of Internet-based companies to exist without an identifiable physical location or property makes the location and writing of FDA instructions extremely difficult. 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. No prescription was required, and no online consultation was necessary. This practice also occurs in the United States even though the United States regulates the acquisition of antibiotics, which will be limited by prescription only. 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. Thus, as soon as patients receive over-the-counter antibiotics and self-treating self-limiting illnesses with drugs, such as upper-respiratory tract infections without complications, they are likely to suggest that the antibiotic was effective, and self-medicate in the future. In addition, the available quantities and the interval between prescribing and receiving treatment suggest that these transactions will likely be used by people storing drugs for future self-diagnosis and treatment, or for sale. Antibiotic resistance is a common problem, however, and has been described with numerous infectious agents and in varying contexts. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. 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). We classified Web sites of vendors according to several variables. The extent to which antibiotics are available for over-the-counter purchases over the Internet is unknown. Antibiotics serve a useful therapeutic purpose in treating and controlling the effects of infectious agents. This phenomenon has not been the focus of initiatives to control antibiotic resistance.