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Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. Fifth, we estimated the expected delivery time to take antibiotics. No prescription was required, and no online consultation was necessary. Our study suggests that the opposite might be the case. Our purchase arrived from Mexico with no information on instructions for use of the medication. 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. Fourth, we have limited our count to English language websites. All these obstacles cause the illegal acquisition of antibiotics by patients. Antibiotic resistance is a common problem, however, and has been described with numerous infectious agents and in varying contexts. Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient self-medication. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. Our final list of URLs included 184 links to single vendors of antibiotics. Self-administration of antibiotics occurs in all countries, but it is particularly problematic where the use of antimicrobials without a prescription is encouraged by the lack of laws restricting antibiotic sales or a failure to enforce the laws. Our study is the first to document this phenomenon, and we describe the mechanism for purchasing antibiotics online; future studies will need to document the scope of antibiotics purchased through this mechanism to better understand its direct implications for antibiotic resistance.