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We classified Web sites of vendors according to several variables. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription. In conclusion, antibiotics are freely available for purchase over the Internet without a prescription, and the general structure of transactions encourages self-medication and poor quality care. Unfortunately, this strategy of focusing on prescribing practices does not address the behavior of self-medication with antibiotics. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem. Unfortunately, other disturbing evidence suggests that this problem may not be easily fixed through education, a troubling issue in controlling antibiotic use. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. For example, we found that servers at Dartmouth College, East Carolina University, University of Pittsburgh, Carnegie Mellon University, and California State University in San Francisco were all used, most likely without their knowledge, to be reassigned to online pharmacies. Although excessive consumption of antibiotics has contributed to the spread of antibiotic resistance, 4-6 most initiatives regarding inappropriate direct human consumption of the antibiotic therapy center are almost exclusively controlled by prescribing by healthcare clinicians. We considered more than 6 pills to be excessive and could lead to future self-medication with the unused pills. Previous research suggests that a patient's past experience of care seeking and treatment use influences future expectations for treatment of respiratory tract infections. Our study suggests that the opposite might be the case. Patients are increasingly using the Internet not only to access health information but also to obtain medication. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary.