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Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. European countries struggled with the problem of self-medication with antibiotics and found that the belief in the appropriateness of self-medication with antibiotics for bronchitis and the perceived availability of antibiotics without a prescription was associated with an increased likelihood of self-medication. Finally, and potentially the biggest limitation on the importance of this study, is that we were unable to describe how this Internet-based purchasing strategy was used to purchase people with antibiotics in the United States. This phenomenon has not been the focus of initiatives to control antibiotic resistance. No prescription was required, and no online consultation was necessary. 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. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. 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. Our study suggests that the opposite might be the case. Some Internet vendors also attempt to skirt US regulations by operating in countries outside the United States but marketing to US consumers. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. 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. 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. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer.