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Even with these strategies, however, it was difficult to know whether one corporation still owns and manages several locations. 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. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription. 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. Fifth, we estimated the expected delivery time to take antibiotics. Antibiotics serve a useful therapeutic purpose in treating and controlling the effects of infectious agents. 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 frequency of relevant Web sites declined substantially after the first 300. Further education aimed at patients and the community, as well as increased regulation and application of existing guidelines, can help control this potentially vast reservoir of antibiotics. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. Fourth, we have limited our count to English language websites. We compared identifying telephone numbers, street addresses, and site headers for each site as a way to sort out duplication. Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient self-medication. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated.

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