Buy Amoxicillin in Littleton, Massachusetts
Reducing inappropriate use of antibiotics is key to many antibiotic resistance initiatives. This study was not meant to be an exhaustive census of these sites, primarily because with the questionable legality of some of these practices, these sites rapidly come and go. Although more than half of the identified sites provided online consultation for prescribing, the lack of interaction between the patient and the doctor did not lead to any opportunity for patient education. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. Third, we categorized the classes of antibiotics available for purchase. Unfortunately, other disturbing evidence suggests that this problem may not be easily fixed through education, a troubling issue in controlling antibiotic use. Recent evidence in ethnic communities in the United States indicates a high level of self-medication with antibiotics either obtained without a prescription in a foreign country and imported into the United States or acquired in the United States without a prescription at stores in ethnic communities. Although providing over-the-counter drugs is illegal in the United States, failure to enforce US laws likely encourages these companies to sell their products to patients. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. The vendors identified in this study do not appear to be fearful of prosecution. This phenomenon has not been the focus of initiatives to control antibiotic resistance. Because of its effect on morbidity and mortality, antibiotic resistance is considered a threat to US health and national security by the Institute of Medicine and the Infectious Diseases Society of America. That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws. Our study suggests that the opposite might be the case. First, this study provides a sample of websites and providers, and thus may not be indicative of all suppliers selling over-the-counter antibiotics.