Buy Amoxicillin in North Dartmouth, Massachusetts
We assessed whether individuals could purchase penicillins, macrolides, fluoroquinolones, and cephalosporins, because the availability of multiple classes of antibiotics would affect additional selective pressure in the community. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient 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. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. 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. Antibiotic resistance is a common problem, however, and has been described with numerous infectious agents and in varying contexts. First, although all of the included providers would sell antibiotics without a prescription, we assessed whether the supplier would sell antibiotics without any form of prescription or whether a prescription created for the purchase based on the completion of an online medical history was required. The frequency of relevant Web sites declined substantially after the first 300. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. There are several limitations to this study. The medical community and the public health and regulating agencies, as well as pharmaceutical companies, need to expand efforts to control antibiotic resistance beyond initiatives centered on prescribing behavior to include self-medication and sources of antibiotics obtained without prescription. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. We compared identifying telephone numbers, street addresses, and site headers for each site as a way to sort out duplication. Fourth, we have limited our count to English language websites. The purpose of this study was to examine antibiotics available to patients without a prescription, a phenomenon on the Internet.