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In some cases the URL did not take the reader to an actual medication vendor; rather, the Web site contained multiple advertisements and links to other sites for purchasing antibiotics. In usual face-to-face health care visits for respiratory tract infections during which antibiotics are prescribed, more than 90% of prescriptions are filled on the day of the office visit. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Our purchase arrived from Mexico with no information on instructions for use of the medication. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. Unfortunately, other disturbing evidence suggests that this problem may not be easily fixed through education, a troubling issue in controlling antibiotic use. Even with these strategies, however, it was difficult to know whether one corporation still owns and manages several locations. That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws. The vendors identified in this study do not appear to be fearful of prosecution. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. The links to these advertised sites were also investigated. As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. Other providers are trying to upset this law by providing online diagnoses and prescriptions based on medical records without a physical examination and without a long relationship between the patient and the doctor, a practice that is not considered an adequate standard of care. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription.