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As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008. 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. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. 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. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. Third, we categorized the classes of antibiotics available for purchase. Our purchase arrived from Mexico with no information on instructions for use of the medication. 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. As part of this study, we bought over-the-counter antibiotics over the counter. We considered more than 6 pills to be excessive and could lead to future self-medication with the unused pills. If patients who are now denied antibiotics through their physician can access over-the-counter medications, the overall level of antibiotic use in the general population can actually increase and thus have a significant effect on rates of resistance to microbial degradation. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. Thus, as soon as patients receive over-the-counter antibiotics and self-treating self-limiting illnesses with drugs, such as upper-respiratory tract infections without complications, they are likely to suggest that the antibiotic was effective, and self-medicate in the future.