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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. 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. Fourth, we categorized whether a person could buy antibiotics, especially broad-spectrum antibiotics, in quantities greater than what would be considered adequate 1 course of treatment for acute respiratory tract infection. This activity suggests that some vendors are aware of the questionable legitimacy of their business. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade. If those who are self-medicating are taught that they put their own health at risk, they may be less likely to use these online pharmacies. There are several limitations to this study. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. Our final list of URLs included 184 links to single vendors of antibiotics. 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. 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. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. To examine the types of Web sites and vendors dispensing antibiotics on the Internet, we conducted a search using 2 major search engines (Google and Yahoo) and the key words "purchase antibiotics without prescription" and "online (English only). The links to these advertised sites were also investigated. As part of this study, we bought over-the-counter antibiotics over the counter.