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This practice also occurs in the United States even though the United States regulates the acquisition of antibiotics, which will be limited by prescription only. As part of this study, we bought over-the-counter antibiotics over the counter. 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. Although excessive consumption of antibiotics has contributed to the spread of antibiotic resistance, 4-6 most initiatives regarding inappropriate direct human consumption of the antibiotic therapy center are almost exclusively controlled by prescribing by healthcare clinicians. Thus, vendors targeting foreign-language speakers in the United States would have been missed. Our purchase arrived from Mexico with no information on instructions for use of the medication. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription. Second, we examined whether the vendor would ship prescription antibiotics to a buyer in the United States, as well as several other countries (Canada, United Kingdom) where antibiotics are available only by prescription. 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. Clinicians evaluating the patient's use of self-medication when taking a medical history may function as an important opportunity to tell patients about not only antibiotic resistance, but also potential interactions between antibiotics and other prescription drugs. We considered more than 6 pills to be excessive and could lead to future self-medication with the unused pills. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Previous research suggests that a patient's past experience of care seeking and treatment use influences future expectations for treatment of respiratory tract infections. European countries struggled with the problem of self-medication with antibiotics and found that the belief in the appropriateness of self-medication with antibiotics for bronchitis and the perceived availability of antibiotics without a prescription was associated with an increased likelihood of self-medication. The extent to which antibiotics are available for over-the-counter purchases over the Internet is unknown.