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This activity suggests that some vendors are aware of the questionable legitimacy of their business. 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. After completing the online medical history, the customer would be given a prescription that would allow the purchase to be completed. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Fourth, we have limited our count to English language websites. Even with these strategies, however, it was difficult to know whether one corporation still owns and manages several locations. 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. We classified Web sites of vendors according to several variables. 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. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. Second, there was a considerable repetition in the Web sites, which made an accurate determination of unique vendors from the 184 different sites difficult, an effort that may have let to some error. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. The vendors identified in this study do not appear to be fearful of prosecution. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. The purpose of this study was to examine antibiotics available to patients without a prescription, a phenomenon on the Internet.