Buy Amoxicillin in Clementon, New Jersey
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). Reducing inappropriate use of antibiotics is key to many antibiotic resistance initiatives. As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting. We assessed whether individuals could purchase penicillins, macrolides, fluoroquinolones, and cephalosporins, because the availability of multiple classes of antibiotics would affect additional selective pressure in the community. Antibiotic resistance is a common problem, however, and has been described with numerous infectious agents and in varying contexts. Fourth, we have limited our count to English language websites. This activity suggests that some vendors are aware of the questionable legitimacy of their business. Some Internet vendors also attempt to skirt US regulations by operating in countries outside the United States but marketing to US consumers. 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 providing over-the-counter drugs is illegal in the United States, failure to enforce US laws likely encourages these companies to sell their products to patients. 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. The medical community and the public health and regulating agencies, as well as pharmaceutical companies, need to expand efforts to control antibiotic resistance beyond initiatives centered on prescribing behavior to include self-medication and sources of antibiotics obtained without prescription. 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. As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008. We compared identifying telephone numbers, street addresses, and site headers for each site as a way to sort out duplication. 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.