Buy Amoxicillin in Carson City, Nevada
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. 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. 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. 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. 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. Reducing inappropriate use of antibiotics is key to many antibiotic resistance initiatives. 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. That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws. 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. The frequency of relevant Web sites declined substantially after the first 300. First, although all of the included providers would sell antibiotics without a prescription, we assessed whether the supplier would sell antibiotics without any form of prescription or whether a prescription created for the purchase based on the completion of an online medical history was required. This phenomenon has not been the focus of initiatives to control antibiotic resistance. Fourth, we have limited our count to English language websites. The extent to which antibiotics are available for over-the-counter purchases over the Internet is unknown. In some cases the URL did not take the reader to an actual medication vendor; rather, the Web site contained multiple advertisements and links to other sites for purchasing antibiotics.