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Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. All these obstacles cause the illegal acquisition of antibiotics by patients. The frequency of relevant Web sites declined substantially after the first 300. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. 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. 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. In conclusion, antibiotics are freely available for purchase over the Internet without a prescription, and the general structure of transactions encourages self-medication and poor quality care. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription. The extent to which antibiotics are available for over-the-counter purchases over the Internet is unknown. Other providers are trying to upset this law by providing online diagnoses and prescriptions based on medical records without a physical examination and without a long relationship between the patient and the doctor, a practice that is not considered an adequate standard of care. Unfortunately, this strategy of focusing on prescribing practices does not address the behavior of self-medication with antibiotics. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. As part of this study, we bought over-the-counter antibiotics over the counter. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient self-medication.