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Some Internet vendors also attempt to skirt US regulations by operating in countries outside the United States but marketing to US consumers. For example, we found that servers at Dartmouth College, East Carolina University, University of Pittsburgh, Carnegie Mellon University, and California State University in San Francisco were all used, most likely without their knowledge, to be reassigned to online pharmacies. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. The purpose of this study was to examine antibiotics available to patients without a prescription, a phenomenon on the Internet. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. 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. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. 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. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. 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. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. The frequency of relevant Web sites declined substantially after the first 300. 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. Fifth, we estimated the expected delivery time to take antibiotics. 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. There are several limitations to this study.