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Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. This activity suggests that some vendors are aware of the questionable legitimacy of their business. As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008. 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. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. 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. The links to these advertised sites were also investigated. As part of this study, we bought over-the-counter antibiotics over the counter. This reservoir of antibiotics is likely to be used inappropriately-the Web sites promote self-diagnosis and self-medication, and antibiotics are likely to be used in inappropriate dosages. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. Recent evidence in ethnic communities in the United States indicates a high level of self-medication with antibiotics either obtained without a prescription in a foreign country and imported into the United States or acquired in the United States without a prescription at stores in ethnic communities. 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. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. We compared identifying telephone numbers, street addresses, and site headers for each site as a way to sort out duplication. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. 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.