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As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. 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. 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. 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. Fourth, we have limited our count to English language websites. 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. The findings described in this study suggest that there is a potentially large pool of antibiotics in the United States that is not affected by initiatives to change physician-prescribing practices and may be contributing to antibiotic resistance. 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. No prescription was required, and no online consultation was necessary. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. There are several limitations to this study. 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.