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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. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. There are several limitations to this study. 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. European countries struggled with the problem of self-medication with antibiotics and found that the belief in the appropriateness of self-medication with antibiotics for bronchitis and the perceived availability of antibiotics without a prescription was associated with an increased likelihood of self-medication. As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting. First, this study provides a sample of websites and providers, and thus may not be indicative of all suppliers selling over-the-counter antibiotics. Even with these strategies, however, it was difficult to know whether one corporation still owns and manages several locations. Finally, and potentially the biggest limitation on the importance of this study, is that we were unable to describe how this Internet-based purchasing strategy was used to purchase people with antibiotics in the United States. 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. Patients are increasingly using the Internet not only to access health information but also to obtain medication. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. 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.