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The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. Further education aimed at patients and the community, as well as increased regulation and application of existing guidelines, can help control this potentially vast reservoir of antibiotics. Although the vast majority of websites were in English, some were in other languages. 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. That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws. Third, we categorized the classes of antibiotics available for purchase. Our study suggests that the opposite might be the case. We compared identifying telephone numbers, street addresses, and site headers for each site as a way to sort out duplication. Patients are increasingly using the Internet not only to access health information but also to obtain medication. Thus, vendors targeting foreign-language speakers in the United States would have been missed. No prescription was required, and no online consultation was necessary. 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. There are several limitations to this study.