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In addition, the available quantities and the interval between prescribing and receiving treatment suggest that these transactions will likely be used by people storing drugs for future self-diagnosis and treatment, or for sale. 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. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. There are several limitations to this study. As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting. 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. The links to these advertised sites were also investigated. Second, we examined whether the vendor would ship prescription antibiotics to a buyer in the United States, as well as several other countries (Canada, United Kingdom) where antibiotics are available only by prescription. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. Antibiotics serve a useful therapeutic purpose in treating and controlling the effects of infectious agents. 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. 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. 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. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription.