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No prescription was required, and no online consultation was necessary. Our study suggests that the opposite might be the case. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. There are several limitations to this study. To examine the types of Web sites and vendors dispensing antibiotics on the Internet, we conducted a search using 2 major search engines (Google and Yahoo) and the key words "purchase antibiotics without prescription" and "online (English only). 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. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. 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. In usual face-to-face health care visits for respiratory tract infections during which antibiotics are prescribed, more than 90% of prescriptions are filled on the day of the office visit. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. This activity suggests that some vendors are aware of the questionable legitimacy of their business. 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. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. All these obstacles cause the illegal acquisition of antibiotics by patients.

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