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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. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting. Although more than half of the identified sites provided online consultation for prescribing, the lack of interaction between the patient and the doctor did not lead to any opportunity for patient education. 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). Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. Antibiotics serve a useful therapeutic purpose in treating and controlling the effects of infectious agents. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. 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 vendors identified in this study do not appear to be fearful of prosecution. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. 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. 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. 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. No prescription was required, and no online consultation was necessary. 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.