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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. Our purchase arrived from Mexico with no information on instructions for use of the medication. The purpose of this study was to examine antibiotics available to patients without a prescription, a phenomenon on the Internet. 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. Fifth, we estimated the expected delivery time to take antibiotics. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated.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. Third, we categorized the classes of antibiotics available for purchase. This reservoir of antibiotics is likely to be used inappropriately-the Web sites promote self-diagnosis and self-medication, and antibiotics are likely to be used in inappropriate dosages. The links to these advertised sites were also investigated. 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. Thus, vendors targeting foreign-language speakers in the United States would have been missed. 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). We considered more than 6 pills to be excessive and could lead to future self-medication with the unused pills.