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Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. Fifth, we estimated the expected delivery time to take antibiotics. Our final list of URLs included 184 links to single vendors of antibiotics. We considered more than 6 pills to be excessive and could lead to future self-medication with the unused pills. 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. 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. Clinicians evaluating the patient's use of self-medication when taking a medical history may function as an important opportunity to tell patients about not only antibiotic resistance, but also potential interactions between antibiotics and other prescription drugs. In conclusion, antibiotics are freely available for purchase over the Internet without a prescription, and the general structure of transactions encourages self-medication and poor quality care. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. 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. Self-administration of antibiotics occurs in all countries, but it is particularly problematic where the use of antimicrobials without a prescription is encouraged by the lack of laws restricting antibiotic sales or a failure to enforce the laws. 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. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. The vendors identified in this study do not appear to be fearful of prosecution. In addition, the ability of Internet-based companies to exist without an identifiable physical location or property makes the location and writing of FDA instructions extremely difficult.

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