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This decrease was interpreted as evidence that the full use of antibiotics was also reduced. The frequency of relevant Web sites declined substantially after the first 300. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. The US Food and Drug Administration forbids ordering prescription drugs from outside the United States: Thus, in virtually all instances, individual citizens are prohibited from importing prescription drugs into the United States. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. This practice also occurs in the United States even though the United States regulates the acquisition of antibiotics, which will be limited by prescription only. The vendors identified in this study do not appear to be fearful of prosecution. 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. Although providing over-the-counter drugs is illegal in the United States, failure to enforce US laws likely encourages these companies to sell their products to patients. The purpose of this study was to examine antibiotics available to patients without a prescription, a phenomenon on the Internet. No prescription was required, and no online consultation was necessary. 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. 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. As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008.