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Our study is the first to document this phenomenon, and we describe the mechanism for purchasing antibiotics online; future studies will need to document the scope of antibiotics purchased through this mechanism to better understand its direct implications for antibiotic resistance.

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In conclusion, antibiotics are freely available for purchase on the Internet without a prescription, and the general structure of the transactions encourages self-medication and low quality of care. This phenomenon has not been the focus of initiatives to control antibiotic resistance. Additional education directed to patients and the community, as well as increased regulation and enforcement of existing regulations, may help in controlling this potentially vast reservoir of antibiotics.

Conflicts of interest: none reported. National Center for Biotechnology Information , U. Journal List Ann Fam Med v. Ann Fam Med.

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Arch G. Everett , PhD, Robert E. Post , MD, Vanessa A. Hueston , MD. Mainous, III. Charles J. Robert E. Vanessa A. William J. Author information Article notes Copyright and License information Disclaimer. This article has been cited by other articles in PMC.

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Keywords: Health care delivery, quality of health care, infectious disease, antibiotics, drug resistance, bacterial. Table 1. Open in a separate window. The epidemic of antibiotic-resistant infections: a call to action for the medical community from the Infectious Diseases Society of America.

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Clin Infect Dis. Washington, DC: Institute of Medicine; Infectious Diseases Society of America. Sarkar P, Gould IM. Antimicrobial agents are societal drugs: how should this influence prescribing? Neu HC. The crisis in antibiotic resistance. Cohen ML.

Epidemiology of drug resistance: implications for a post-antimicrobial era. Principles of appropriate antibiotic use for treatment of acute bronchitis in adults.


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Ann Intern Med. Information leaflet and antibiotic prescribing strategies for acute lower respiratory tract infection: a randomized controlled trial. An evaluation of statewide strategies to reduce antibiotic overuse. Fam Med. Decreasing antibiotic use in ambulatory practice: impact of a multidimensional intervention on the treatment of uncomplicated acute bronchitis in adults. Availability of injectable antibiotics in a town market in southwest Cameroon.

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Lancet Infect Dis. Antimicrobial resistance in Streptococcus pneumoniae, Taiwan. Emerg Infect Dis. The use of antimicrobial drugs in Nagpur, India. A window on medical care in a developing country.

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Soc Sci Med. Calva J, Bojalil R. Antibiotic use in a periurban community in Mexico: a household and drugstore survey. Drug Utilization Research Group. Latin America. Multicenter study on self-medication and self-prescription in six Latin American countries. Clin Pharmacol Ther. Nonprescribed antimicrobial drugs in Latino community, South Carolina. The medicine is also effective against intestine infections and inflammation.

The antibiotic also performs great effect against certain sexually transmitted diseases especially chlamydia and gonorrhea. Read the next paragraphs to find out the average dosages for treatment of the conditions. The medicine is commonly used as 1 treatment for a range of infectious diseases, or as a supplementary treatment for the conditions complicated with bacterial infection.

The drug comes to the market in a variety of forms. For home usage it is always prescribed in pills, for clinical treatment it can be administered intravenously, however the efficacy of the drug remains the same regardless of the route of administration. Usually the drug is administered in the dosage which is taken once a day. However there are certain side effects which can force you into two or three intakes per day. Among the average side effects there are digestive conditions as nausea, vomiting, diarrhea and anal bleedings.

The popularity of the drug is conditioned with its safety for pregnant women. He drug can be taken by women planning pregnancy, being pregnant or breastfeeding. The drug does not cause any harm to an unborn baby and does not cause birth defects. This antibiotic is on the list of essentials of World Health Organization and is used globally for treatment and prevention of the simplest but still very dangerous infections. The drug is effective only against bacterial infections. It does not cause any effect on viral diseases or does not ease the conditions caused with viruses.

Due to its potent anti-inflammatory effect the drug is not recommended to take without prescription. Mind, that Zithromax may mask key symptoms of risky lethal diseases as syphilis. Read the next sections to find out why you must not take the drug without prescription.

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