Active Ingredients: Azithromycin
Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade.
Our study suggests that the opposite might be the case. If patients who are now being denied antibiotics through their physician can access the medications without a prescription, the overall rate of antibiotic use in the general population may, in fact, be increasing and thereby have a considerable impact on microbial resistance rates.
The vendors identified in this study do not appear to be fearful of prosecution. Although providing medications without a prescription is illegal in the United States, failure to enforce US laws likely encourages these companies to market their products to patients.
Additionally, the ability of Internet-based companies to exist with no identifiable physical location or ownership makes locating and enforcing FDA regulations extremely difficult.
That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws. All of these obstacles promote the illegal acquisition of antibiotics by patients.
There are several limitations to this study. This study was not meant to be an exhaustive census of these sites, primarily because with the questionable legality of some of these practices, these sites rapidly come and go.
Moreover, we discovered that some URLs were attached to servers at educational institutions, apparently without their knowledge or consent. This activity suggests that some vendors are aware of the questionable legitimacy of their business.
We compared identifying telephone numbers, street addresses, and site headers for each site as a way to sort out duplication. Even with these strategies, however, it was difficult to know whether one corporation still owns and controls multiple sites.
Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated.
Fourth, we limited our count to English language Web sites. Although the great majority of Web sites were in English, some were in other languages.
Thus, vendors targeting foreign-language speakers in the United States would have been missed. Finally, and potentially the biggest limitation to the importance of this study, is that we were unable to describe how much this Internet-based purchasing strategy was used for acquiring antibiotics by individuals in the United States.
Seek medical treatment if you have a serious drug reaction that can affect many parts of your body.
Call your doctor at once if you have: severe stomach pain, diarrhea that is watery or bloody; fast or pounding heartbeats, fluttering in your chest, shortness of breath, and sudden dizziness like you might pass out; or liver problems - nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice yellowing of the skin or eyes.
Call your doctor right away if a baby taking Zithromax becomes irritable or vomits while eating or nursing.
Call your doctor for medical advice about side effects. See also: Zithromax side effects in more detail What other drugs will affect Zithromax?
Tell your doctor about all your current medicines and any you start or stop using, especially: nelfinavir; or a blood thinner - warfarin, Coumadin, Jantoven. This list is not complete.
Not all possible interactions are listed in this medication guide. See also: Zithromax drug interactions in more detail Further information Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Zithromax only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Copyright 1996- Cerner Multum, Inc.