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    Illegal or unethical online pharmacies sometimes send outdated, counterfeit medications or substitutes. But doctors argue that this can happen at medical shops too. "We cannot be sure that the medicines sold in pharmacies are not fake. It s the same with online pharmacies too. It s not about how the medicine is sold, but about how the regulatory bodies have to behave.

    Other concerns include the location of these pharmacies. The internet has removed the boundaries between countries. The brand names may often cause confusion. They may be the same brands but with different medicines, or even lookalike drugs with different ingredients. Ultimately, the patient is at the receiving end of wrong medicines.

    Sometimes, medicines sold online without prescription may be counterfeit, have no active ingredients and may even contain harmful ingredients.

    Experts say there is no proper technical infrastructure in place to monitor the sale of online drugs. Those who complain against online pharmacies say that they encourage self-medication, customers make illegal purchases of habit-forming drugs, prescriptions are not verified online and patients buy drugs without original prescriptions.

    Buying prescription and over-the-counter drugs on the Internet from a company you don't know means you may not know exactly what you re getting.

    There are many websites that operate legally and offer convenience, privacy, and safeguards for purchasing medicines. But there are also many "rogue websites" that offer to sell potentially dangerous drugs that have not been checked for safety or effectiveness. Though a rogue site may look professional and legitimate, it could actually be an illegal operation.

    These rogue sites often sell unapproved drugs, drugs that contain the wrong active ingredient, drugs that may contain too much or too little of the active ingredient, or drugs that contain dangerous ingredients.

    For example, FDA purchased and analyzed several products that were represented online as Tamiflu (oseltamivir). One of the orders, which arrived in an unmarked envelope with a postmark from India, consisted of unlabeled, white tablets. When analyzed by FDA, the tablets were found to contain talc and acetaminophen, but none of the active ingredient oseltamivir.

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    Other websites sell counterfeit drugs that may look exactly like real FDA-approved medicines, but their quality and safety are unknown.

    Signs of a trustworthy website:


    It s licensed by the state board of pharmacy where the website is operating. A list of these boards is available at the website of the National Association of Boards of Pharmacy.

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    Only buy from state-licensed pharmacy websites.

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    Don t buy from websites that offer to prescribe a drug for the first time without a physical exam by your doctor or by answering an online questionnaire.

    Check with your state board of pharmacy or the National Association of Boards of Pharmacy to see if an online pharmacy has a valid pharmacy license and meets state quality standards.

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