Is Buying Drugs Online safe?
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The scene is becoming increasingly common in the United States: Consumers are replacing a trip to the corner drugstore with a click onto the internet, where they find hundreds of websites selling prescription drugs and other health products.
Many of these are lawful enterprises that genuinely offer convenience, privacy, and the safeguards of traditional procedures for prescribing drugs. For the most part, consumers can use these services with the same confidence they have in their neighborhood druggist. In fact, while some are familiar large drugstore chains, many of these legitimate businesses are local "mom and pop" pharmacies, set up to serve their customers electronically.
But consumers must be wary of others who are using the internet as an outlet for products or practices that are already illegal in the offline world. These so-called "rogue sites" either sell unapproved products, or if they deal in approved ones, they often sidestep established procedures meant to protect consumers. For example, some sites require customers only to fill out a questionnaire before ordering prescription drugs, bypassing any face-to-face interaction with a health professional.
"This practice undermines safeguards of a direct medical supervision and physical evaluation performed by a licensed health professional," says Jeffrey Shuren, M.D., Medical Officer in the Food and Drug
Many of them are legal entities that truly offer convenience, privacy, and traditional prescription practices. In most cases, consumers can use these services with the same confidence they have in their neighborhood pharmacist. In fact, while some are familiar with large chain pharmacies, many of these legitimate businesses are local "mom and pop" pharmacies, set up to serve their customers electronically.
But consumers should beware of others using the internet as an outlet for products or practices that are already illegal in the offline world. These so-called "rogue sites" sell unapproved products or, if they sell approved products, they often circumvent established consumer protection procedures. For example, some sites require customers to simply fill out a questionnaire before ordering prescription drugs, avoiding any face-to-face interaction with a medical professional.
"This practice undermines the protections of direct medical supervision and physical evaluation by a licensed healthcare professional," says Jeffrey Shurin, MD, physician in the Office of Food Policy, Planning and Legislation. and Drug Administration. "The Internet makes it easy to circumvent this safety net."
Bypassing the system in this way opens the door to problems, including dangerous drug interactions and harm from contaminated, counterfeit or expired drugs. "Quiz-based writing websites raise additional health concerns," says Shurin. "Patients are at risk of receiving inappropriate medication and may sacrifice the opportunity for a correct diagnosis or identification of a drug contraindication."
To date, the FDA has received only a few reports of adverse events related to the sale of drugs over the Internet, but some of these cases indicate the potential risk of purchasing prescription drugs based on a single questionnaire. . For example, a 52-year-old man from Illinois with bouts of chest pain and a family history of heart disease died of a heart attack last March after purchasing the impotence drug Viagra (citrate of sildenafil) from an online source. obligatory. Questionnaire to benefit from the prescription. Although there is no evidence linking the man's death to the drug, FDA officials say the traditional doctor-patient relationship, coupled with a physical exam, can detect health issues such as diseases. cardiac conditions and can ensure that appropriate treatment is prescribed.
The FDA is investigating a number of pharmaceutical websites suspected of breaking the law and plans to take legal action if necessary. The agency has made Internet surveillance a law enforcement priority, targeting unapproved new drugs, health fraud and prescription drugs sold without a valid prescription.
A brave new world Buy Drugs online in United States
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More and more users use the Internet for health reasons. According to market research firm CyberDialogue Inc., the sixth most common reason people go online is for health. However, internet pharmacies are not going to make brick-and-mortar pharmacies obsolete any time soon. Industry figures predict that 2.97 billion prescriptions will be dispensed in 1999, and although no reliable figures are yet available to estimate total online sales, industry sources indicate that this number is still quite weak.
For some people, buying prescription drugs online offers benefits that are not available at a local pharmacy, including:
Greater availability of medicines for people locked in or away from a pharmacy
Easy to compare shopping between many sites to find the best prices and products
More convenience and product variety
Easier access to written product information and referrals from sources other than traditional in-store pharmacies
Purchasing medicines on the Internet is also aimed at saving consumers money. In some cases, that's true. A Consumer Reports survey last fall found that shoppers can save up to 29% by buying certain drugs online. But another study, conducted in 1999 by the University of Pennsylvania and published in the Annals of Internal Medicine, tracked Internet sales of Viagra and Propecia and found that both drugs were sold at local pharmacies in the area. of Philadelphia.
In another part of the study, researchers Bernard Bloom, PhD, and Ronald Iannocon found that 37 of the 46 sites they examined required a prescription from a personal physician or offered to prescribe medication based only on a questionnaire. done But nine sites, all located outside the United States, did not require a prescription. The researchers also found that when websites offered questionnaires with the promise that a doctor would review the form, there was generally little knowledge of the doctor's qualifications and for consumers to obtain a prescription. It was easy to provide false information.
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