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The Possible Dangers of Buying Medicine Online

White pills spilling out of a bottle onto paper with internet terms and symbols on it.

Comstock

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The VIPPS seal logo

People can be confident that Web sites that are VIPPS-approved are legitimate. Legitimate pharmacies that carry the VIPPS® seal are listed at www.vipps.info

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package of drugs with a circle and arrow highlighting the word "india".

Drugs purchased over the Internet by an American patient who was told that the products were manufactured in the United States and were being sold from Canada. The drugs he actually received are fake "knockoffs" from India.

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The Food and Drug Administration cannot warn people enough about the possible dangers of buying medications online. Some Web sites sell medicine, such as prescription and over-the-counter drugs, that may not be safe to use and could put people's health at risk. The current system of federal and state safeguards for protecting consumers from using inappropriate or unsafe drugs has generally served the country well. But FDA says that the best way consumers can protect themselves is to become educated about safe online shopping.

SET YOUR SITES HIGH

Buying such prescription and over-the-counter drugs online from a company you don't know means you may not know exactly what you're getting. While many Web sites are operating legally and offering convenience, privacy, and the safeguards of traditional procedures for dispensing drugs, consumers must be wary of "rogue Web sites" that aren't operating within the law. A Web site can look very sophisticated and legitimate but actually be an illegal operation.

These sites often sell unapproved drugs, or if they market approved drugs, they often sidestep required practices meant to protect consumers. Some Web sites sell counterfeit drugs. Although counterfeit drugs may look exactly like real FDA-approved drugs, they are not legitimate and are of unknown quality and safety. If you're considering buying medicine over the Internet, look for Web sites with practices that protect you. If there is no way to contact the Web site pharmacy by phone, if prices are dramatically lower than the competition, or if no prescription from your doctor is required, you should be especially wary.

Safe Web sites should

The National Association of Boards of Pharmacy's (NABP) Verified Internet Pharmacy Practice Sites™ Seal, also known as VIPPS® Seal, gives a seal of approval to Internet pharmacy sites that apply and meet state licensure requirements and other VIPPS® criteria.

People can be confident that Web sites that are VIPPS-approved are legitimate. Legitimate pharmacies that carry the VIPPS® seal are listed at www.vipps.info

Unsafe Web sites

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KNOW YOUR MEDICINES

Before you get any new medicine for the first time, talk to your doctor about any special steps you need to take to fill your prescription. In addition

Be aware that some medicines sold online

BE AWARE OF COUNTERFEIT MEDICINE

Counterfeit drugs are fake or copycat medicines that can be difficult to identify. The deliberate and fraudulent practice of counterfeiting can apply to both brand name and generic products, where the identity of the source is often mislabeled in a way that suggests it is the authentic approved product. Counterfeit drugs may

For example, counterfeit versions of the FDA-approved weight loss drug Xenical, which contains the active ingredient orlistat, recently were obtained by three consumers from two different Web sites. The agency announced in May 2007 that none of the capsules that the consumers received contained orlistat. In fact, laboratory analysis showed that one capsule actually contained sibutramine, which is the active ingredient in Meridia, a prescription drug also approved by FDA to help obese people lose weight and maintain weight loss.

Using medication that contains an active ingredient other than what was prescribed by your licensed health care provider is generally unsafe.

FDA also became aware recently of a number of people who placed orders over the Internet for

Instead of the intended drug, several customers received a product that contained haloperidol, a powerful anti-psychotic drug. As a result, some sought emergency medical treatment for symptoms such as difficulty in breathing, muscle spasms and muscle stiffness—all problems that can occur with haloperidol.
FDA continues to be proactive in aggressively protecting consumers from counterfeit drugs. The agency is working with drug manufacturers, wholesalers, and retailers to identify and prevent counterfeit drugs. FDA also has created an internal task force to explore the use of modern technologies and other measures that will make it more difficult for counterfeit drugs to get mixed up with, or deliberately substituted for, safe and effective drugs.
Generally, medications that have not been purchased with a prescription from a state-licensed pharmacy located in the United States may be unsafe and ineffective. But remember, even those drugs that are purchased from a state-licensed pharmacy Web site cannot be guaranteed safe and effective.

PROTECT YOURSELF

ALERT: For a list of drugs that you should NOT buy online because of special safety restrictions, visit www.fda.gov/cder/consumerinfo/dontBuyonNet.htm

To see a press release called "FDA Finds Consumers Continue to Buy Potentially Risky Drugs Over the Internet," visit www.fda.gov/bbs/topics/NEWS/2007/NEW01663.html

To see a press release called “FDA Says Consumers Continue to Buy Risky Drugs Online,” visit www.fda.gov/bbs/topics/NEWS/2007/NEW01735.html  

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Date Posted: July 2, 2007
Updated Nov. 2, 2007

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