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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. FDA also became aware of a number of people who placed orders over the Internet for one of the following products: Ambien (zolpidem tartrate)Xanax (alprazolam)Lexapro (escitalopram oxalate)Ativan (lorazepam)Instead of receiving the drug they ordered, several customers received products containing what was identified as foreign versions of Haldol (haloperidol), a powerful anti-psychotic drug. As a result, these customers needed emergency medical treatment for symptoms such as difficulty in breathing, muscle spasms, and muscle stiffness-all problems that can occur with haloperidol. 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.It has a licensed pharmacist available to answer your questions.It requires a prescription for prescription medicines from your doctor or another health care professional who is licensed to prescribe medicines.It provides contact information and allows you to talk to a person if you have problems or questions.Another way to check on a website is to look for the National Association of Boards of Pharmacy s (NABP) Verified Internet Pharmacy Practice Sites™ Seal, also known as the VIPPS® Seal.This seal means that the Internet pharmacy is safe to use because it has met state licensure requirements, as well as other NABP criteria. 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