Quality of global e-pharmacies: can we safeguard consumers?
Bessell TL, Silagy CA, Anderson JN, Hiller JE, Sansom LN.
Institute of Health Services Research, Monash University,
Locked Bag 29, Clayton VIC 3168, Australia.
Eur J Clin Pharmacol. 2002 Dec;58(9):567-72.


OBJECTIVE: E-pharmacies are web sites selling prescription-only medicines and other products including non-prescription and complementary medicines to consumers via the internet. This study aims to evaluate the quality of global e-pharmacies, discuss whether e-pharmacies support the safe and appropriate use of medicines, and consider how we can protect consumers in the future. METHODS: A survey of public information published on global e-pharmacy web sites was conducted between July and September 2001. We used a meta-search engine, Copernic, and the search terms of 'online' or 'internet', and 'pharmacy', 'pharmacies' and 'medicines' to identify a sampling frame of global e-pharmacies. We surveyed all web sites in the sampling frame except those under construction or only offering electronic refills, members-only and non-English web sites. Survey data included country of origin, range of medicines sold, prescription requirements, availability of online medical consultations and pharmacists' advice, quality accreditation seals, policies and advertisements. RESULTS: E-pharmacies operated in at least 13 countries; however, the country of origin could not be identified for 22 web sites. Twenty web sites (19%) appeared to supply prescription-only medicines with no prescription required. Only 12% of e-pharmacies displayed quality accreditation seals. We observed information published on e-pharmacy web sites that potentially undermines the safe and appropriate use of medicines. CONCLUSION: Safeguarding consumers and ensuring the quality of web sites that sell medicines across state and national boundaries is both complex and difficult. Strategies to improve the quality of e-pharmacies include independent third-party regulation of providers, evaluation and enforcement of sanctions in cases of dissemination of fraudulent or harmful information and practices, self-regulation and consumer education. The development of internet regulatory technologies themselves and the resolution of jurisdictional issues offer future solutions but international co-operation is vital.

No prescription websites
Buying drugs on the darknet 2019
Buying drugs without a prescription
Online, Offshore and Mexican Pharmacies
Two Agencies to Fight Online Narcotics Sales
Vicodin: 'some of them actually think they deserve it'
Does US drug policy leave millions of pain patients in agony?
Buying drugs online: pharmaceutical roulette or consumer freedom?
Internet-based survey of nonmedical prescription opioid use in USA
Internet surveillance: monitoring of prescription opioid use-related postings
Prescription opioid use and diversion among street drug users in New York City

and further reading

Future Opioids
BLTC Research
Utopian Surgery?
The Abolitionist Project
The Hedonistic Imperative
The Reproductive Revolution
Critique of Huxley's Brave New World

The Good Drug Guide
The Good Drug Guide

The Responsible Parent's Guide
To Healthy Mood Boosters For All The Family