In 2019, you can buy virtually anything online, including drugs. It’s easy to do, but is it safe

The internet has allowed people to connect and communicate with each other at unprecedented levels, and the recent boom in the Internet of Things has given humans astonishing levels of access to goods, services, and technologies. People can ask for help with nearly any topic, search for almost any item, and find others who share common interests, all with just a quick search on a search engine.

Unfortunately, greater access to any product or service means certain abuses. Prescription drugs can be purchased online, including opioids and benzodiazepines. Through legal channels, this has been a boon for those who cannot pick up prescriptions or leave their homes for many reasons, but it also means that illegal channels can sell fake drugs to anyone.

The “dark web” and many websites that are not based in the U.S. sell illegal drugs. Sometimes the drugs are not illegal in the country hosting the site, or an agent through the dark web can obtain these drugs illegally and ship them to your doorstep.

Illicit methods of purchasing any drug, from alcohol to heroin to Ritalin, break many state and federal laws. The U.S. Food and Drug Administration (FDA) has answers on legally purchasing prescription medications online. Buying any prescription medication without a doctor’s prescription breaks the law and can be incredibly dangerous.

FDA Recommendations for Purchasing From Online Pharmacies

If you take prescription medications, especially to treat chronic illnesses, you may want the convenience of shopping online. However, illicitly made drugs can have fillers like caffeine or powdered sugar, or additives like fentanyl, so they are not the drug you need or want. Instead, they can be hazardous to your health.

Fortunately, the FDA understands that more people want convenient access to the medications they need. They have provided a guide to understanding legal, safe online pharmacies and how to acquire prescription medications without breaking the law or putting yourself or your family at risk.

First, do not purchase drugs from websites that advertise themselves as Canadian pharmacies. These sites typically feature a Canadian flag in an obvious part of the intro page, but they may be operated by criminals or drug dealers anywhere in the world.

Other sites may claim to be based in countries like Norway or England, but they are not necessarily operated by countries that U.S. residents stereotypically believe to be safe.

Other Signs Of Rogue Online Pharmacies Include:

  •  They allow you to buy prescription or name-brand medicine without asking for valid prescription information.
  •  They do not have a phone number or other method of contacting a legal U.S. pharmacist to ask questions.
  •  Their prices are too low to be real.
  •  You learned about them through an email with a link.
  •  They are based outside of the U.S. or offer to ship worldwide.

Issues With Online Medications

Medicines From Illicit Pharmacies That Sell Drugs Online Are Very Often Not The Medication You Need, But Something Else. They Are Likely To:

  • Have more of the active ingredient, like an opioid painkiller, than you need
  • Have less of the active ingredient you need or expect
  • Have no dosage information or have incorrect dosage information
  • Contain another drug, like fentanyl, which could be very dangerous
  • Contain ingredients like corn starch that make the drug less effective or ineffective
  • Not store the medication properly
  • Resell illegally acquired, expired medication

These problems can all put you at physical risk. They can make you sick, fail to treat your condition or cause an overdose.

People most often look for these medications online:

  •  Prozac
  •  Prozac
  •  Xanax
  •  OxyContin
  •  Cialis
  •  Valium
  •  Ambien

All of these medications require a prescription, but they are known to be used recreationally.

In January 2018, The Guardian reported that teenagers are buying Xanax online at high rates, usually via the dark web. The report mentioned several reasons why teens have been buying Xanax illicitly:

  • Some teens want to have the resources to help them deal with anxiety. Xanax might seem like a quick fix.
  • Others may be using Xanax recreationally for its sedative properties. They may mix it with other substances of abuse, including alcohol. Teens may be unaware of the risks of taking prescription medications when they are not needed.

If you purchase from these online pharmacies, you are also at risk of being charged with a crime. Having illicit substances like cocaine shipped into the country or across state lines is a federal crime, as is purchasing drugs without a prescription.

The Drug Enforcement Administration (DEA) is clear that buying a controlled substance online is illegal. This includes purchasing:

  •  Narcotic painkillers
  •  Prescription stimulants
  •  Prescription sedatives
  •  Anabolic steroids

Although there are many appealing aspects of clicking a button and purchasing medications online, the American Medical Association, along with various state boards of pharmacy and medicine, condemn the practice of cyber doctors due to risks.

Most Sites Selling Prescription Drugs are Operating Illegallly

A study conducted by the National Association of Boards of Pharmacy (NABP) covered 100 websites selling medications to people in the U.S. All 100 websites were found to be operating illegally. The study found that:

  •  54 percent of the websites sold controlled substances. This represents a substantial jump from the prior nine years when 13 percent of sites were listed as “not recommended.”
  •  98 percent did not require valid prescription information.
  •  76 percent of the sites offered non-FDA-approved drugs or foreign medications, like etizolam.
  •  40 percent sold controlled substances frequently linked with fentanyl overdose deaths, with counterfeit Xanax being the most common.

Further information reported by NABP found that of 11,242 internet drug outlets listed as not recommended, 2,591 were outside the U.S.; 1,570 (14 percent) were located in the U.S., and 7,033 sites (63 percent) did not report a location anywhere on their site. There were 6,270 sites, or 56 percent of those surveyed, which gave prescriptions to the user after a short questionnaire or online consultation without any face-to-face doctor-patient interaction.

About 17 percent of the sites did not have secure servers, which exposes the user to credit card or personal information theft. In addition, 86 percent, or 9,686 sites, were affiliated with internet drug outlets, cartels, or rogue drug networks.

The Dark Web

With millions of people all over the world using all kinds of social media platforms, these methods of connecting are becoming hubs for illegal drug sales of all kinds — not just prescription drugs like opioids or benzodiazepines, but also marijuana, cocaine, hallucinogens, and heroin. NABP found, during a four-week study, simple keyword searches could easily yield posts that linked to rogue drug sites. Through Pinterest, for example, NABP found 66 posts that promoted the online sale of prescription medications, and 38 percent of these posts provided links directing viewers to the sites.

A Global Drug Survey report released in May 2018 found that more people than ever are purchasing illicit drugs of all kinds online, primarily using the dark web. In an anonymous survey, the report found that about 10 percent of respondents said they used darknet markets — which are accessed with browsers that mask the user’s internet protocol (IP) address — at least once in the past year to purchase drugs.

Finland reported that 45 percent of their users purchased drugs online, which was the highest global percentage; however, the U.S. reported that 17 percent of drug purchases occurred online, which placed the country third in the world.

The dark web has been a significant player in illegal transactions since its launch in 2011 with Silk Road, which supplied drugs, sexual services, and weapons, among many other illegal activities. Many people who use the dark web to purchase drugs report that it is similar to ordering a pizza online. For example, 30 percent of people who abused cocaine reported ordering the drug and received it from a supplier within 30 minutes; for pizza, this rapid response rate was only 16 percent.

What Are The Risks of Buying Gabapentin Online?

Gabapentin (also known under the brand names Horizant, Gralise, and Neurontin) is an anticonvulsant medication used to treat epilepsy, nerve damage, and other nerve pain conditions, like restless legs syndrome and nerve pain caused by herpes zoster (shingles).

Because illegal pharmacies are unregulated, their products are untested and unverified. An individual who has ordered gabapentin online may receive any substance, including counterfeit gabapentin or another drug disguised as it. It’s always a danger to take an unknown drug, as it may have interactions or side effects the user is unaware of.

These online “pharmacies” may also sell expired gabapentin or tablets that have been stored improperly. All these factors can affect the quality and safety of the drug and make dosing unpredictable.

If an individual suspects they have been sold counterfeit or substandard gabapentin from one of these illegal online pharmacies, there is not much they can do about it. Ordering prescribed drugs (particularly controlled substances, as gabapentin has been classified as in at least two states) is illegal. An individual who is unhappy with their purchase can’t complain to a consumer site or dispute the charges with their credit card company. Instead, they are stuck with the bill and fake gabapentin.

Approved by the U.S. Food and Drug Administration (FDA) in 1993, gabapentin has been considered safe and non-habit-forming for years by the medical community. However, new trends and research indicate that many individuals are now using and abusing this widely available drug recreationally or to increase the high of other drugs, particularly opioids.

Because of these rising trends in gabapentin use, the drug is facing new regulations and classification. As of February 2019, two states — Michigan and Kentucky — have classified gabapentin as a Schedule V controlled substance. Kentucky reclassified the drug after an interview with 33 residents who admitted to using it to get high. Kentucky authorities also report that gabapentin is present in approximately a third of drug overdose deaths in the state.

With new regulations and a new awareness of gabapentin abuse in the medical community, it’s not as easy as it once was to get a prescription for the drug, particularly for those with a history of drug abuse or those seeking to obtain gabapentin for off-label use. For these reasons, there is considerable demand for gabapentin on the street market.

In a 2017 study reported by Pharmacy Times, 70 out of 323 urine tests from pain clinic patients contained gabapentin that was not obtained by prescription.

A Desire for More Safety

People who buy drugs illegally online report that it is safer than buying them in person. Increased police surveillance, better technology that improves law enforcement surveillance operations, and lower risk of physical harm from a drug dealer or stranger have all made online drug sales appealing for many who abuse illicit substances.

Another study, published by the National Center for Biotechnology Information, found that people purchasing drugs illegally online faced significantly lower personal safety threats and actual physical violence compared to those buying drugs from peers, dealers, or strangers.

However, that survey also found that people purchasing drugs online faced unique problems. In addition to not getting the drug they expected to get, having trouble dosing the substance due to fillers or harmful additives, and other substance issues, people buying drugs online also experienced:

  • Identity theft
  • Loss of money from credit card or bank card theft
  • Long waits
  • Failure to receive the substance at all

Those purchasing substances over the internet, especially illicit drugs through the dark web, may face less physical or sexual assault from a dealer or stranger, but they face a greater risk of having their money and identity stolen and about the same risk of getting the wrong drug.

The risks of online drug sales outweigh the benefits and convenience.

If you have a prescription from a doctor and want to safely purchase your medication online, the FDA offers these tips to confirm that the online pharmacy is legitimate:

  • They require information to prove your prescription is valid before you can check out.
  • They have information noting that they are licensed by your state board of pharmacy.
  • They have a pharmacist based in the U.S. available to answer your questions over the phone.
  • They are clearly located in the U.S., proven by a street address.

The FDA runs a site called BeSafeRx, which helps you, as a consumer, keep up to date on information regarding online pharmacies. You can also use the website Safe.Pharmacy to ensure you use legal medication websites.

There is no way to purchase drugs legally through the dark web. The entire purpose of this separate group of sites is to sell things that are otherwise illegal and ship them to you in minutes or days from anywhere in the world.

There are no guarantees of safety when you purchase from the dark web. If you abuse drugs purchased through these sites or through any illegal pharmacy site, you are at risk of overdose, death, and legal repercussions.

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