Know the Risks

Of the 35,000 active online drug sellers, 95% do not comply with applicable laws and pharmacy standards. Medications bought from these sites are sourced outside of the secure supply chain and are often counterfeit, substandard, unapproved, or unlicensed.
Unapproved and unlicensed medications have not been approved by the FDA, meaning their efficacy, side effects, toxicities, and interactions with other drugs may be unknown.
Counterfeit and substandard medicines may contain no active ingredient, the wrong active ingredient, or less active ingredient than indicated. These medicines are extremely difficult to identify because they are often nearly identical to the genuine product. While they will fail to have a therapeutic effect, they may go completely undetected unless they cause an obvious adverse or fatal reaction.
Unqualified personnel frequently manufacture counterfeit, substandard, unapproved, or unlicensed medications in unhygienic conditions. They have been found to contain dangerous and sometimes deadly impurities or poisons, including: