Finding Trustworthy And Reliable Online Pharmacies Many people with chronic fatigue syndrome (ME/CFS) have to turn to online prescription-free pharmacies to obtain pharmaceutical drugs without needing to provide a prescription (often because doctors may refuse to prescribe drugs that can help ME/CFS). When looking for a prescription-free online pharmacy, we want a pharmacy that is trustworthy and reliable. We want a reliable pharmacy that: (1) Supplies genuine drugs, not fake drugs (although I understand that fake drugs generally do often contain the same active ingredient as legitimate drugs). (2) Reliably mails the drugs to you (with less reliable pharmacies, you find more frequent reports on online forums of drugs paid for but not arriving). (3) Does not pass on your personal details to spammers. Some online pharmacies will sell you email address or telephone number to spammers, and you may then get nuisance marketing telephone calls, or more email spam. (4) Does not use your credit card number fraudulently. Some very low end, unscrupulous online pharmacies will occasionally pass on your credit card details, leading to fraudulent use of your card. This has happened to me more than once. I am not sure if it is the management of the online pharmacies that is responsible, or whether it is just some dishonest employees working in the pharmacy. In any case, when an online pharmacy does start to engage in such fraudulent practices, very quickly reports of this will appear in online, so it is relatively easy to determine whether a pharmacy has fraudulent tendencies or not. Checking That An Online Prescription-Free Pharmacy Is Reliable In order to check that an online pharmacy is trustworthy and reliable, it is a good idea to start with a simple Google search on the pharmacy's web address, including in search words like scam, fake, counterfeit, fraud, forgery in a search. This will tend to pick up any articles about negative experiences with the pharmacy in question. So, for example, take inhousepharmacy.vu as a pharmacy to check in Google. The Google search on this pharmacy would be something like the following: www.inhousepharmacy.vu scam | fake | counterfeit | fraud | fraudulent | blacklist | ripoff Very quickly you can see from the above Google search results that there are no negative comments or bad reviews for inhousepharmacy.vu. So this indicates the pharmacy is good and reliable. This pharmacy actually has an excellent reputation, so it is not surprising that there are no negative online reviews. Now if we do the same search with a pharmacy known to have a bad reputation, like meds-easy.com, then we see in the following Google search very clear evidence of this bad reputation: www.meds-easy.com scam | fake | counterfeit | fraud | fraudulent | blacklist | ripoff So the above type of Google search is very useful for determining whether a pharmacy is reliable, or is bad. The next thing to check is how long the pharmacy has been around. A pharmacy that has been around for many years is likely to be more reliable that one that has only been around for one or two years (dubious or scam pharmacies often tend to come and go quickly). Determining the age of an online pharmacy can be done by checking the age of the pharmacy's web address (domain name age). Some online services that allow you to check the domain age are the following: Netcraft Site Report Domain age checker www.scamner.com Wayback Machine ScamAdviser Another useful measure of a pharmacy's trustworthiness and reliability obtained via a Webutation search on the pharmacy. If you get a Webutation score of say less than 60% for a pharmacy, then that pharmacy is likely not particularly reliable. In my experience, the Webutation score correlates reasonably well with the online reputation and user reviews of a pharmacy found in a Google search, or found using pharmacy review websites. I find the pharmacies that have bad online reviews and bad user feedback usually have a low Webutation score of 40%, and the pharmacies that have excellent reviews tend to have excellent Webutations scores of 90% or 100%. The lowest score given by Webutation seems to be 40% (I have never seen any pharmacy get lower than this). If the pharmacy you are thinking of doing business with has a 40% Webutation score, you might want to find another pharmacy instead, unless the drug you want is not available elsewhere. Another good website reputation checker is WebStatsDomain.org, which provides scores that usually closely mirror those of Webutation. So you can check a pharmacy's reputation on either Webutation or WebStatsDomain. The table below lists some prescription-free online pharmacies that are reliable and have good or excellent reputations: ——————————————————————————————————————————————————————————————— Pharmacy . . . . . . . . Webutations Score . Year Founded www.inhousepharmacy.vu . . . . 90% . . . . . . . 1996 goldpharma.com . . . . . . . . 100%. . . . . . . 2005 www.unitedpharmacies.com . . . 90% . . . . . . . 1998 www.unitedpharmacies-uk.md . . 90% . . . . . . . 2012 www.genericdoctor.com. . . . . 100%. . . . . . . 2009 www.antiaging-systems.com. . . 100%. . . . . . . 1997 www.topdrugmart.co . . . . . . 100%. . . . . . . 2012 brandmedicines.com . . . . . . 90% . . . . . . . 2009 www.pharmacygeoff.md . . . . . 90% . . . . . . . 2012 www.pharmacygeoff-uk.md. . . . 90% . . . . . . . 2013 www.alldaychemist.com. . . . . 60% . . . . . . . 2002 www.buypharma1.com . . . . . . 60% . . . . . . . 2007 ——————————————————————————————————————————————————————————————— Notes: • with goldpharma.com, you have to register on their site before you can see their pharmaceutical stock. • alldaychemist.com has a lower Webutations score than the others, but very cheap prices. Very occasionally however, you hear reports of fraudulent credit card use after goods are ordered at alldaychemist.com. • buypharma1.com has very cheap prices (also found at buy-pharma.co). A list of online pharmacies with good reputations can be found here: www.pharmacyreviewer.com/reviews/all-online-pharmacies/editor-rating I am not sure if I trust the Web of Trust (WOT) website reputation checker. WOT has partnered with an organization called LegitScript who are acting to solely maintain pharmaceutical industry profits, and which I criticize below. Reference: here. ME/CFS Patients May Need To Buy Their Own Drugs Online Chronic fatigue syndrome patients may need to buy their own pharmaceutical drugs online because: (1) Disability: a patient may be housebound, and cannot easily get to a doctor. (2) Convenience: an ME/CFS patient may not quite be housebound, but due to mental frailty, may find meetings with doctors very hard work and exhausting, especially as many doctors can be dismissive, and even scathing, of ME/CFS. I personally found it hard to be with authority figures such as doctors when I was very ill with ME/CFS and anxiety disorder; I found it unpleasant to interact doctors, even though my doctor is a reasonably nice and accommodating guy. Sometimes your own mental frailty rom illness can make an appointment with a doctor very hard going. (3) ME/CFS patients may have difficulties in persuading their doctor to prescribe drugs to use off-label for ME/CFS. Furthermore, doctors may not have the freedom to prescribe drugs off-label, or not have the freedom to prescribe drugs experimentally, if they are guided by evidence-based medicine, or by insurance rules, or the rules of socialized medicine systems (such as the NHS in the UK). (4) Doctors may know very little about ME/CFS, so they would not know why a particular drug might be beneficial for ME/CFS. In many cases, patients are more knowledgable about ME/CFS than their doctor. (5) Many doctors still erroneously believe ME/CFS is a psychosomatic or somatoform disease, and so may not agree to prescribe antivirals, etc, because the doctor incorrectly assumes that the cause of ME/CFS is "all in the mind". (6) ME/CFS is a somewhat unusual disease in that drugs or supplements that are very helpful for one patient may provide no benefit for the next patient. Thus it usually requires trying out dozens of drugs one by one, until you find the right drug(s) that work well for you. There are over 250 drugs that can be beneficial for ME/CFS; you will be very lucky if you find a doctor who has the time and inclination to go through this process of trying out dozens of drugs one by one on the patient, in order to identify the ones that work. So this why ME/CFS patients can often make substantial improvements to their condition by buying and trying ME/CFS drugs themselves. (7) Lower costs: you can import generic versions of drugs from countries like India where the drugs are manufactured more cheaply. And for those without medical insurance in the US, it's certainly going to be cheaper to buy generic drugs online from overseas, rather than pay for a doctor's appointment, and then pay for the drugs in a US pharmacy. Many ME/CFS patients are unable to work, and because ME/CFS is often trivialized by the medical profession, it patients may not receive any disability allowance. So accessing medications at lower cost is important. If you buy pharmaceutical drugs yourself, it is a very good idea to use a drug interactions checker such as this one or this one to ensure there are no adverse interactions between the various drugs you are taking. LegitScript Wants to Block Access to Cheap Pharmaceuticals John Horton set up an organization called LegitScript which is trying to close down online pharmacies selling drugs without prescription, or forcing these pharmacies to ask clients for prescriptions. Horton set up LegitScript with a remit to stop people getting access to cheaper pharmaceuticals and generics. LegitScript will label any pharmacy that does not require a prescription as "rogue", no matter how high the quality that pharmacy. It is a bit of a mystery who is funding LegitScript, but you can guess it comes from pharmaceutical companies, who stand to lose a lot of money if patients can buy generic drugs at a fraction of their cost in North America and Europe. So if you see that LegitScript have criticized a pharmacy, this does not necessarily mean that that pharmacy is bad. More info on LegitScript: LegitScript – Not So Legit? Complaints about Legitscript I emailed LegitScript, explaining that chronic fatigue syndrome (ME/CFS) patients are often ignored by their doctors, as unfortunately many doctors still do not believe ME/CFS is real, and this often means that these doctors will not prescribe necessary drugs like antivirals to ME/CFS patients. Thus ME/CFS patients need to be able to buy such drugs online, without a prescription. I asked LegitScript in my email if they were acting in the best interests of sick patients. I got no reply from them. LegitScript's contact page is here. You may also want to email LegitScript, and ask them if they are operating in the best interests of patients.