As most people here know, it is difficult, expensive and tiring to find a doctor that believes CFS is real, and is willing to prescribe (often experimentally and off-label) safe drugs that have been shown to help CFS. So lots of people with CFS, myself included, turn to online overseas pharmacies in order to obtain prescription drugs without having a prescription. As I understand it, the laws in most countries allows 3 months worth of prescription drugs for personal use to be imported from overseas (but these drugs cannot be obtained from the same country that you are in; and these drugs cannot be controlled substances). Here is some info on this 3-month (90 day) regulation, for those who are interested in the legal aspects: • Buying Prescription Drugs Online and from Overseas • Is it Legal to Import Prescription Drugs into the US • How to buy unlimited PRESCRIPTION drugs • Buying Prescription Drugs From Canada: Legal or Illegal? • Prescription Drugs From Mexico However, the major concern with buying drugs from these online overseas pharmacies is whether the pharmacy is trustworthy and reliable. Obviously we want a 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, so that your drugs arrive. (3) Does not use your credit card details fraudulently, and does not pass on your personal details to spammers. I personally have used the following online overseas pharmacies, and have found them trustworthy and reliable (I have used them on many occasions in the past, and there have been no problems at all): GoldPharma goldpharma.com Inhouse Pharmacy www.inhousepharmacy-europe.com However, there are probably quite a few other trustworthy and reliable pharmacies. It would be good to hear other people's experiences and recommendations with online overseas pharmacies. Here Are My Tips On How to Check That an Online Overseas Pharmacy is Reliable: The first thing I do is a Google search on the pharmacy's web address, where you include the search terms: scam, fake, counterfeit, fraud, hoax, forgery, in a Boolean search. (You can use OR or the pipe symbol | to perform a Boolean saerch). So for example, take Inhouse Pharmacy as our pharmacy to check, then the Boolean Google search would be as per the following: www.inhousepharmacy-europe.com scam | fake | counterfeit | fraud | hoax | forgery Very quickly from the Google search results, you can see if anyone has written any bad comments on that particular pharmacy. You will notice that no bad remarks have been made about Inhouse Pharmacy. So if you want to check out your own pharmacy using this same Google search, just insert your own pharmacy's web address in the above search. Another useful tip is to put the pharmacy's URL into a Webutation search. If you get a figure of less than say 60% when you look up your pharmacy on Webutation, perhaps that pharmacy is not so good. You can also check the pharmacy using a ScamAdviser search. In this case, anything less than say 30% is not so good. Checking your pharmacy on the ScamVoid website is also useful in determining if it has a good or bad reputation. If you check out the pharmacies I recommended above using Webutation, ScamAdviser and ScamVoid, you find that they get good reputation scores, as you can see in the table below: ——————————————————————————————————————————————————————————————— Pharmacy ............ Webutation .... ScamAdviser.... ScamVoid GoldPharma........... 100% .......... 41% ........... All green Inhouse Pharmacy .... 90% ........... 100% .......... All green ——————————————————————————————————————————————————————————————— Note: do not trust the Web of Trust (WOT) website reputation checker; WOT has partnered with the an organization called LegitScript, who are acting to solely maintain pharmaceutical industry profits, and which I severity criticize below. Many ME/CFS Patients May Need to Buy Their Own Drugs Because: (1) They are housebound, and cannot easily get to a doctor. (2) Convenience: an ME/CFS patient may not quite be housebound, but due to mental frailty, they 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 guy. (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 socialized medicine rules. (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) Doctors may erroneously believe ME/CFS is a psychosomatic disease, and so will not agree to prescribe antivirals, etc. (6) Lower costs: you can import generic versions of drugs from countries like India where the drugs are manufactured more cheaply. And as you say, 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. If you buy the drugs yourself, it is a very good idea to use a drug interactions checker to ensure there are no adverse interactions between the various drugs you are taking. An Organization Called LegitScript Wants to Block Your Access to Pharmaceuticals John Horton started an organization called LegitScript which is closing down online pharmacies that sell drugs without prescription, or forcing them to ask clients for prescriptions. Horton set up LegitScript, no doubt with money from pharmaceutical companies, 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. 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 the necessary drugs like antivirals to ME/CFS patients. Thus ME/CFS patients need to be able to buy such drugs online, even 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.