 This study found that antibiotic dispensing without a prescription is common in pharmacies in Kathmandu, Nepal. The most frequently prescribed antibiotics were azithromycin, followed by amoxicillin and ciprofloxacin. The most common reasons given for demanding antibiotics without a prescription were suspected respiratory tract infections, followed by skin infections and urinary tract infections. The most common driver of inappropriate antibiotic dispensing was lack of awareness about proper antibiotic usage. Additionally, the study found that many pharmacy workers believe that antibiotic resistance is a global public health threat, but they also thought that misuse or overuse of antibiotics was the main cause of this problem. This article was authored by Nishtha Shrestha, Sulochna Manandhar, Nukshma Harjan, and others.