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Gastrointestinal Remedies - US

Published by: Mintel International Group Ltd.

Published: Sep. 1, 2008 - 82 Pages


Table of Contents


Scope and Themes

What you need to know

Definition

Data sources

Sales data

Consumer survey data

Abbreviations

Terms

Executive Summary

Growth slowing

OTC switches drive growth

Upcoming switches may spark more growth

Private label a key competitor in every segment

Drug stores lead retail channels

Aging population will continue to bolster category

Major companies dominate the GI remedy landscape

Heavy advertising

Wide use of GI remedies

Market Size and Forecast

Key points

OTC switches drive growth

Wal-Mart and private label keep prices in check

Upcoming switches may spark more growth

Sales and forecast

Figure 2: Total U.S. sales and forecast of gastrointestinal remedies, at inflation-adjusted prices, 2003-13

Wal-Mart sales

Competitive Context

Rx-to-OTC switches drive category growth

Figure 3: Impact of Prilosec OTC on antacid segment sales, 2002-06

OTC heartburn treatment moves closer to prescription territory

Beyond heartburn: a significant switch in the laxative segment

More switches on the way

OTC switches extend brand life, but private label catches up eventually

Private label a key competitor in every segment

Segment Performance

Key points

New products and OTC switches skewed to antacids, laxatives

Only minimal interaction between segments

Sales and forecast by segment

Figure 4: U.S. sales and forecast of gastrointestinal remedies, at current prices, IRI FDMx, by segment, 2003-13

Figure 5: U.S. sales of gastrointestinal remedies, by segment, IRI FDMx, 2006 and 2008

Segment Performance—Antacids

Key points

Rising and leveling off on the shoulders of Prilosec

Figure 6: U.S. sales and forecast of antacids, IRI FDMx, 2003-13*

Antacid forms

Figure 7: U.S. sales of antacids, by product form, IRI FDMx, 2003 and 2008

Antacid product positioning

Figure 8: Positioning and functionality of traditional antacids, acid reducers, PPIs, and Rx treatments

Segment Performance—Laxatives

Key points

New OTC drives segment sales

Figure 9: U.S. sales and forecast of laxatives, IRI FDMx, 2003-13

Segment Performance—Anti-diarrheals

Key point

Figure 10: U.S. sales and forecast of anti-diarrheals, IRI FDMx, 2003-13

Segment Performance—Stomach Remedies

Key points

Figure 11: U.S. sales and forecast of stomach remedies, IRI FDMx, 2003-13

Retail Channels

Key points

Channels compete for healthcare shoppers

Figure 12: U.S. sales of gastrointestinal remedies, by retail channel, 2006 and 2008

Retail Channels—Drug Stores

Key points

Healthcare expertise and retail fundamentals drive GI remedy sales in the drug channel

Figure 13: U.S. sales of gastrointestinal remedies in drug stores, 2003-08

Retail Channels—Food Stores

Key points

For supermarkets, it’s matter of priorities

Figure 14: U.S. sales of gastrointestinal remedies in food stores, 2003-08

Retail Channels—Other IRI and Convenience

Key points

Mass merchants leverage pricing advantage

GI remedies along for the ride at convenience stores

Figure 15: U.S. sales of gastrointestinal remedies at other stores, 2003-08

Market Drivers

Aging population will continue to bolster category

Figure 16: U.S. GI ailment population, by age, 2003-13

On-the-go lifestyle and obesity feed GI remedies market

Shifting attitudes toward diet and health may impact GI remedies…subtly

Figure 17: Selected health and wellness attitudes, 2003-08

Managed care organizations promote use of switched OTCs

Leading Companies

Key points

Major companies dominate the GI remedy landscape

Figure 18: FDMx sales of leading gastrointestinal remedies companies, 2007 and 2008

Selected Brand Analysis—Antacids

Key points

Lack of new product activity results in relatively quiet segment

Private label versions of Prilosec and new PPI brands on the way

Figure 19: Selected FDMx brand sales of antacid products in the U.S., 2007 and 2008

Selected Brand Analysis—Laxatives

Key points

Fiber causes little movement in laxative share

MiraLAX entry reinvigorates segment

Figure 20: Selected FDMx brand sales of laxatives in the U.S., 2007 and 2008

Selected Brand Analysis—Anti-Diarrheals

Key points

Market shares hold steady in segment with little news

Figure 21: Selected FDMx brand sales of anti-diarrheals in the U.S., 2007 and 2008

Selected Brand Analysis—Stomach Remedies

Key points

With little product news, brands struggle to maintain relevance

Figure 22: Selected FDMx brand sales of stomach remedies in the U.S., 2007 and 2008

Brand Qualities

Prilosec OTC faces considerable challenges to continued growth

Like a rock: Tums holds steady as antacid segment evolves

Innovation and Innovators

Regulatory hurdles limit innovations in efficacy

Marketers work to improve the dosing experience

Tums QuikPak Instant Dissolve Powder

Zantac 150 Cool Mint Tablets

New flavors from Metamucil

P&G’s retail expansion Align may give momentum to probiotic GI remedies

Advertising and Promotion

Overview

Figure 23: Media expenditures for selected GI remedy brands from Brandweek’s Superbrands report, 2006 and 2007

Emotional rescue for serious suffering

Figure 24: Zantac 150 television ad, 2008

Figure 25: Imodium AD EZ Chews television ad, 2008

Everyday remedies for everyday problems

Figure 26: Tums Ultra television ad, 2008

Figure 27: Pepcid Complete television ad, 2008

Figure 28: Tums QuikPak television ad, 2008

Figure 29: Pepto-Bismol television ad, 2008

Figure 30: Prilosec OTC television ad, 2008

Increasing focus on wellness

Figure 31: Metamucil “Daily Routine” television ad, 2008

Figure 32: Metamucil “Bad Hair Day” television ad, 2008

Figure 33: Citrucel television ad, 2008

Figure 34: MiraLAX television ad, 2008

Figure 35: Pepcid AC Easy Chews television ad, 2008

Usage

Wide use of GI remedies

Figure 36: Use of non-prescription GI remedies, by gender, February 2007-March 2008

Figure 37: Use of non-prescription GI remedies, by age, February 2007-March 2008

Category users tend to suffer from multiple GI ailments

Figure 38: Overlapping incidence of GI ailments, by sufferers of specific GI ailments, February 2007-March 2008

Doctor-identified GI ailments increase with age

Figure 39: Incidence of doctor-diagnosed GI ailments, by age, February 2007-March 2008

OTCs the go-to treatment for most GI ailments, except for GERD

Figure 40: Use of prescription vs. OTC product to treat GI ailment, by age, February 2007-March 2008

For many, symptoms go untreated

Figure 41: Incidence of GI ailment treatment, by ailment, July 2008

Solid forms preferred in most GI remedy segments

Figure 42: Form of product to treat GI ailment, by age, February 2007-March 2008

A variety of laxative forms used

Figure 43: Form of laxative used, by age, February 2007-March 2008

Brands

Popularity of GI remedies driven as much by familiarity as efficacy

Figure 44: Preferred brand to treat heartburn/indigestion, by age, February 2007-March 2008

Figure 45: Preferred brand of laxative, by gender, February 2007-March 2008

Inconsistent age skews for laxative brands reflect diversity of category

Figure 46: Preferred brand of laxative, by gender, February 2007-March 2008

Frequency of use increases with age

Figure 49: Frequency of suffering GI ailments in the past 30 days, by age, July 2008

Attitudes and Motivations

Advice of medical professionals still #1, but younger sufferers express greater self-reliance

Figure 50: Reasons for deciding what GI remedy to take, by age, July 2008

Trips to the doctor’s office are rare for GI ailments

Figure 51: Type of medical professional spoken with about GI problems in past 12 months, by gender, July 2008

Efficacy-seeking mentality drives switching more than other factors

Figure 52: Reasons for trying a new GI remedy, by age, July 2008

GI remedies a reluctant necessity for most, brand loyalty moderate

Figure 53: Attitudes concerning GI remedies, by age, July 2008

General attitudes towards health and wellness

Figure 54: Attitudes concerning health and wellness, by age, July 2008

The Gender Gap

Women slightly more likely to report suffering and treating GI ailments

Figure 55: Incidence of GI ailments, by gender, February 2007-March 2008

Figure 56: Use of prescription vs. OTC product to treat GI ailment, by gender, February 2007-March 2008

Figure 57: Form of laxative used, by gender, February 2007-March 2008

Figure 59: Reasons for deciding what GI remedy to take, by gender, July 2008

Figure 60: Attitudes concerning GI remedies, by gender, July 2008

Figure 61: Attitudes concerning health and wellness, by gender, July 2008

Race/Hispanic Origin

Usage

Figure 62: Use of non-prescription GI remedies, by race/Hispanic origin, February 2007-March 2008

Doctor-identified GI ailments higher among whites than other groups

Figure 63: Incidence of doctor-diagnosed GI ailments, by race/Hispanic origin, February 2007-March 2008

Efficacy the top reason for trying a new brand across all groups

Figure 64: Reasons for trying a new GI remedy, by race/Hispanic origin, July 2008

Figure 65: Attitudes concerning GI remedies, by race/Hispanic origin, July 2008

Brand preferences by race/Hispanic origin

Figure 67: Brand of laxative, race/Hispanic origin, February 2007-March 2008

Appendix: Trade Associations

Abstract

With the percentage of adults using OTC GI remedies holding steady in recent years, the category's modest growth has been driven primarily by Rx to OTC switches. After a pause in 2008, OTC switch activity is expected to pick up in 2009 and beyond, particularly in the antacid segment where new entrants will continue to strengthen the high-end of the market and accelerate the decline of older, less effective traditional brands.

In addition to these overarching trends, this report examines the following:
  • An in-depth look at the factors that have made Prilosec so successful in the OTC marketplace, and an assessment of how it may fare in the future in the face of increased competition from comparable private label and branded products
  • An analysis of how Tums, a 75-year old antacid brand, has been able to compete effectively in a marketplace increasingly dominated by more advanced former prescriptions
  • Analysis of brand preferences and market shares in all four segments of the category
  • A discussion of advertising strategies employed by leading GI remedy marketers
  • Profiles of recent new line extensions from major brands
  • Insights and ideas on how the GI remedy aisle at retail can evolve to meet the needs of increasingly self-reliant GI remedy shoppers


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