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The U.S. Market for Over-the-Counter Pain Medication

The U.S. market for Over-the-Counter (OTC) Pain Medication presents an in-depth analysis of the performance of various analgesics, including non-steroidal anti-inflammatory drugs (NSAID) and topical products in the US market. The analysis captures the performance of the market players, categories and leading brands in terms of revenue growth and volume growth. It also identifies key issues, drivers, challenges, regulations and trends affecting the marketplace.

The report provides a comprehensive analysis of the pain medication products that are currently in the market, as well as those likely to enter the market in future. The study focuses on the market movements and the factors that will fuel sustainable growth. The markets for these products range from the new and emerging, to the comparatively matured. Apart from the broad classification of external and internal analgesics, OTC pain medication products have been categorized into the following five generic groups for the purposes of this study:

  • Aspirin
  • Acetaminophen
  • Other NSAIDs (Ibuprofen, Ketoprofen & Naproxen)
  • Combination formulations
  • Topical analgesics (external analgesics)

Historical data are provided for 2000 through 2004. Compounded annual growth rates (CAGR) are provided for the periods 2000-2004, with forecast data from 2005 to 2009.


  • Executive Summary
    • REPORT SCOPE
    • DEFINITIONS AND PRODUCTS
      • Acetaminophen
      • NSAIDs
      • Topical Medications
    • METHODOLOGY
    • MARKET OVERVIEW
      • Table U.S. Retail Sales of Analgesics
    • MARKET PLAYERS
      • Internal Analgesic Segment
      • Topical Analgesic Segment
    • TOP BRANDS
      • Internal Analgesic Segment
      • Topical Analgesic Segment
    • KEY ISSUES AND TRENDS
      • Rise of Selective Cox Inhibitors
      • Prescription Brand Building for Future OTC Switches
      • OTC Push from Healthcare Providers
      • Growing Healthcare Costs
      • Decade of Pain Control and Research
      • Prevalence of Self Medication for Pain
      • New Channels
      • Outlook
      • Ageing Population
      • OTC Analgesics as Lifesavers
  • Industry Overview and Trends
    • INTRODUCTION
      • Definition of Pain
      • Pain?The Fifth Vital Sign
      • Types of Pain
      • Nervous System and Pain
      • Prostaglandin?The Pain Trigger
    • ANALGESIC PRODUCTS AND CLASSIFICATIONS
      • Table OTC Analgesic Dosages and Relief Time
    • ASPIRIN PRODUCTS
      • Overview
      • The Origin of Aspirin
      • Description of Products
        • Table Frequency of Aspirin Dosage
    • ACETAMINOPHEN PRODUCTS
      • Overview
      • Description of Products
    • IBUPROFEN PRODUCTS
      • Overview
      • Description of Products
        • Table Frequency of Ibuprofen Dosage
    • NAPROXEN PRODUCTS
      • Overview
      • Description of Products
    • KETOPROFEN PRODUCTS
      • Overview
      • Description of Products
    • COMBINATION FORMULATION
      • Overview
      • Description of Products
    • TOPICAL MEDICATIONS
      • Overview
      • Description of Products
        • Table Major Brands in Topical Analgesics
        • Table Preferred Daily Dosages for OTC Analgesics
    • CONSUMER ISSUES
    • SIDE EFFECTS AND INTERACTIONS
      • Aspirin
      • Acetaminophen
      • Other NSAIDs
      • Side Effects Across the Population
      • Drug Interactions
        • Table Disease State and OTC Analgesic to Avoid
      • Product Innovations Reduce Side Effects
      • Some Positive Side Effects of OTC Analgesics
    • REGULATORY ENVIRONMENT
      • The Cost Factor
      • Approval Process
      • Rx-to-OTC Switch
    • LABELING ISSUES
    • THE MARKET
      • Market Structure
      • Top Five Marketers Hold Sway
      • Internal Analgesics Continue to Dominate
      • Acetaminophen's Market Hold Slips External Analgesics Increase Presence
    • MARKET SIZE AND GROWTH
      • Table U.S. Retail Sales of Analgesics 2000-2004
    • KEY MARKET PLAYERS
      • Overall Market
        • Table Top 10 Marketers' Overall Analgesics Performance 2003-2004
      • Internal Analgesics Segment
      • Topical Analgesics Segment
    • MARKET PROJECTIONS
    • KEY GROWTH FACTORS
      • Rx to OTC Switch
      • Withdrawal of Vioxx Opens Opportunity for OTC Drugs
      • Other Health Benefits of Pain Relievers
      • The Growth of Generics / Private Label
      • Improved Products and Brand Extensions
      • Dual Regulatory Status
      • Third Class of Drugs
    • KEY ISSUES AND TRENDS
      • Building Brands in Prescription Category for Future OTC Switch
      • Rise of Select Cox Inhibitors and Triptans
      • Growing Healthcare Costs
      • OTC-Push from Health Care Providers
      • Prevalence of Pain among US Populace
      • Ageing Population and Pain
      • Wide Prevalence of Self-Medication for Pain
      • New Channels
      • Lower Drug Costs Through Outsourcing
    • INTERNATIONAL OTC TRENDS
      • Table Percent of World Population over 65 Years of Age by Region 2000 to 2030
      • Table Comparative Status of Active Ingredients in Key Pharmaceutical Markets
  • Competitive Market Analysis
    • OVERVIEW
    • ASPIRIN
      • Market Share
        • Table Marketers' Brands Sales and Growth in the United States 2003-2004
    • ACETAMINOPHEN
      • Market Share
        • Table Marketers' Brands Sales and Performance for OTC Acetaminophen 2003-2004
      • The Rise of Condition-Specific Treatments
      • Instant Pain Relievers Holds the Key
    • OTHER NSAIDS
      • Market Share
        • Table Marketers' Brands Sales and Performance for OTC Ibubrofen, Ketoprofen, and Naproxen 2003-2004
    • EXTERNAL ANALGESICS
      • Market Share
        • Table Marketers' Brands Sales and Performance for OTC Topical Analgesics Segment 2003-2004
      • Innovation Holds the Key
    • COMBINATION FORMULATIONS
      • Table Marketers' Brands Sales and Performance for OTC Combination Analgesic Formulations 2003-2004
      • Arrival of Triptans
      • Acceptance of Internal Analgesic Powders
    • OTHER OTC ANALGESICS
      • Table Marketers' Brands Sales and Performance for Other OTC Analgesics 2003-2004
      • Spill-resistant Formulations
    • PRIVATE LABELS
  • The Consumer
    • NOTE ON SIMMONS SURVEY DATA AND FIGURES
    • PAIN INCIDENCE
      • Table Major Pain Ailments, Number of Sufferers, and Percentage of Total Pain Patient Population in the United States, 2004
    • FREQUENCY OF OCCURRENCE
    • IMPACT OF PAIN
    • PAIN AT WORKPLACE
    • MAJOR PAIN AILMENTS
      • Demographic Profiles of People Suffering from Pain
      • Arthritis
        • Table Demographic Profiles of Arthritis Sufferers
      • Backache
        • Table Demographic Profiles of Backache Sufferers
      • Chronic Pain
        • Table Demographic Profiles of Chronic Pain Sufferers
      • Migraine Headache
        • Table Demographic Profiles of Migraine Headache Pain Sufferers
    • OTHER MAJOR PAIN-RELATED AILMENTS
      • Insomnia/sleep Disorder
      • Chronic Bronchitis
      • Flu
      • Nasal allergies/hay fever
        • Table Demographic Profiles of Insomnia/Sleep Disorder Sufferers
        • Table Demographic Profiles of Chronic Bronchitis Sufferers
        • Table Demographic Profiles of Flu Sufferers
        • Table Demographic Profiles of Nasal Allergies/Hay Fever Sufferers
    • INTERNAL ANALGESICS
      • Forms of Pain Relievers Used
      • Generation Y Seeks Easier Forms of Pain Medication
      • Middle-Aged and Older People Stick to Traditional Tablets, Powders and Caplets
        • Table Demographic Profile of Users of Different Forms of Pain Relievers
    • FREQUENCY OF USAGE
    • TYPES OF HEADACHE / PAIN RELIEVERS USED
      • More People Go for Higher Dosages
      • Middle-Aged and Women Likely to Use Extra-Strength Versions
      • Younger and Higher Strata Prefer Regular Pain Relievers
      • Migraine Pain Relievers
      • Nighttime Pain relievers
        • Table Types of Headache / Pain Relievers Used
    • PURPOSE OF USE
      • Users of Pain Relievers for Heart Attack/Stroke Prevention
      • Migraine Headache ? Young adults and females
      • Normal Pain conditions ? Age group (35-54)
      • Menstrual Pain ? Younger females / students
      • Arthritis and Sleeplessness ? Older Population
      • Minor Ailments ? Hispanics
        • Table Demographic Profile of People Using Pain Relievers for Heart Attack Prevention
        • Table Demographics of People Using Pain Relievers for Backache
        • Table Demographics of People Using Pain Relievers for Muscle or Body Aches
        • Table Demographics of people Using Pain Relievers for Arthritis/Sleeplessness
        • Table Demographics of People Using Pain Relievers for Regular/Migraine Headaches
        • Table Demographics of People Using Pain Relievers for Cold/fever/Allergies
        • Table Demographics of people Using Pain Relievers for Menstrual Pain
    • BRAND PREFERENCE
      • The Common Thread
      • Overuse Among African Americans
      • Aspirin's Health Benefits Attract Elders
      • Middle Age Groups Prefer Acetaminophen and Other NSAIDs
      • Males Prefer Aspirin for Heart Attack Prevention
      • Store Brands: No Cheap Image; It's the Upper Class Who Prefer It
        • Table Age-wise Preference of Brands
        • Table Preference for Brands Based on Ethnic Origin
        • Table Preference for Brands Based on Education Level
        • Table Preference for Brands Based on Occupation
        • Table Preference for Brands Based on Household Income
        • Table Preference for Brands Based on Gender/Marital Status
        • Table Preference for Brands Based on Household Size
        • Table Preference for Brands Based on Age Group of Children in Household
    • EXTERNAL ANALGESICS
      • Forms of External Analgesics
        • Table Forms of Pain Relieving Rubs/Liquids Used by Demographic Characteristic
    • BRAND PREFERENCE
      • Bengay, the most preferred brand
        • Table External analgesic Brand Preference
        • Table Age-Wise Brand Preference for Pain Relieving Rubs/Liquids
        • Table Race / Ethnicity-Wise Brand Preference for Pain Relieving Rubs/Liquids
        • Table Household Income-Wise Brand Preference for Pain Relieving Rubs/Liquids
    • PURPOSE OF USE
      • Table Users of External and Internal Analgesics for Different Pain Conditions
      • Muscle Pain: Hispanics and African Americans High Users of External Analgesics
      • Menstrual Pain: Low Education and Income Groups Go for External Pain Relief Methods
        • Table Comparison of Users of External and Internal Analgesics by Type of Pain
    • THE WEEKEND WARRIORS
      • Table Users of External Analgesics for Sports/Exercise-Related Injuries
    • CHILDREN'S FEVER / PAIN RELIEVERS
      • Forms of Children's Pain Relievers
        • Table Types of Children's Fever / Pain Reliever Used
      • Frequency of Use Lower in Children's Pain Relievers
      • Brand Preference
        • Table Brand Preference for Children's Pain Relievers
        • Table Brand Comparison for Children's Pain Relief
    • ATTITUDES
      • Fact Sheet
      • Preference for Store Brands
        • Table Attitudinal Preference for Store Brands
      • Older Consumer Influenced by Advertising
        • Table Demographic Profile of Consumer Influenced by Advertising
      • Careless OTC Analgesics Users
        • Table Demographic Characteristics of Careless OTC Analgesics Users
      • Older Population Careful of Medicine Intake
        • Table Demographic Characteristics of Careful Drug Users
    • PREFERENCE FOR OTC OVER PRESCRIPTION
      • OTC Meds Preferred for Backache and Migraine
      • Demographics Favoring OTC over Prescription
        • Table Demographic Characteristics Favoring OTC Over Prescription for Pain Ailments
        • Table Attitudes Prescription vs. OTC
  • Marketing and New Product Trends
    • ADVERTISING AND PROMOTIONAL GUIDELINES
      • Basic Regulatory Standards
      • Substantiation of Claims
      • Claims Relating to Heart Benefits of Aspirin
      • Comparative Advertising
      • The Case of Doans
      • Contests and Sweepstakes
    • PRESCRIPTION DRUG ADVERTISING
      • Prescription DTC Advertising Norms Relaxed
    • CONSUMER ADVERTISING EXPENDITURE
      • Table Ad Spend Among Marketers in the OTC Analgesic Market 2003
      • Table Ad Spends as Percentage of Sales along Brands Line 2003
      • McNeil ? The Leading Ad Spender
      • Aleve Tops Bayer's Ad Spend
      • Wyeth's Advil Brand line ? The Second Largest Ad Spend
        • Table Top Advertisement Spending Brands 2003
      • Higher Strength Products Lead Ad Spend
        • Table Leading Brands' Advertisement Spends and Media Channels 2003
    • ADVERTISING POSITIONING
      • Pain as a Normal Incidence
      • Positioning Beyond Just Pain Relief
      • Ads Target the Young & the Active
      • Aspirin Drugs Play the Heart Card
      • The Fight for All Day Pain Relief -Tylenol and Aleve
      • Catching in on Drug Interaction
      • Liquid and Powders Cash In on the `Quick' Factor
      • Celebrity Advertising ? `Icy Hot'
      • Pain-Specific Positioning ? Excedrin, The Headache Medicine
      • Comparative Advertising
      • Patches Positioned as Stylish
      • Vioxx's Absence Presents an Opportunity
      • The "Stop. Think. Tylenol'' Campaign
        • Table Positioning Statements in New Product Advertisements
    • MARKETER'S PROMOTIONAL INITIATIVES
      • Coupon Promotions Along with Ads and FSIs
      • Other Offers
    • NEW PRODUCT INTRODUCTIONS
      • Acetaminophen ? McNeil Dominates With New Products
        • Table Consumer Promotions of Selected New Product Introductions
      • Ibuprofen Goes External
      • Mint Flavor: The New Rage
      • External Analgesics See Dynamic New Product Introductions
      • Alternate Medications Have Wider Appeal
      • Patches: The Hottest Segment
      • Selling Points by Package Tags
        • Table OTC Analgesic New Product Selling Points by Selected Package Tags
        • Table Innovative Product Launches in the OTC Analgesic Market
        • Table Selected New Acetaminophen Introductions
        • Table Selected New Aspirin Introductions
        • Table Selected New Ibuprofen Introductions
        • Table Selected New External First Aid Product Introductions
        • Table Selected New External Dental Need Introductions
        • Table Selected New External Pain Relief Introductions
        • Table Selected New External Skin Care Introductions
        • Table Selected Other External Pain Reliever Introductions
        • Table Selected Internal Pain Relief Introductions
        • Table Selected Internal Stomach Relief Introductions
        • Table Selected Internal Vitamin Introductions
        • Table Selected Other Internal Pain Relief Introductions
    • RETAIL DISTRIBUTION
    • RETAIL STRUCTURE
    • SALES TRENDS
      • Drugstores Beat Supermarkets as the Largest Sales Channel
      • Drug Stores: The Star Performers
      • Purchasing Patterns
        • Table Internal Analgesic Tablets Purchasing Patterns by Outlet
        • Table Internal Analgesic Liquids' Purchasing Patterns by Outlet
        • Table External Analgesics Purchasing Patterns by Outlet
    • RETAIL TRENDS
      • Impulse Purchase High for OTC Products
        • Table Customer Reasons for Choosing OTC Medication Brands in 2004
        • Table In-Store Behavior by Shopper Segment
      • Supermarkets Stress on `Whole Health and Displays'
        • Table Top Factors Influencing the Place of OTC drug Purchase
      • Mail Order and Internet: The New Media
  • Company Profiles
    • COMPETITIVE SUMMARY
    • JOHNSON & JOHNSON
      • Overview
      • Makers of Tylenol
      • OTC Analgesic Product Line
      • Focus on Strong Branding and Younger Population
    • BAYER GROUP
      • Overview
      • OTC Analgesic Product Line
      • Bayer: Expanding Its Reach
    • WYETH INC
      • Overview
      • OTC Analgesic Product Line
      • Target: Two Novel Medicines Annually
    • BRISTOL-MYERS SQUIBB COMPANY
      • Overview
      • OTC Analgesic Product Line
      • Focus on New Products
    • CHATTEM INC
      • Overview
      • OTC Analgesic Product Line
      • New Product Introductions Drive Sales
    • GLAXOSMITHKLINE
      • Overview
      • OTC Analgesic Product Line
      • Targeting Pharmacies and Doctors
    • PFIZER
      • Overview
      • OTC Analgesic Product Line
      • Largest Pharmaceutical R&D Organization
      • Focus on Pharmaceuticals and Healthcare
    • NOVARTIS
      • Overview
      • The Consumer Health Division
      • OTC Analgesic Product Line
      • Performance
      • R&D: The Company's Lifeblood
    • ROHTO PHARMACEUTICAL CO. LTD.
      • Overview
      • OTC Analgesic Product Line
      • Creating Niche Markets
    • PERRIGO COMPANY
      • Overview
      • Major Divisions
      • OTC Analgesic Product Line
      • Cost: The Driving Factor
  • Company Directory
  • Advertising Tag Lines for Selected Brands

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