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The Worldwide Over-the-Counter (OTC) Drug Market
May 1, 2010
Over-the-Counter (OTC) drugs are non-prescription drugs sold to consumers by
convenience and grocery stores. These drugs include pain relievers, cough and cold
remedies, sleeping aids, antifungals, and other products approved for use as a self-
medication product. There has been a particular focus in the pharmaceutical industry on
OTC drugs, and in several market research reports over the past decade, Kalorama
Information has covered the strategies pharmaceutical companies are using in the OTC
market. This report, The Worldwide Over the Counter (OTC) Drug Market has market
sizes and forecasts in five general segments:
• Analgesics
• Allergy, Cough, Cold, Flu Remedies
• Gastrointestinal Remedies
• Dermatologics
• Others, including
o Smoking Cessation Products
o Sleep Aids
o Hair Growth Remedies
o Diet Aids
Revenues for each segment were generated using dollar and unit sales for key products
in each segment and region. The report provides examples of OTC drugs in each
general region, segmented as follows:
• Asia Pacific and Africa
• Europe
• North America
• South America
Issues and trends explored in this study include:
• Mergers and Acquisitions
• Distribution and Safety Issues
• Consumer Advertising and Promotion
• Demographics

2. • World Health and Life Expectancy Trends
• Prescription vs. OTC Industry
• Rx-to-OTC Switch Industry
• Economic Trends
• Health Insurance Issues and Trends
• Consumer Issues and Trends
• Regulatory Environment
• Access to Medicine
The report includes incidence of conditions which are often treated with OTC medicines,
health statistics related to the industry, birth rates, world population, populations by
region and issues affecting the market as a whole. Information is presented as a
worldwide overview, with special emphasis on the U.S., Japan, Germany, and other key
markets. The market segments provide an overview of demographics, information about
products available in each region, market estimates and forecasts. Additionally, a
competitive analysis of leading providers and profiles of providers is covered. In-depth
profiles are included for the following companies:
• Bayer Consumer Health
• Boehringer Ingelheim
• GlaxoSmithKline
• McNeil Consumer (Johnson & Johnson)
• Merck/Schering-Plough
• Novartis Pharmaceuticals
• Pfizer/Wyeth Consumer
• Procter & Gamble
• Reckitt Benckiser
• Sanofi-Aventis
• Taisho Pharmaceutical
• Takeda
The information for this report was gathered using both primary and secondary research
including comprehensive research of secondary sources such as company literature,
databases, investment reports, and medical and business journals. Telephone
interviews and email correspondence were the primary method of gathering information.
For the purpose of this study, Kalorama Information conducted interviews with more
than 100 key industry officials, consultants, health care providers, and government
personnel. These sources were the primary basis in gathering information specifically
relating to revenue and market share data presented in this report. Additional interviews
were completed with relevant company representatives including marketing directors,
division managers, and product representatives.
All market data pertains to the world market at the manufacturers’ level. The base year
for data was 2009. Historical data was provided for the years 2007 and 2008, with
forecast data provided for 2010 through 2014. Compound annual growth rates (CAGRs)
are provided for the 2007-2009 and 2009-2014 periods for each region and/or segment

3. covered. Competitive analysis is provided for the year 2009. The forecasted market
analysis for 2009-2014 was largely based on demographic trends, new developments,
and global expansion.
Table of Contents
CHAPTER ONE: EXECUTIVE SUMMARY
• Background
• Scope and Methodology
• Size and Growth of the Market
• Key Issues and Trends Affecting Market
• Leading Competitors
CHAPTER TWO: INTRODUCTION
• Background
• Distribution and Safety Issues in the United States
• Consumer Advertising/Promotion
• World Health and Life Expectancy
o Life Expectancy
o Birth Rates
o Tobacco Use
o Obesity
• Declining Growth of the World Population
• Prescription VS Over-the-Counter Industry
• Rx-to-OTC Switch Industry
• Rx-to-OTC Switch Forecast in the United States
• Economic Trends
• Purchasing Power Trends
• U.S. Healthcare Market
• U.S. Healthcare Challenges
• Health Insurance Issues and Trends
• Consumer Issues and Trends
• U.S Consumers
• Consumers around the World
• Access to Professional Medical Services and the Link to Self-Medication
• Regulatory Environment
• Revisions to Pharmaceutical Affairs Law (PAL) in Japan
• Russian Beneficiary Drug Provision Program
• A Third Class of Drugs in the United States
CHAPTER THREE: OTC MARKETS IN ASIA-PACIFIC AND AFRICA

4. • Overview
• Demographics
• OTC Product Segments
• Market Analysis
• OTC Product Segment Market Analysis
• Markets by Country
CHAPTER FOUR: OTC MARKETS IN EUROPE
• Overview
• Demographics
• OTC Product Segments
• Market Analysis
o OTC Product Segment Market Analysis
o Markets by Country
CHAPTER FIVE: OTC MARKETS IN NORTH AMERICA
• Overview
• Demographics
• OTC Product Segments
• Market Analysis
• OTC Product Segment Market Analysis
• Markets by Country
CHAPTER SIX: OTC MARKETS IN SOUTH AMERICA
• Overview
• Demographics
• OTC Product Segments
• Market Analysis
• OTC Product Segment Market Analysis
• Markets by Country
CHAPTER SEVEN: SUMMARY OF WORLD OTC MARKETS
• Overview
• OTC Product Segment Market Analysis
• Markets by Country
CHAPTER EIGHT: LEADING OTC MANUFACTURERS
• Overview
• Competitor Analysis
• Significant Mergers and Acquisitions
o Sanofi-Aventis and Chattem Consumer

5. o Schering-Plough and Merck & Co.
o Wyeth and Pfizer
o Bristol-Myers Squibb and Novartis AG
o Johnson & Johnson and Pfizer
o Bayer and Roche
o Reckitt Benckiser and Adams Respiratory Therapeutics
o Reckitt Benckiser and Boots Healthcare
• Leading Corporate Profiles
o Bayer Healthcare AG
o Boehringer Ingelheim GMBH
o Glaxo Smith Kline
o Mc Neil Consumer
o Merck/Schering-Plough
o Novartis Consumer
o Pfizer/Wyeth
o Procter & Gamble
o Reckitt Beckiser
o Sanofi-Aventis/Chattem
o Taisho Pharmaceutical
o Takeda Pharmaceutical
APPENDIX
LIST OF MAJOR COMPANIES
LIST OF EXHIBITS
CHAPTER ONE: EXECUTIVE SUMMARY
• Table 1-1: Total World OTC Market Analysis, 2005-2014
• Figure 1-1: Total World OTC Market Analysis: 2005-2014
CHAPTER TWO: INTRODUCTION
• Table 2-1: Average Life Expectancy in Years by Country 1980, 2004 and 2009
• Table 2-2: Crude Birth Rate per 1,000 Persons 2000, 2005 and Projected 2010
• Figure 2-1: Crude Birth Rate per 1,000 Persons 2000, 2005 and Projected 2010
• Table 2-3: Percent of Smokers by Country
• Figure 2-2: Average Percent of Smokers Worldwide in Developed Regions
• Table 2-4: Percent of Obese* Population, 2006
• Table 2-5: World Population 1980 to 2050
• Figure 2-3: World Population 1980 to 2050
• Table 2-6: Total Pharmaceutical Markets, Prescription vs. Non-Prescription by
Country, 2009
• Figure 2-4: Total Pharmaceutical Markets, Prescription vs. Non-Prescription by
Country, 2009

6. • Table 2-7: Leading FDA Approved Rx-to-OTC Switches, 1994-2009
• Figure 2-5: Number of New Rx-to-OTC Switches in the United States, per Year
1976-2009
• Table 2-8: Potential Rx-to-OTC Switches, 2010-2014
• Table 2-9: Total Healthcare Expenditures as a Percent of GDP by Country 1990,
2000 and 2006
• Figure 2-6: Total Healthcare Expenditures as a Percent of GDP by Country 1990,
2000, and 2006
• Table 2-10: Gross National Income Comparison by Country 2000-2005
• Figure 2-7: Gross National Income Growth by Country 2000-2005
• Table 2-11: National Healthcare Expenditures in the United States 1960-2015
• Figure 2-8: Healthcare Spending as a Percent of GDP in the United States
• Table 2-12: Health Insurance Trends in the United States 2003-2007
• Figure 2-9: Typical Pharmacist-Consumer OTC Drug Counseling Session
CHAPTER THREE: OTC MARKETS IN ASIA-PACIFIC AND AFRICA
• Table 3-1: Total Midyear Population by the Five Most Populated Countries in
Asia-Pacific, 2005-2025
• Figure 3-1: Total Midyear Population by the Five Most Populated Countries in
Asia-Pacific, 2005, 2015, and 2025
• Table 3-1: Total Midyear Population in Africa by Region, 1995-2025
• Figure 3-2: Total Midyear Population for Africa by Region, 2005, 2015, and 2025
• Table 3-6: Examples of Marketed OTC Products in Asia-Pacific and Africa
(Product Name by Type and Marketer)
• Table 3-7: Asia-Pacific/Africa OTC Market as a Percentage of World Market,
2009 and 2014
• Figure 3-5: Asia-Pacific/Africa OTC Market as a Percentage of World Market,
2009
• Figure 3-6: Asia-Pacific/Africa OTC Market as a Percentage of World Market,
2014
• Table 3-8: Asia-Pacific/Africa OTC Market Analysis, 2005-2014
• Figure 3-7: Asia-Pacific/Africa OTC Market Analysis: 2005-2014
• Table 3-10: Asia-Pacific/Africa OTC Market Analysis by Product Segment, 2005-
2014
• Figure 3-8: Asia-Pacific/Africa OTC Market Analysis by Product Segment, 2005-
2014
• Figure 3-9: Asia-Pacific/Africa OTC Market Analysis by Product Segment, 2009
• Table 3-12: Asia-Pacific/Africa OTC Market Analysis by Selected Country, 2009
• Figure 3-10: Asia-Pacific/Africa OTC Market Analysis by Selected Country, 2009
CHAPTER FOUR: OTC MARKETS IN EUROPE
• Table 4-1: Total Midyear Population by the Five Most Populated Countries in
Europe, 2005-2009

7. • Figure 3-1: Total Midyear Population by the Five Most Populated Countries in
Europe, 2005, 2015, and 2025
• Table 4-4: Examples of Marketed OTC Products in Europe (Product Name by
Type and Marketer)
• Table 4-5: European OTC Market as a Percentage of World Market, 2009 and
2014
• Figure 4-3: European OTC Market as a Percentage of World Market, 2009
• Figure 4-4: European OTC Market as a Percentage of World Market, 2014
• Table 4-6: European OTC Market Analysis, 2005-2014
• Figure 4-5: European OTC Market Analysis: 2005-2014
• Table 4-8: European OTC Market Analysis, Markets by Product Segment, 2005-
2014
• Figure 4-6: European OTC Market Analysis, Markets by Product Segment, 2005-
2014
• Figure 4-7: European OTC Market Analysis by Product Segment, 2009
• Table 4-10: European OTC Market Analysis by Selected Country, 2009
• Figure 4-8: European OTC Market Analysis by Selected Country, 2009
CHAPTER FIVE: OTC MARKETS IN NORTH AMERICA
• Table 5-1: Total Midyear Population by the Five Most Populated Countries in
North America, 2005-2025
• Figure 5-1: Total Midyear Population by the Five Most Populated Countries in
North America, 2005, 2015, and 2025
• Table 5-4: Examples of Marketed OTC Products in North America (Product
Name by Type and Marketer
• Table 5-5: North American OTC Market as a Percentage of World Market, 2009
and 2014
• Figure 5-3: North American OTC Market as a Percentage of World Market, 2009
• Figure 5-4: North American OTC Market as a Percentage of World Market, 2014
• Table 5-6: North American OTC Market Analysis, 2005-2014
• Figure 5-5: North American OTC Market Analysis: 2005-2014
• Table 5-8: North American OTC Market Analysis by Product Segment, 2005-
2014
• Figure 5-6: North American OTC Market Analysis by Product Segment, 2005-
2014
• Figure 5-7: North American OTC Market Analysis by Product Segment, 2009
• Table 5-10: North American OTC Market Analysis by Selected Country, 2009
• Figure 5-8: North American OTC Market Analysis by Selected Country, 2009
CHAPTER SIX: OTC MARKETS IN SOUTH AMERICA
• Table 6-1: Total Midyear Population by the Five Most Populated Countries in
South America, 2005-2025
• Figure 6-1: Total Midyear Population by the Five Most Populated Countries in
South America, 2005, 2015, and 2025

8. • Table 6-4: Examples of Marketed OTC Products in South America (Product
Name by Type and Marketer)
• Table 6-5: South American OTC Market as a Percentage of World Market, 2009
and 2014
• Figure 6-3: South American OTC Market as a Percentage of World Market, 2009
• Figure 6-4: South American OTC Market as a Percentage of World Market, 2014
• Table 6-6: South American OTC Market Analysis, 2005-2014
• Figure 6-5: South American OTC Market Analysis: 2005-2014
• Table 6-8: South American OTC Market Analysis by Product Segment, 2005-
2014
• Figure 6-6: South American OTC Market Analysis by Product Segment, 2005-
2014
• Figure 6-7: South American OTC Market Analysis by Product Segment, 2009
• Table 6-10: South American OTC Market Analysis by Selected Country, 2009
• Figure 6-8: South American OTC Market Analysis by Selected Country, 2009
CHAPTER SEVEN: SUMMARY OF WORLD OTC MARKETS
• Table 7-1: Total World OTC Market Analysis, 2005-2014
• Figure 7-1: Total World OTC Market Analysis: 2005-2014
• Table 7-3: Total World OTC Market Analysis, Markets by Product Segment,
2005-2014
• Figure 7-2: Total World OTC Market Analysis, Markets by Product Segment,
2005-2014
• Figure 7-3: Total World OTC Market Analysis by Product Segment, 2009
• Figure 7-4: Total World OTC Market Analysis by Product Segment, 2014
• Table 7-5: Top Ten World OTC Markets by Country, 2009
• Figure 7-5: Top Ten World OTC Markets by Country, 2009
CHAPTER EIGHT: LEADING OTC MANUFACTURERS
• Table 8-1: Leading Suppliers Shares of the OTC Market by Estimated
Revenues—2007, 2008, and 2009
• Figure 8-1: Leading Suppliers Shares of the OTC Market, 2007
• Figure 8-2: Leading Suppliers Shares of the OTC Market, 2008
• Figure 8-3: Leading Suppliers Shares of the OTC Market, 2009
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