James Dudley Management

James Dudley Management

Facts About The European Healthcare Market

The European market for medicines and supplements not requiring a doctor's prescription (so called non-prescription products) is estimated to be worth €36 billion in 2013 at consumer prices. This represents over a third of the global market. Medicines bought without a prescription are defined as OTC self-medication and these account for about €28 billion in 2013.

Value Sales Trend Non-prescription Medicines - Europe 2009 to 2014

Consumer purchases of medicines not requiring a prescription are mainly bought over-the-counter (OTC) in Europe for self medication although a little under 20% are acquired through a doctors' prescription and may in some States be reimbursed.

However, the proportion of so called non-prescription medicines acquired by prescription has declined by 13% since 2009 and the ratio of consumer OTC purchases and prescription business has reduced from 24% to 18%. This has largely been due to governments progressively excluding these products from reimbursement, strategic decisions by manufacturers to focus entirely on building consumer demand and in many cases product obsolescence.

YearOTC Self-medicationBought with Prescription
20092476
20102377
20112278
20122080
20131981
20141882

Cough and cold OTC medicines make up the largest therapeutic category of non-prescription medicines in Europe, with 20% share, followed by analgesics with 13%, digestive remedies with 11% share and vitamins, minerals and supplements with 9% share.

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% Share of European OTC Self medication Market by Therapeutic Category

CategoryPercentage
Respiratory20%
Analgesics13%
Digestive Remedies13%
Skincare10%
VMS9%
Others35%

Source: AESGP 2013 based on National Statistics

The top ten consumer healthcare companies marketing OTC self medication and related care products represent around a third of the European market. These include Novartis Consumer Health, Sanofi Aventis, Bayer, J&J, GlaxoSmithKline, Reckitt, Benckiser, Teva, Boehringer Ingelheim, BMS and Stada.

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% Share of European OTC Self medication Market by Leading Consumer Healthcare Companies

Europe’s Leading Non-prescription Medicines Manufacturers’ % Market Share

Companies% Market Share
Novartis6.7
Sanofi4.8
Bayer4.7
J&J4.1
GSK3.1
Reckitt B2.5
Teva2.4
Boheringer I2.2
BMS1.7
Stada1.5
Top 1033.7

Source: IMS Health 2012

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Europe - Number of Pharmacies by Country and Population served per Pharmacy

There are approximately 172,400 pharmacies in Europe of which 157,300 are located in the 19 major European pharmacy markets covered in James Dudley Management's study - OTC Distribution in Europe, an industry standard report which has been running since 1992 and now in its eighth edition

Number of Pharmacies in Europe’s Main Markets Compared to the Populations they Serve

CountryNumber of PharmaciesPopulation per Pharmacy
Austria1,3106,454
Belgium5,0172,204
Bulgaria3,9321,858
Czech2,4894,268
Denmark31417,786
Finland8146,649
France22,5822,901
Germany20,9213,915
Hungary3,1503,158
Italy18,0393,293
Netherlands1,9828,463
Norway7466,684
Poland12,2003,158
Romania6,9003,092
Russia*52,6862,713
Slovakia1,8242,992
Slovenia3196,444
Spain21,4582,203
Sweden1,2837,411
Switzerland1,7404,581
Ukraine14,8633,075
UK14,1815,008
22 Countries under Study208,7503,238
Greece11,0001,000
Ireland1,4003,000
Portugal12,6903,695
Austria12,6906,454
Total224,0293,520

Source: OTC Distribution in Europe - 2014 edition - Meeting the New Challenges

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Common Ailments treated with Self-medication in Europe's main markets

France

Ailment% Adult Population Suffering% Sufferers Treating with an OTC Medicine
Respiratory Ailments
Cough27.143.8
Nasal Congestion12.315.4
Sore Throat24.847.5
Pain Relief
Back Pain41.922.0
Cramp21.017.6
Migraine19.252.4
Mouth Ulcers8.646.1
Muscle & Joint34.825.0
Toothache18.423.5
Digestive Remedies
Diarrhoea8.532.9
Heartburn16.732.9
Indigestion8.826.4
Irritable Bowel6.88.9
Skin Care
Acne5.345.2
Allergic Rash7.523.5
Athlete's Foot1.630.0
Dandruff6.255.6
Eczema5.514.1
Insect Bites13.732.5
Other Ailments
Trapped Wind11.030.5
Bad Breath10.36.1
Ear Wax3.427.8
Eye Infections7.023.2
Sleeplessness30.711.1
Cystitis*2.911.1
Haemorrhoids5.939.1
Menopause6.033.1
Period Pain*13.237.8
High blood pressure14.69.6
Stress23.011.6
Travel Sickness2.720.0
Obesity17.814.5
Osteoporosis2.10.0
Varicose Veins7.314.3

Source: Edited by James Dudley Management - OTC Distribution in Europe 2012 edition

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Germany

 % Adult Population Suffering% Sufferers Treating with an OTC Medicine
Respiratory Ailments
Cough21.357.9
Nasal Congestion9.376.6
Sore Throat15.553.7
Pain Relief
Back Pain28.650.5
Cramp5.751.9
Migraine5.375.7
Mouth Ulcers1.095.9
Muscle & Joint15.438.1
Toothache12.661.66
Digestive Remedies
Diarrhoea6.636.4
Heartburn9.744.5
Indigestion5.048.0
Irritable Bowel3.332
Skin Care
Acne2.243.3
Allergic Rash4.944.4
Athlete's Foot3.486.1
Dandruff1.852.5
Eczema1.330.2
Insect Bites11.052.0
Other Ailments
Trapped Wind2.544.7
Bad Breath4.057.4
Ear Wax0.447.2
Eye Infections2.234.1
Sleeplessness10.323.7
Cystitis*2.645.9
Haemorrhoids2.834.4
Menopause3.330.9
Period Pain*8.247.0
High blood pressure10.319.4
Stress12.320.4
Travel Sickness1.086.9
Obesity12.16.0
Osteoporosis2.415.9
Varicose Veins3.530.3

Source: Edited by James Dudley Management - OTC Distribution in Europe 2012 edition

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Italy

 % Adult Population Suffering% Sufferers Treating with an OTC Medicine
Respiratory Ailments
Cough26.357.3
Nasal Congestion11.147.2
Sore Throat28.860.2
Pain Relief
Back Pain12.050.3
Cramp8.123.7
Migraine14.770.3
Mouth Ulcers0.473.3
Muscle & Joint6.840.0
Toothache12.450.6
Digestive Remedies
Diarrhoea3.827.1
Heartburn12.444.3
Indigestion7.335.6
Irritable Bowel3.546.7
Skin Care
Acne1.969.8
Allergic Rash1.841.8
Athlete's Foot0.432.3
Dandruff3.045.8
Eczema1.18.2
Insect Bites7.451.9
Other Ailments
Trapped Wind2.440.4
Bad Breath2.532.4
Ear Wax1.824.8
Eye Infections4.449.9
Sleeplessness7.614.0
Cystitis*1.871.7
Haemorrhoids2.371.0
Menopause7.318.1
Period Pain*9.948.5
High blood pressure12.738.9
Stress4.216.5
Travel Sickness0.578.8
Obesity8.16.4
Osteoporosis3.632.2
Varicose Veins2.734.6

Source: Edited by James Dudley Management - OTC Distribution in Europe 2012 edition

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Spain

 % Adult Population Suffering% Sufferers Treating with an OTC Medicine
Respiratory Ailments
CoughN/AN/A
Nasal Congestion24.844.4
Sore ThroatN/AN/A
Pain Relief
Back Pain31.028.7
Cramp7.819.9
MigraineN/AN/A
Mouth Ulcers2.222.6
Muscle & Joint23.220.6
Toothache8.247.3
Digestive Remedies
DiarrhoeaN/AN/A
HeartburnN/AN/A
Indigestion4.938.7
Irritable Bowel2.547.3
Skin Care
Acne2.552.2
Allergic Rash5.727.7
Athlete's Foot0.743.8
Dandruff4.043.4
EczemaN/AN/A
Insect Bites6.136.3
Other Ailments
Trapped Wind6.314.9
Bad Breath0.950.4
Ear Wax2.116.0
Eye Infections4.328.1
SleeplessnessN/AN/A
Cystitis*0.831.1
Haemorrhoids2.118.1
Menopause3.64.2
Period Pain*19.436.0
High blood pressure4.550.7
Stress9.73.0
Travel Sickness7.55.3
Obesity8.415.0
Osteoporosis2.710.0
Varicose VeinsN/AN/A

Source: Edited by James Dudley Management - OTC Distribution in Europe 2012 edition

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United Kingdom

 % Adult Population Suffering% Sufferers Treating with an OTC Medicine
Respiratory Ailments
Cough20.152.4
Nasal Congestion9.249
Sore Throat2047.1
Pain Relief
Back Pain25.135.5
Cramp1015.5
Migraine8.441.7
Mouth Ulcers8.252.6
Muscle & Joint15.822.6
Toothache12.432.8
Digestive Remedies
Diarrhoea7.326.7
Heartburn12.358
Indigestion14.560.4
Irritable Bowel4.815.7
Skin Care
Acne1.848.2
Allergic Rash527
Athlete's Foot4.377.4
Dandruff6.653.8
Eczema3.927.5
Insect Bites6.966.2
Other Ailments
Trapped Wind6.440.9
Bad Breath1.529.8
Ear Wax4.429.8
Eye Infections6.232.6
Sleeplessness1713.5
Cystitis*1.730.3
Haemorrhoids1.716
Menopause2.313.4
Period Pain*12.945.9
High blood pressure14.718.8
Stress15.515.5
Travel Sickness3.230.6
Obesity128.9
Osteoporosis1.219.4
Varicose Veins3.92.7

Source: Edited by James Dudley Management - OTC Distribution in Europe 2012 edition

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* Adult female only