Europe OTC Drugs Market size to reach USD 90.8 billion by 2034

Published Date: September 2025

Selbyville, DE. - Europe over the counter (OTC) drugs market was estimated at USD 53.5 billion in 2024 and is expected to grow from USD 55.5 billion in 2025 to USD 90.8 billion by 2034, at a CAGR of 5.6%, according to the latest report published by Global Market Insights Inc. 

Europe has one of the world’s oldest populations. As people age, they often deal with chronic but manageable health conditions (e.g., joint pain, insomnia, digestive issues) that can be treated with OTC medications. This demographic shift steadily increases demand.

Key Insights:

Market Size & Growth:

  • 2024 Market Size: USD 53.5 billion
  • 2025 Market Size: USD 55.5 billion
  • 2034 Forecast Market Size: USD 90.8 billion
  • CAGR (2025–2034): 5.6%

Regional Insights:

  • Largest Market: Germany
  • Fastest Growing Market: UK
  • Emerging Countries: Netherlands, Italy, Spain, Poland

Key Growth Drivers:

  1. Healthcare cost containment: European governments are under pressure to reduce public healthcare spending.
  2. Regulatory support for Rx-to-OTC switches: European regulatory bodies have increasingly allowed prescription drugs to be reclassified as OTC, provided safety is established.
  3. Consumer health awareness: Europeans are becoming more proactive about their health, driven by better access to information and health education.
  4. Expansion of pharmacy chains and online channels: Consolidation in the pharmacy sector and the rise of online pharmacy platforms have improved access to OTC drugs across Europe.
  5. Seasonal and lifestyle-driven demand: Demand for OTC drugs in Europe often spikes seasonally, like cold/flu treatments in winter and allergy relief in spring.

Key Players:

  • Haleon led the market with over 5% share in 2024.
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  • Some of the top players in this market include Reckitt, Kenvue, Sanofi, Haleon, Bayer, Procter & Gamble Company, which together held a 21.5% share in 2024.

Key Challenges

  1. Strict regulatory variability across countries: Europe lacks full harmonization in OTC drug approvals and classifications, making cross-border marketing complex and costly.
  2. Limited consumer trust in self-medication: In some countries, consumers still prefer doctor consultations over self-treatment, slowing OTC adoption.
  3. Pharmacy-centric distribution: Many European markets restrict OTC sales to pharmacies only, limiting broader retail access and e-commerce potential.
  4. Pricing and reimbursement pressures: Although many OTC drugs are not reimbursed, governments still influence pricing indirectly, pressuring margins.
  5. Competition from generics and private labels: Retailers and pharmacies are increasingly promoting cheaper private-label alternatives, squeezing branded OTC products.

Browse key industry insights spread across 110 pages with 80 market data tables and figures from the report, Europe Over the Counter (OTC) Drugs Market - By Drug Category, By Formulation Type, By Distribution Channel - Forecast, 2025 - 2034 in detail, along with the table of contents:

https://www.gminsights.com/industry-analysis/europe-over-the-counter-drugs-market

Increasing Prevalence of Cold and Cough Remedies

The cold and cough remedies segment held a significant share in 2024, driven by seasonal fluctuations, rising air pollution, and consumer preference for quick symptom relief. Consumers increasingly seek multi-symptom relief solutions, pushing brands to innovate with combination products that target sore throat, nasal congestion, and dry cough in a single dose.

Rising Consumption of Tablets

The tablets segment generated robust revenues in 2024, owing to their convenience, longer shelf life, and cost-effectiveness. From pain relief to digestive health, tablets dominate across a broad range of indications. Their scalability in manufacturing and ease of packaging also make them ideal for large-scale distribution, especially in value-driven retail settings.

Offline Channel to Gain Traction

The offline channel segment will witness a strong CAGR through 2034, fueled by pharmacies, drugstores, and health shops. While digitalization is on the rise, many consumers still prefer face-to-face consultation with pharmacists before purchasing OTC products, especially in countries like Germany and France, where professional guidance is culturally ingrained in healthcare decisions.

Germany to Emerge as a Propelling Region

Germany over the counter (OTC) drugs market held a sizeable share in 2024, backed by a well-structured pharmacy network and strong consumer inclination toward self-care. German consumers value product quality and often favor herbal or natural alternatives, which has encouraged companies to invest in clean-label and plant-based formulations. Regulatory frameworks are strict but stable, allowing brands to operate with a clear understanding of market boundaries.

Major players in the Europe over the counter (OTC) drugs market are Few of the prominent players operating in the Europe OTC drugs industry include: Glenmark Pharmaceuticals, Sanofi, Taisho Pharmaceutical, Bayer, Haleon, Procter & Gamble Company, Teva Pharmaceutical, Cooper Consumer Health, Cipla, Stada Arzneimittel, Kenvue, Himalaya Wellness Company, Reckitt, Alkem Laboratories, Abbott Laboratories, Dr. Reddy’s Laboratories, Perrigo Company, Piramal Pharma, and Sun Pharma.

To strengthen their position in Europe over the counter drugs market, companies are implementing a mix of product innovation, geographic expansion, and consumer engagement strategies. Many focus on Rx-to-OTC switches to expand their product portfolios with minimal R&D risk. Brand diversification through herbal, vegan, and sugar-free variants is another popular approach, targeting niche consumer segments.

In-store visibility campaigns, strategic retail partnerships, and pharmacist-led promotions are being used to win in the offline channel. Digital marketing is also playing a growing role, with personalized ads, influencer collaborations, and mobile health apps driving direct-to-consumer engagement. In markets like Germany and France, localization of products and messaging is essential to align with cultural expectations and regulatory nuances.

Author: Mariam Faizullabhoy, Gauri Wani