North America Opioids Market Size, Share & Trends Analysis Report By Product (IR/Short-acting, ER/Long-acting), By Application (Pain Relief, Anesthesia,Cough Suppression), By Region, And Segment- Industry Analysis, Share, Growth, Regional Outlook and Forecasts, 2023-2032

The North America opioids market size was estimated at USD 15.60 billion in 2022 and is expected to surpass around USD 17.06 billion by 2032 and poised to grow at a compound annual growth rate (CAGR) of 0.9% during the forecast period 2023 to 2032.

North America Opioids Market Size, 2023 to 2032

Key Takeaways:

  • The pain relief segment dominated the market with the largest revenue share in 2022.
  • The ER/long-acting opioids segment dominated the market with the highest revenue share of 54.8% in 2022 and is expected to grow at the fastest CAGR of 1.1% over the forecast period.
  • The U.S. dominated the market with the highest revenue share of 96.6% in 2022.
  • The other hand, Canada is expected to grow at the fastest growth rate of 1.2% over the forecast period

North America Opioids Market Report Scope

Report Attribute Details
Market Size in 2023 USD 15.74 Billion
Market Size by 2032 USD 17.06 Billion
Growth Rate From 2023 to 2032 CAGR of 0.9%
Base Year 2022
Forecast Period 2023 to 2032
Segments Covered Product, Application, Region
Market Analysis (Terms Used) Value (US$ Million/Billion) or (Volume/Units)
Report Coverage Revenue forecast, company ranking, competitive landscape, growth factors, and trends
Key Companies Profiled Purdue Pharma L.P.; Janssen Global Services, LLC; Hikma Pharmaceuticals PLC; Pfizer Inc.; AbbVie Inc.; Sanofi; Sun Pharmaceutical Industries Ltd.; Mallinckrodt Pharmaceuticals; Endo Pharmaceuticals; Teva Pharmaceutical Industries

 

The demand for opioids in the North America region has witnessed significant growth over the years, primarily fueled by several factors including the need for managing acute and chronic pain, facilitating post-surgical pain management, and supporting palliative care. Moreover, the increasing incidence of chronic pain conditions, such as cancer-related pain, osteoarthritis, and lower back pain, has significantly contributed to the demand for opioids in the region.The increasing incidence of orthopedic diseases, rise in disposable income, growing geriatric population, and presence of key market players in the region are some of the major factors driving the market growth.

The COVID-19 pandemic had a significant impact on the market influencing demand and altering patterns of usage. The heightened stress, anxiety, and emotional distress experienced during the pandemic contributed to an increased need for pain management medications, including opioids, as individuals endured physical and psychological discomfort. Consequently, there was a sustained or elevated utilization of opioids for pain relief. On the other hand, the pandemic also disrupted healthcare systems and impeded access to medical services, resulting in changes in prescribing practices and patient behavior.

Imposed restrictions on elective surgeries, reduced in-person healthcare visits, and the shift toward telemedicine led to a decrease in new opioid prescriptions and a decline in opioid consumption among patients. The pandemic also highlighted the need for the promotion of safe and limited use of opioid medication among individuals with heightened mental stress. The non-medical utilization and misuse of opioids have a substantial influence on the market. This has resulted in the rise of an opioid crisis due to escalating addiction rates, overdose incidents, and associated fatalities. Consequently, there has been a heightened awareness regarding the risks connected with opioid usage.

In response, regulatory interventions, prescribing guidelines, and public health initiatives have been implemented to address the issue of opioid misuse. This has precipitated a transformation in the demand landscape for opioids in North America, with a greater emphasis on striking a balance between effective pain management and mitigating the risks of addiction and misuse. Healthcare providers and policymakers are increasingly directing their attention toward alternative strategies for pain management, such as non-opioid medications, physical therapy, and behavioral interventions. Moreover, the market has witnessed a growing demand for abuse-deterrent formulations and the development of novel opioid formulations that possess reduced abuse potential or incorporate naloxone, an opioid antagonist used for overdose reversal.

These trends reflect the evolving efforts to address the challenges posed by opioid misuse and underscore the significance of implementing measures to promote safer opioid use and reduce associated harms. Apart from their use as analgesics, opioids are extensively used as cough suppressants and as anti-diarrheal medicines. Opioids include the compounds, which are extracted from poppy seeds as well as synthetic and semisynthetic compounds, which can interact with opioid receptors in the brain to create morphine-like effects. The primary use of opioids is pain relief, including anesthesia. Opioids are also used in anti-diarrheal medicines. Furthermore, the presence of strong drug pipelines with improved and efficacious drugs awaiting their FDA approvals is anticipated to further enhance the adoption of opioid-based medications.

Application Insights

Based on application, the market is further segmented into anesthesia, pain relief, cough suppression, de-addiction, and diarrhea suppression. The pain relief segment has been further sub-segmented into cancer pain, post-operative care, lower back pain, orthopedic, neuropathic, and fibromyalgia. The pain relief segment dominated the market with the largest revenue share in 2022. This can be attributed to the increased demand for opioids for the management of postoperative pain. According to the National Library of Medicine (2020), globally, around 310 million surgeries are performed annually, out of which 40 to 50 million surgeries are performed in the U.S.

Thus, an increasing number of surgical operations, consequently, augment the demand for medicines to manage post-operative pain. The anesthesia segment is estimated to register the fastest growth rate during the forecast period. Intravenous opioids are commonly used to provide analgesia and supplement sedation during general anesthesia. Thus, the increasing practices of anesthesia are anticipated to boost the demand for intravenous opioids, thereby, driving the overall market growth.

Product Insights

Based on product, the market has been segmented into IR/short-acting and ER/long-acting opioids. The ER/long-acting opioids segment dominated the market with the highest revenue share of 54.8% in 2022 and is expected to grow at the fastest CAGR of 1.1% over the forecast period. Major determinants responsible for the growth of this segment include the presence of a strong drug pipeline including drugs, such as hydrocodone bitartrate ER tablets from Purdue Pharma L.P. Furthermore, the high prices attached to the ER formulations and the greater market penetration of the pain management and anesthesia drugs are the factors influencing the segment growth.

Some of the commonly prescribed ER/long-acting opioids include oxycodone, hydrocodone, methadone, fentanyl, morphine, and oxymorphone. Fentanyl is a synthetic opioid approved for treating severe chronic pain that arises in advanced-stage cancer patients. According to the Centers for Disease Control and Prevention (CDC), about six in ten people in the U.S. suffer from chronic diseases, such as cancer, stroke, cardiovascular diseases, and diabetes. Patients with these chronic diseases witness severe pain, consequently, increasing the demand for extended-release tablets for pain relief. Thus, the rising incidence of chronic diseases is expected to fuel segment growth.

Regional Insights

The U.S. dominated the market with the highest revenue share of 96.6% in 2022. The dominance of the country is mainly attributed to the growing elderly population with a higher prevalence of chronic conditions and the increasing approval of opioid-based medicines to meet the rising unmet medical needs in the region. For instance, in May 2020, Hikma Pharmaceuticals launched a generic version of Buprenex, Buprenorphine Hydrochloride Injection; in the U.S. Buprenex is a prescription opioid for the treatment of patients with moderate to severe pain.

This injection helps in severe pain management. It costs around USD 89 for a 5mL solution of injection administrated intravenously. On the other hand, Canada is expected to grow at the fastest growth rate of 1.2% over the forecast period owing to the demand arising from the increasing prevalence of various pain-related conditions, such as cancer-related pain, musculoskeletal disorders, and post-operative pain. In addition, the growing aging population in Canada has further contributed to the demand for opioids.

Key Companies & Market Share Insights

Major players in the market are adopting strategies, such as mergers, acquisitions, partnerships, and product launches, for regional expansion and an extended reach. For instance, in August 2022, Adalvo Ltd., a multinational pharmaceutical company, announced the acquisition of Onsolis, a branded opioid product from a reputed U.S.-based specialty pharmaceutical company. The product is an opioid analgesic indicated for the management of persistent pain in cancer patients who have previously received and developed tolerance to opioid therapy for their underlying cancer pain. This acquisition strengthened the company’s opioid product portfolio and offers a high growth opportunity in North America. Some of the prominent players in the North America opioids market include:

  • Purdue Pharma L.P.
  • Janssen Global Services, LLC
  • Hikma Pharmaceuticals PLC
  • Pfizer Inc.
  • AbbVie Inc.
  • Sanofi
  • Sun Pharmaceutical Industries Ltd.
  • Mallinckrodt Pharmaceuticals
  • Endo Pharmaceuticals
  • Teva Pharmaceutical Industries

Segments Covered in the Report

This report forecasts revenue growth at country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2018 to 2032. For this study, Nova one advisor, Inc. has segmented the North America Opioids market.

By Product 

  • Immediate Release/Short-acting Opioids
    • Codeine
    • Oxycodone
    • Hydrocodone
    • Fentanyl
    • Morphine
    • Hydroxymorphone
    • Oxymorphone
    • Propoxyphene
    • Others
  • Extended Release/Long-acting Opioids
    • Oxycodone
    • Hydrocodone
    • Methadone
    • Fentanyl
    • Morphine
    • Oxymorphone
    • Tapentadol
    • Buprenorphine
    • Hydromorphone
    • Others

By Application 

  • Pain Relief
    • Cancer pain
    • Post-Operative Care
    • Lower Back Pain
    • Orthopedic
    • Neuropathic
    • Fibromyalgia
  • Anesthesia
    • Cough Suppression
    • Diarrhea Suppression
    • De-Addiction

By Regional 

  • North America
    • U.S.
    • Canada

Frequently Asked Questions

The North America opioids market size was estimated at USD 15.60 billion in 2022 and is expected to surpass around USD 17.06 billion by 2032

The global North America opioids market is expected to grow at a compound annual growth rate of 0.9% from 2023 to 2032

Some key players operating in the North America opioids market include Purdue Pharma L.P., Allergan Plc (Actavis), Pfizer, Inc., Janssen Pharmaceuticals, Inc., and Egalet Corporation.

Key factors that are driving the North America opioids market growth include continually growing geriatric population prone to developing incurable and irreversible conditions, the rising penetration of generics coupled with the growing healthcare expenditure levels.

Chapter 1. Methodology and Scope
                   1.1. Market Segmentation & Scope
                       1.1.1. Product
                       1.1.2. Application
                       1.1.3. Regional scope
                       1.1.4. Estimates and forecast timeline
                   1.2. Research Methodology
                   1.3. Information Procurement
                       1.3.1. Purchased database
                       1.3.2. Nova one advisor internal database
                       1.3.3. Secondary sources
                       1.3.4. Primary research
                       1.3.5. Details of primary research
                   1.4. Information or Data Analysis
                   1.5. Market Formulation & Validation
                   1.6. Model Details
                   1.7. List of Secondary Sources
                   1.8. List of Primary Sources
                   1.9. Objectives
Chapter 2. Executive Summary
                   2.1. Market Outlook
                   2.2. Segment Outlook
                       2.2.1. Product outlook
                       2.2.2. Application outlook
                       2.2.3. Regional outlook
                   2.3. Competitive Insights
Chapter 3. North America Opioids Market Variables, Trends & Scope
                   3.1. Market Lineage Outlook
                       3.1.1. Parent market outlook
                       3.1.2. Related/ancillary market outlook
                   3.2. Penetration & Growth Prospect Mapping
                   3.3. Market Dynamics
                       3.3.1. Market driver analysis
                       3.3.2. Market restraint analysis
                   3.4. North America Opioids Market Analysis Tools
                       3.4.1. Industry Analysis - Porter’s
                           3.4.1.1. Supplier power
                           3.4.1.2. Buyer power
                           3.4.1.3. Substitution threat
                           3.4.1.4. Threat of new entrant
                           3.4.1.5. Competitive rivalry
                       3.4.2. PESTEL Analysis
                           3.4.2.1. Political landscape
                           3.4.2.2. Technological landscape
                           3.4.2.3. Economic landscape
Chapter 4. North America Opioids: Product Estimates & Trend Analysis
                   4.1. North America Opioids Market: Key Takeaways
                   4.2. North America Opioids Market: Movement & Market Share Analysis, 2023 to 2032
                   4.3. Immediate Release/ Short-acting Opioids
                       4.3.1. Immediate release/ Short acting opioids market estimates and forecasts, 2020 to 2032
                       4.3.2. Codeine
                           4.3.2.1. Codeine market estimates and forecasts, 2020 to 2032
                       4.3.3. Oxycodone
                           4.3.3.1. Oxycodone market estimates and forecasts, 2020 to 2032
                       4.3.4. Hydrocodone
                           4.3.4.1. Hydrocodone market estimates and forecasts, 2020 to 2032
                       4.3.5. Fentanyl
                           4.3.5.1. Fentanyl market estimates and forecasts, 2020 to 2032
                       4.3.6. Morphine
                           4.3.6.1. Morphine market estimates and forecasts, 2020 to 2032
                       4.3.7. Hydroxymorphone
                           4.3.7.1. Hydroxymorphone market estimates and forecasts, 2020 to 2032
                       4.3.8. Oxymorphone
                           4.3.8.1. Oxymorphone market estimates and forecasts, 2020 to 2032
                       4.3.9. Propoxyphene
                           4.3.9.1. Propoxyphene market estimates and forecasts, 2020 to 2032
                       4.3.10. Others
                           4.3.10.1. Others market estimates and forecasts, 2020 to 2032
                   4.4. Extended Release/Long-acting Opioids
                       4.4.1. Extended release/Long-acting opioids market estimates and forecasts, 2020 to 2032
                       4.4.2. Oxycodone
                           4.4.2.1. Oxycodone market estimates and forecasts, 2020 to 2032
                       4.4.3. Hydrocodone
                           4.4.3.1. Hydrocodone market estimates and forecasts, 2020 to 2032
                       4.4.4. Methadone
                           4.4.4.1. Methadone market estimates and forecasts, 2020 to 2032
                       4.4.5. Fentanyl
                           4.4.5.1. Fentanyl market estimates and forecasts, 2020 to 2032
                       4.4.6. Morphine
                           4.4.6.1. Morphine market estimates and forecasts, 2020 to 2032
                       4.4.7. Oxymorphone
                           4.4.7.1. Oxymorphone market estimates and forecasts, 2020 to 2032
                       4.4.8. Tapentadol
                           4.4.8.1. Tapentadol market estimates and forecasts, 2020 to 2032
                       4.4.9. Buprenorphine
                           4.4.9.1. Buprenorphine market estimates and forecasts, 2020 to 2032
                       4.4.10. Hydromorphone
                           4.4.10.1. Hydromorphone market estimates and forecasts, 2020 to 2032
                       4.4.11. Others
                           4.4.11.1. Others market estimates and forecasts, 2020 to 2032
Chapter 5. North America Opioids Market: Application Estimates & Trend Analysis
                   5.1. North America Opioids Market: Key Takeaways
                   5.2. North America Opioids Market: Movement & Market Share Analysis, 2023 to 2032
                   5.3. Pain Relief
                       5.3.1. Pain relief market estimates and forecasts, 2020 to 2032
                       5.3.2. Cancer Pain
                           5.3.2.1. Cancer pain market estimates and forecasts, 2020 to 2032
                       5.3.3. Post-Operative Care
                           5.3.3.1. Post-operative care market estimates and forecasts, 2020 to 2032
                       5.3.4. Lower Back Pain
                           5.3.4.1. Lower back pain market estimates and forecasts, 2020 to 2032
                       5.3.5. Orthopedic
                           5.3.5.1. Orthopedic market estimates and forecasts, 2020 to 2032
                       5.3.6. Neuropathic
                           5.3.6.1. Neuropathic market estimates and forecasts, 2020 to 2032
                       5.3.7. Fibromyalgia
                           5.3.7.1. Fibromyalgia market estimates and forecasts, 2020 to 2032
                   5.4. Anesthesia
                       5.4.1. Anesthesia market estimates and forecasts, 2020 to 2032
                   5.5. Cough Suppression
                       5.5.1. Cough suppression market estimates and forecasts, 2020 to 2032
                   5.6. Diarrhea Suppression
                       5.6.1. Diarrhea suppression market estimates and forecasts, 2020 to 2032
                   5.7. De-addiction
                       5.7.1. De-addiction market estimates and forecasts, 2020 to 2032
Chapter 6. North America Opioids Market: Regional Estimates & Trend Analysis
                   6.1. Regional Outlook
                   6.2. North America Opioids Market by Region: Key Marketplace Takeaway
                   6.3. North America
                       6.3.1. Market estimates and forecasts, 2020 to 2032
                       6.3.2. U.S.
                           6.3.2.1. Market estimates and forecasts, 2020 to 2032
                       6.3.3. Canada
                           6.3.3.1. Market estimates and forecasts, 2020 to 2032
Chapter 7. Competitive Landscape
                   7.1. Recent Developments & Impact Analysis, By Key Market Participants
                   7.2. Market Participant Categorization
                       7.2.1. Purdue Pharma L.P.
                           7.2.1.1. Company overview
                           7.2.1.2. Financial performance
                           7.2.1.3. Product benchmarking
                           7.2.1.4. Strategic initiatives
                       7.2.2. Janssen Global Services, LLC
                           7.2.2.1. Company overview
                           7.2.2.2. Financial performance
                           7.2.2.3. Product benchmarking
                           7.2.2.4. Strategic initiatives
                       7.2.3. Hikma Pharmaceuticals PLC
                           7.2.3.1. Company overview
                           7.2.3.2. Financial performance
                           7.2.3.3. Product benchmarking
                           7.2.3.4. Strategic initiatives
                       7.2.4. Pfizer Inc.
                           7.2.4.1. Company overview
                           7.2.4.2. Financial performance
                           7.2.4.3. Product benchmarking
                           7.2.4.4. Strategic initiatives
                       7.2.5. AbbVie Inc.
                           7.2.5.1. Company overview
                           7.2.5.2. Financial performance
                           7.2.5.3. Product benchmarking
                           7.2.5.4. Strategic initiatives
                       7.2.6. Sanofi
                           7.2.6.1. Company overview
                           7.2.6.2. Financial performance
                           7.2.6.3. Product benchmarking
                           7.2.6.4. Strategic initiatives
                       7.2.7. Sun Pharmaceutical Industries Ltd.
                           7.2.7.1. Company overview
                           7.2.7.2. Financial performance
                           7.2.7.3. Product benchmarking
                           7.2.7.4. Strategic initiatives
                       7.2.8. Mallinckrodt Pharmaceuticals
                           7.2.8.1. Company overview
                           7.2.8.2. Financial performance
                           7.2.8.3. Product benchmarking
                           7.2.8.4. Strategic initiatives
                       7.2.9. Endo Pharmaceuticals
                           7.2.9.1. Company overview
                           7.2.9.2. Financial performance
                           7.2.9.3. Product benchmarking
                           7.2.9.4. Strategic initiatives
                       7.2.10. Teva Pharmaceutical Industries
                           7.2.10.1. Company overview
                           7.2.10.2. Financial performance
                           7.2.10.3. Product benchmarking
                           7.2.10.4. Strategic initiatives

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