Towards Healthcare
Pain Management Drugs Market to Reach USD 126.17 Bn by 2034

Pain Management Drugs Market 2025 Rising OTC Demand

According to market projections, the pain management drugs sector is expected to grow from USD 84.1 billion in 2024 to USD 126.17 billion by 2034, reflecting a CAGR of 4.14%. The rising prevalence of chronic pain and growing research and development activities drive the global market. North America dominated the market due to the availability of state-of-the-art research and development facilities and the presence of key players.

Category: Therapeutic Area Insight Code: 6212 Format: PDF / PPT / Excel

The global pain management drugs market size is calculated at USD 84.1 billion in 2024, grew to USD 87.58 billion in 2025, and is projected to reach around USD 126.17 billion by 2034. The market is expanding at a CAGR of 4.14% between 2025 and 2034.

Pain Management Drugs Market Size 2024 to 2034

The pain management drugs market is rapidly expanding due to growing research and development activities and the rise of over-the-counter (OTC) medications. Government and private bodies provide funding for conducting research activities. Prominent players collaborate to access advanced technologies and expand their product pipeline. Artificial intelligence (AI) assists researchers in designing and developing novel pain management drugs. The increasing demand for personalized medicines presents future opportunities for market growth.

Key Takeaways

  • Pain management drugs market to crossed USD 84.1 billion by 2024.
  • Market projected at USD 126.17 billion by 2034.
  • CAGR of 4.14% expected in between 2025 to 2034.
  • North America held a major revenue share of the market in 2024.
  • Asia-Pacific is expected to host the fastest-growing market in the coming years.
  • By drug class, the opioids segment dominated the pain management drugs market in 2024.
  • By drug class, the anticonvulsants segment is expected to witness the fastest growth in the market over the forecast period.
  • By indication, the musculoskeletal disorders segment led the market in 2024.
  • By indication, the neuropathic disorders segment is expected to show the fastest growth over the forecast period.
  • By route of administration, the oral segment registered its dominance over the global market in 2024.
  • By route of administration, the transdermal segment is expected to grow with the highest CAGR in the market during the studied years.
  • By distribution channel, the retail pharmacies & drug stores segment accounted for the highest revenue share of the pain management drugs market in 2024.
  • By distribution channel, the online pharmacies segment is expected to expand rapidly in the market in the coming years.
  • By end-user, the hospitals & clinics segment held a dominant revenue share of the market in 2024.
  • By end-user, the specialty pain management centers segment is expected to grow at the fastest CAGR in the market during the forecast period.

Key Indicators and Highlights

Table Scope
Market Size in 2025 USD 87.58 Billion
Projected Market Size in 2034 USD 126.17 Billion
CAGR (2025 - 2034) 4.14%
Leading Region North America
Market Segmentation By Drug Class, By Indication, By Route of Administration, By Distribution Channel, By End-User, By Region
Top Key Players AbbVie Inc., Amgen Inc., AstraZeneca, Bayer AG, Boehringer Ingelheim, Bristol-Myers Squibb, Endo International plc, GlaxoSmithKline (GSK), Grünenthal GmbH, Johnson & Johnson (Janssen Pharmaceuticals), Mallinckrodt Pharmaceuticals, Novartis AG, Pfizer Inc., Teva Pharmaceutical Industries Ltd., Viatris Inc.

What are Pain Management Drugs?

The pain management drugs market refers to the pharmaceutical segment that develops and commercializes medications aimed at reducing or managing acute and chronic pain, also known as analgesics. These drugs are prescribed across multiple indications such as cancer, musculoskeletal disorders, neuropathic pain, post-operative recovery, migraines, and other chronic illnesses. The market spans various drug classes, including opioids, NSAIDs, anticonvulsants, antidepressants, anesthetics, and other non-opioid agents, distributed via hospital, retail, and online pharmacy networks across regions.

FDA Approval: Regulatory agencies like the U.S. Food and Drug Administration (FDA) regulate the approval of pain management drugs.

  • In January 2025, Vertex Pharmaceuticals, Inc. announced that the FDA approved JOURNAVX (suzetrigine) for the treatment of adults with moderate-to-severe acute pain. JOURNAVX is an oral, non-opioid, highly selective NaV1.8 pain signal inhibitor. It is the first new class approved in more than 20 years.

Increasing Investments: Pharmaceutical startups raise funding to develop novel pain management drugs and expand their product pipeline.

  • In December 2024, SiteOne Therapeutics announced that it raised $100 million in funding to conduct clinical trials for its non-opioid drug. The company develops a drug that targets the ion channel, NaV1.8, which has demonstrated its ability to reduce multiple kinds of pain.

How Can AI Transform the Pain Management Drugs Market?

AI can transform the market by designing and developing effective pain management drugs that are tailored to individual needs. It can save time and cost of the complex R&D process. AI and machine learning (ML) algorithms can analyze large datasets and predict pharmacokinetic and pharmacodynamic properties of novel drug candidates. AI can recommend treatment plans, predict treatment outcomes, and identify potential risks. Apart from research, AI and ML can streamline the manufacturing and supply chain process, delivering the right drug to the right patient.

Market Dynamics

Driver

Rising Prevalence of Pain Disorders

The major growth factor for the pain management drugs market is the rising prevalence of acute and chronic pain. This is due to increasing sports injuries, musculoskeletal disorders, or neuropathic pain. It is estimated that 1 in 5 adults suffer from pain globally, and another 1 in 10 adults are diagnosed with chronic pain annually. Acute and chronic pain lead to disability, loss of independence, and poor quality of life. It also poses an economic burden on individuals and healthcare systems, resulting in reduced productivity. These aspects necessitate the timely management of acute and chronic pain.

Restraint

Side Effects

Pain management drugs cause potential side effects, such as constipation, nausea, drowsiness, and slow breathing. This limits the long-term use of pain management drugs, restricting market growth.

Opportunity

What is the Future of the Pain Management Drugs Market?

The market future is promising, driven by the increasing demand for personalized medicines. Scientists focus on developing novel biologics that could offer patients safer and more effective alternatives to currently available treatments. Biologics can be found effective against a wide range of disorders, including cancer, neuropathic pain, and inflammatory pain. Conventional small-molecule drugs have limited efficacy and are unable to penetrate the central nervous system. Biologics are designed based on patients’ conditions and genetic profiles.

Segmental Insights

Which Drug Class Segment Dominated the Pain Management Drugs Market?

By drug class, the opioids segment held a dominant presence in the market in 2024. This is due to the high efficacy of opioids against acute and chronic pain and faster relief. Opioids, such as oxycodone, hydrocodone, and morphine, block pain messages in the brain and boost the feelings of pleasure. Studies have demonstrated that patients with opioids report approximately a 30% decrease in pain from the baseline. Opioids are preferred for managing acute pain during and after surgery.

By drug class, the anticonvulsants segment is expected to grow at the fastest CAGR in the market during the forecast period. Researchers have found the significance of anticonvulsants in managing neuropathic pain caused by damaged nerves. Novel anticonvulsant drugs, such as gabapentin and pregabalin, are emerging as pain-relieving medications with fewer side effects. They are particularly effective in the treatment of post-herpetic neuralgia, diabetic neuropathy, and spinal cord injury.

Why Did the Musculoskeletal Disorders Segment Dominate the Pain Management Drugs Market?

By indication, the musculoskeletal disorders segment held the largest revenue share of the market in 2024. This is due to the rising prevalence of musculoskeletal disorders and the increasing sedentary lifestyles among individuals. Rheumatoid arthritis, low back pain, and osteoarthritis are the most common musculoskeletal disorders, affecting the quality of life of individuals. This is due to the growing geriatric population and post-menopausal women. According to a study published in The Lancet, 619 million people were suffering from low back pain in 2020, and it is projected to reach 843 million by 2050.

By indication, the neuropathic disorders segment is expected to grow with the highest CAGR in the market during the studied years. Neuropathic disorders are caused by nerve damage. Pain management drugs can specifically target and calm the dysfunctional nerves causing abnormal pain signals. Adjuvant pain medications, such as anticonvulsants and antidepressants, are commonly used to treat nerve pain. The increasing prevalence of chronic disorders, such as epilepsy and diabetes, boosts the segment’s growth.

How the Oral Segment Dominated the Pain Management Drugs Market?

By route of administration, the oral segment contributed the biggest revenue share of the market in 2024. The segmental growth is attributed to the ease of administration and the availability of OTC drugs. Oral drugs, such as tablets, capsules, and syrups, are taken by patients of all age groups. The growing demand for non-invasive drug delivery and fewer side effects make oral drugs a suitable choice. Novel delivery systems, including nanocarriers, micelles, cyclodextrins, and lipid-based carriers, alter the delivery of oral drugs.

By route of administration, the transdermal segment is expected to expand rapidly in the market in the coming years. The transdermal route offers targeted delivery of analgesics to the site of action. It is primarily used in conditions where an extended treatment period is required. Transdermal patches eliminate the first-pass metabolism pathway of conventional oral drugs. The drug delivered through these patches is directly circulated in the bloodstream, providing enhanced efficacy and bioavailability.

Which Distribution Channel Segment Led the Pain Management Drugs Market?

By distribution channel, the retail pharmacies & drug stores segment led the market in 2024. This is due to the availability of generic alternatives and OTC drugs. Patients mostly prefer purchasing painkillers from retail pharmacies due to the increasing number of drug stores and the presence of skilled professionals. Pharmacists can guide a patient about the type of analgesic based on conditions and the appropriate dosing regimen. Retail pharmacies offer numerous services, including 24/7 facilities and special discounts.

By distribution channel, the online pharmacies segment is expected to witness the fastest growth in the market over the forecast period. Online pharmacies enable patients to purchase a pain management drug in the comfort of their homes. The increasing geriatric population and the burgeoning e-commerce sector propel the segment’s growth. Online pharmacies offer free home delivery service, special discounts, and virtual consultations.

What Made Hospitals & Clinics the Dominant Segment in the Pain Management Drugs Market?

By end-user, the hospitals & clinics segment accounted for the highest revenue share of the market in 2024. This is due to the increasing number of hospital admissions and favorable infrastructure. Patients mostly prefer hospitals & clinics due to the presence of experts from multidisciplinary fields and favorable reimbursement policies. Hospitals are part of clinical trials, allowing patients to access novel medications before market approval.

By end-user, the specialty pain management centers segment is expected to show the fastest growth over the forecast period. Specialty clinics have suitable capital investment to adopt advanced drugs and devices for pain management. Skilled professionals provide personalized treatment and care to patients. They treat a disease from its root cause and help patients resume their normal lifestyle.

Regional Analysis

Which Factors Contribute to the Pain Management Drugs Market in North America?

North America dominated the global market in 2024. The availability of state-of-the-art research and development facilities, the presence of key players, and a robust healthcare infrastructure are the major growth factors in North America. The growing geriatric population and favorable government support boost the market. The increasing investments and collaborations among key players augment market growth.

U.S. Market Trends

Key players, such as AbbVie, Inc., Bristol Myers Squibb, and Pfizer, Inc., are the major contributors to the market in the U.S. According to the Vintage 2024 Population Estimates, approximately 18% of the total population in the U.S. is 65 years and above. The FDA recently approved a new guidance titled “Development of Non-Opioid Analgesics for Chronic Pain” to accelerate safe and effective non-opioid treatments and reduce prescription-related opioid misuse.

Canada Market Trends

According to the National Initiative for the Care of the Elderly, around 18.9% of the total population was above 65 years in 2024, and is estimated to increase to 24% by 2040. More than 41% of the adult population in Canada uses some type of pain management drug.

Rising Chronic Pain Prevalence Promotes the Asia-Pacific

Asia-Pacific is expected to grow at the fastest CAGR in the pain management drugs market during the forecast period. The rising prevalence of chronic pain, the burgeoning healthcare sector, and growing awareness bolster market growth. Government organizations provide funding to develop novel pain management drugs and launch initiatives for screening and early diagnosis of pain disorders. The increasing prevalence of chronic disorders, such as diabetes, epilepsy, and cancer, potentiates the risk of pain disorders.

Japan Market Trends

The Health and Global Policy Institute (HGPI) reported that approximately 22.5% of the adult population is estimated to be living with chronic pain in Japan, accounting for 23.15 million people. Chronic pain imposes an economic burden of 2 trillion yen annually, due to loss of productivity among the working population.

India Market Trends

Low back pain is a major public health concern among adults in India, affecting over 87.5 million people. The demand for pain management drugs is increasing in India, owing to growing awareness, ease of access to analgesics, and self-medication trends.

Value Chain Analysis - Pain Management Drugs Market

R&D

R&D activities for pain management drugs result in the development of personalized therapy and non-addictive prescription medicines. Researchers also develop new delivery systems to provide targeted treatment.

Key Players: Vertex Pharmaceuticals, Inc., Johnson & Johnson, and Novartis AG.

Clinical Trials & Regulatory Approvals

Clinical trials are conducted to assess the safety and efficacy of new drug candidates or to assess the therapeutic potential of licensed medicines for extended applications. Based on the clinical trials data, regulatory agencies provide marketing approval to the drug.

Key Players: Propella Therapeutics, Johnson & Johnson, Medidata

Patient Support & Services

Patient support & services refers to providing tailored medications to patients and monitoring for their side effects. Healthcare professionals also explain the dose and delivery system to patients.

Top Companies in the Pain Management Drugs Market

Pain Management Drugs Market Companies

  • AbbVie Inc.
  • Amgen Inc.
  • AstraZeneca
  • Bayer AG
  • Boehringer Ingelheim
  • Bristol-Myers Squibb
  • Endo International plc
  • GlaxoSmithKline (GSK)
  • Grünenthal GmbH
  • Johnson & Johnson (Janssen Pharmaceuticals)
  • Mallinckrodt Pharmaceuticals
  • Novartis AG
  • Pfizer Inc.
  • Teva Pharmaceutical Industries Ltd.
  • Viatris Inc.

Latest Announcement by Industry Leaders

Reshma Kewalramani, M.D., CEO and President of Vertex, commented that the approval of JOURNAVX is a historic milestone for 80 million Americans who are prescribed a medicine for moderate-to-severe acute pain annually. The company has the opportunity to change the paradigm of acute pain management and establish a new standard of care.

Recent Developments in the Pain Management Drugs Market

  • In May 2025, researchers from the National Institute of Health (NIH) reported positive results from its first-in-human clinical trials evaluating resiniferatoxin (RTX) for its safety and effectiveness. RTX is a non-addictive drug that is derived from a cactus-like plant used for pain control in patients with intractable cancer pain.
  • In May 2024, Medidata announced that it had been selected by Lexicon Pharmaceuticals, Inc. to help advance PROGRESS, a Phase 2b study of LX9211 in diabetic peripheral neuropathic pain. The drug has the potential to become the first new, non-opioid drug approved for neuropathic pain in over two decades.

Segments Covered in the Report

By Drug Class

  • Opioids
  • Anticonvulsants (gabapentinoids, others)
  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
  • Antidepressants (SNRIs, SSRIs, TCAs)
  • Anesthetics (local & general)
  • Other Non-Opioids (muscle relaxants, corticosteroids, topical agents)

By Indication

  • Musculoskeletal Disorders (osteoarthritis, rheumatoid arthritis, back pain)
  • Neuropathic Disorders (diabetic neuropathy, neuralgia, multiple sclerosis)
  • Cancer Pain
  • Post-Operative Pain
  • Migraine & Headache Disorders
  • Others (fibromyalgia, dental pain, injury-related pain)

By Route of Administration

  • Oral
  • Transdermal (patches, topical gels)
  • Injectable
  • Others (intranasal, sublingual, rectal)

By Distribution Channel

  • Retail Pharmacies & Drug Stores
  • Online Pharmacies
  • Hospital Pharmacies

By End-User

  • Hospitals & Clinics
  • Specialty Pain Management Centers
  • Homecare Settings

By Region 

  • North America
    • U.S.
    • Canada
  • Asia Pacific
    • China
    • Japan
    • India
    • South Korea
    • Thailand
  • Europe
    • Germany
    • UK
    • France
    • Italy
    • Spain
    • Sweden
    • Denmark
    • Norway
  • Latin America
    • Brazil
    • Mexico
    • Argentina
  • Middle East and Africa (MEA)
    • South Africa
    • UAE
    • Saudi Arabia
    • Kuwait

List of Figures

  • Global Market Size: USD 84.1 billion in 2024, projected to reach USD 126.17 billion by 2034, growing at a CAGR of 4.14%.
  • Market by Drug Class: Opioids 45%, anticonvulsants 25%, NSAIDs 15%, antidepressants 5%, anesthetics 5%, other non-opioids 5%.
  • Market by Indication: Musculoskeletal disorders 40%, neuropathic disorders 20%, cancer pain 15%, post-operative pain 10%, migraine & headaches 5%, other pain 10%.
  • Market by Route of Administration: Oral 50%, transdermal 25%, injectable 15%, other routes 10%.
  • Market by Distribution Channel: Retail pharmacies 55%, online pharmacies 25%, hospital pharmacies 20%.
  • Market by End-User: Hospitals & clinics 60%, specialty pain centers 25%, homecare settings 15%.
  • Market by Region (2024): North America 40%, Asia Pacific 30%, Europe 20%, Latin America 5%, MEA 5%.
  • CAGR Forecast (2025-2034): Global 4.14%, North America 3.5%, Asia Pacific 5%, Europe 3%.

List of Tables

  • Market Size & Forecast (2025-2034): USD 87.58 billion in 2025, projected to reach USD 126.17 billion by 2034.
  • Market by Drug Class (2024): Opioids 45%, anticonvulsants 25%, NSAIDs 15%, antidepressants 5%, anesthetics 5%, other non-opioids 5%.
  • Market by Indication (2024): Musculoskeletal disorders 40%, neuropathic disorders 20%, cancer pain 15%, post-operative pain 10%, migraine & headaches 5%, other pain 10%.
  • Market by Route of Administration (2024): Oral 50%, transdermal 25%, injectable 15%, other routes 10%.
  • Market by Distribution Channel (2024): Retail pharmacies 55%, online pharmacies 25%, hospital pharmacies 20%.
  • Market by End-User (2024): Hospitals & clinics 60%, specialty pain centers 25%, homecare settings 15%.
  • Regional Market Share (2024): North America 40%, Asia Pacific 30%, Europe 20%, Latin America 5%, MEA 5%.

Tags

  • Last Updated: 24 September 2025
  • Report Covered: [Revenue + Volume]
  • Historical Year: 2021-2023
  • Base Year: 2024
  • Estimated Years: 2025-2034

Meet the Team

Shivani Zoting is a dedicated research analyst specializing in the healthcare industry. With a strong academic foundation, a B.Sc. in Biotechnology and an MBA in Pharmabiotechnology, she brings a unique blend of scientific understanding and strategy.

Learn more about Shivani Zoting

Aditi Shivarkar is a seasoned professional with over 14 years of experience in healthcare market research. As a content reviewer, Aditi plays a critical role in ensuring the quality and accuracy of all market insights and data presented by the research team.

Learn more about Aditi Shivarkar

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FAQ's

The pain management drugs market in 2025 is valued at USD 87.58 billion and is projected to climb to USD 126.17 billion by 2034, with a CAGR of 4.14% over the forecast period.

North America is leading the pain management drugs market due to the availability of state-of-the-art research and development facilities, favorable government support, and the presence of key players.

The pain management drugs market includes six segments by drug class, by indication, by route of administration, by distribution channel, by end-user, and by region.

Key trends include the rising prevalence of acute and chronic pain disorders, the rise of OTC medications, and technological advancements.

Food and Drug Administration, National Initiative for the Care of the Elderly, Press Information Bureau