Global Opioids Market Growth, Share, Size, Trends and Forecast (2025 - 2031)
By Product;
Codeine, Fentanyl, Morphine, Meperidine, Methadone, and OthersBy Receptor Binding;
Strong Agonist and Mild-To-Moderate AgonistBy Route Of Administration;
Oral, Injectable, and OthersBy Application;
Pain Management (Cancer Pain, Neuropathic Pain, Osteoarthritis Pain, and Others), Cold and Cough, Diarrhea, and OthersBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America - Report Timeline (2021 - 2031)Opioids Market Overview
Opioids Market (USD Million)
Opioids Market was valued at USD 34,244.37 million in the year 2024. The size of this market is expected to increase to USD 43,804.68 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 3.6%.
Global Opioids Market Growth, Share, Size, Trends and Forecast
*Market size in USD million
CAGR 3.6 %
Study Period | 2025 - 2031 |
---|---|
Base Year | 2024 |
CAGR (%) | 3.6 % |
Market Size (2024) | USD 34,244.37 Million |
Market Size (2031) | USD 43,804.68 Million |
Market Concentration | High |
Report Pages | 322 |
Major Players
- Purdue Pharma
- Johnson & Johnson
- Pfizer Inc.
- Teva Pharmaceutical Industries Ltd.
- Endo Pharmaceuticals
- Mallinckrodt Pharmaceuticals
- Mylan N.V.
- Mundipharma
- Allergan plc
- Grünenthal Group
- Indivior PLC
- Daiichi Sankyo Company, Limited
- Sun Pharmaceutical Industries Ltd.
- Takeda Pharmaceutical Company Limited
- Novartis International AG
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Global Opioids Market
Fragmented - Highly competitive market without dominant players
The opioids market continues to expand, fueled by a growing need for efficient pain relief in cases of chronic ailments and post-operative recovery. These medications play a critical role in treating moderate to severe pain, with over 65% of pain therapies involving opioid prescriptions. Their strong efficacy and rapid onset make them a widely used solution across various clinical scenarios.
Clinical Reliance in Acute Pain Treatments
Despite the risks associated with misuse, opioids remain essential for treating acute pain episodes, especially in emergency and trauma settings. Studies indicate that more than 50% of acute pain interventions utilize opioid medications due to their potent analgesic effects. Short-term administration protocols are being favored to ensure safe and controlled usage.
Pivotal Role in Cancer and Palliative Care
Opioid drugs are indispensable in managing cancer-related pain and palliative conditions. Nearly 70% of pain management regimens for cancer patients depend on opioids, underlining their importance in enhancing patient comfort during advanced disease stages. The demand from this sector continues to support consistent market growth.
Impact of Regulatory Compliance and Monitoring
The landscape of the opioids market is shaped significantly by government regulations and controlled prescription practices. With 60% of opioid distribution subject to stringent monitoring, the focus remains on minimizing risks while preserving therapeutic benefits. Compliance-driven initiatives are improving the accountability of opioid usage across healthcare systems.
Opioids Market Recent Developments
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In August 2022, Onsolis, a branded opioid medication, was acquired by Adalvo from a reputable specialty pharmacy company in the U.S. This opioid is recommended for the treatment of cancer patients' chronic pain. This acquisition helped broaden the company's line of opioid products and presented a significant possibility for the company to expand.
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In August 2020, Olinvyk (oliceridine), an opioid, was granted by the U.S. Food and Drug Administration to treat people with moderate to severe acute pain. This approval was given to Trevena, Inc., a biopharmaceutical enterprise, by the FDA.
Segment Analysis
In this report, the Opioids Market has been segmented by Product, Receptor Binding, Route Of Administration, Application, and Geography.
Opioids Market, Segmentation by Product
The Opioids Market has been segmented by Product into Codeine, Fentanyl, Morphine, Meperidine, Methadone, and Others.
Codeine
Codeine contributes approximately 15-20% of the global opioids market. Commonly used for mild to moderate pain and as a cough suppressant, it is frequently formulated in combination with acetaminophen or ibuprofen. Its availability and relatively low potency make it a popular choice in outpatient care.
Fentanyl
Fentanyl accounts for around 20-25% of the market and is widely used for managing severe chronic pain, particularly in cancer patients and surgical settings. Known for its rapid onset and high potency, fentanyl is available in injectable, transdermal, and buccal formulations.
Morphine
Morphine remains a cornerstone in the opioids market, holding a share of about 20-25%. It is extensively used in postoperative care, palliative care, and for moderate to severe pain management. Morphine's well-established clinical efficacy supports its continued use in hospital and hospice settings.
Meperidine
Meperidine contributes nearly 10-12% of the market. Though its usage has declined due to neurotoxic risks and the development of safer alternatives, it remains in use for short-term pain relief, particularly in perioperative scenarios.
Methadone
Methadone holds about 15-20% of the market, notable for its dual utility in pain management and opioid dependence treatment. Its long half-life and cost-effectiveness make it widely used in opioid substitution therapy programs.
Others
This segment includes a range of less commonly prescribed opioids such as hydromorphone, oxycodone, tapentadol, and emerging formulations. These drugs are tailored for specific clinical needs, including complex pain cases and treatment-resistant conditions.
Opioids Market, Segmentation by Receptor Binding
The Opioids Market has been segmented by Receptor Binding into Strong Agonist and Mild-to-Moderate Agonist.
Strong Agonist
This segment accounts for approximately 65-70% of the global opioids market. Strong agonists bind fully to mu-opioid receptors and are highly effective in managing severe and chronic pain, particularly in oncology, trauma, and postoperative care. Common examples include fentanyl, morphine, methadone, and oxycodone. Due to their potency, these drugs are primarily administered in hospital and specialist care settings.
Mild-to-Moderate Agonist
Mild-to-moderate agonists contribute around 30-35% of the market and are typically used for treating less severe pain and cough suppression. These drugs exhibit partial or weaker binding to opioid receptors, resulting in a lower risk of respiratory depression and dependency. Common agents include codeine and tramadol, widely prescribed in outpatient and primary care settings.
Opioids Market, Segmentation by Route Of Administration
The Opioids Market has been segmented by Route Of Administration into Oral, Injectable, and Others.
Oral
The oral segment dominates the opioids market with a share of approximately 60-65%, driven by the convenience and wide availability of tablet and capsule formulations. Oral opioids like codeine, hydrocodone, oxycodone, and morphine are frequently used in outpatient pain management and chronic conditions. This route offers ease of administration and better patient compliance.
Injectable
Injectables account for about 25-30% of the market, primarily used in emergency care, perioperative settings, and advanced palliative care. Drugs such as fentanyl, morphine, and meperidine are commonly administered via intravenous or intramuscular injections for rapid and potent analgesic effects in acute and severe pain scenarios.
Others
This category includes alternative administration routes such as transdermal patches, buccal films, nasal sprays, and rectal suppositories. These formats represent 5-10% of the market and cater to patients requiring sustained-release delivery or those unable to take oral or injectable medications, especially in home care and geriatric populations.
Opioids Market, Segmentation by Application
The Opioids Market has been segmented by Application into Pain Management, Cold and Cough, Diarrhea, and Others.
Pain Management
This is the largest application segment, contributing approximately 65-70% of the global opioids market. Opioid medications are widely used for managing moderate to severe acute and chronic pain, including postoperative pain, cancer pain, and neuropathic disorders. The strong clinical efficacy and availability of oral and injectable formulations make opioids a cornerstone in pain therapy.
Cold and Cough
This segment accounts for around 10-12% of the market. Opioids such as codeine and hydrocodone are used in prescription cough suppressants, especially for treating persistent, non-productive coughs. These drugs act on the cough reflex center in the brain and are typically used when other treatments are ineffective.
Diarrhea
Diarrhea treatment comprises roughly 8-10% of the global market. Drugs like loperamide and diphenoxylate are used to reduce gastrointestinal motility in cases of chronic or severe diarrhea, especially in non-infectious conditions like IBS. These opioids offer effective symptom control under appropriate medical supervision.
Others
This category includes emerging and specialized applications such as restless leg syndrome, dyspnea management in palliative care, and off-label neurological uses. Though smaller in share, this segment reflects ongoing innovation and research into expanded therapeutic use of opioids.
Opioids Market, Segmentation by Geography
In this report, the Opioids Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East & Africa, and Latin America.
Regions and Countries Analyzed in this Report
Opioids Market Share (%), by Geographical Region
North America
North America leads the global opioids market, accounting for approximately 35-40% of the share. The region's dominance is driven by a high prevalence of chronic pain conditions, widespread use of prescription opioids, and advanced healthcare infrastructure. However, regulatory scrutiny and efforts to curb the opioid crisis are reshaping market dynamics.
Europe
Europe holds a market share of around 25-28%, supported by strong demand for opioids in palliative care, postoperative pain management, and oncology settings. Countries such as Germany, France, and the UK have established clinical guidelines for opioid use, though controlled prescribing practices are increasingly emphasized.
Asia Pacific
The Asia Pacific region is experiencing rapid growth, contributing roughly 20-22% to the global market. Rising awareness of pain management, growing healthcare spending, and an expanding patient population with cancer and post-surgical pain are driving demand. China, India, and Japan are key markets with growing access to opioid therapeutics.
Middle East & Africa
This region represents about 5-7% of the market. Growth is supported by improved access to hospital-based pain care and increasing investment in healthcare services. However, limited access to certain controlled opioids and regulatory barriers in some African nations pose challenges to market expansion.
Latin America
Latin America contributes approximately 5-8% of the global market. Countries like Brazil, Mexico, and Argentina are expanding their use of opioids for acute and cancer-related pain, although inconsistent drug regulations and varying levels of healthcare infrastructure continue to influence adoption rates.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global Opioids Market. These factors include; Market Drivers, Restraints, and Opportunities.
Comprehensive Market Impact Matrix
This matrix outlines how core market forces—Drivers, Restraints, and Opportunities—affect key business dimensions including Growth, Competition, Customer Behavior, Regulation, and Innovation.
Market Forces ↓ / Impact Areas → | Market Growth Rate | Competitive Landscape | Customer Behavior | Regulatory Influence | Innovation Potential |
---|---|---|---|---|---|
Drivers | High impact (e.g., tech adoption, rising demand) | Encourages new entrants and fosters expansion | Increases usage and enhances demand elasticity | Often aligns with progressive policy trends | Fuels R&D initiatives and product development |
Restraints | Slows growth (e.g., high costs, supply chain issues) | Raises entry barriers and may drive market consolidation | Deters consumption due to friction or low awareness | Introduces compliance hurdles and regulatory risks | Limits innovation appetite and risk tolerance |
Opportunities | Unlocks new segments or untapped geographies | Creates white space for innovation and M&A | Opens new use cases and shifts consumer preferences | Policy shifts may offer strategic advantages | Sparks disruptive innovation and strategic alliances |
Drivers, Restraints and Opportunity Analysis
Drivers
- Increasing prevalence of chronic pain
- Growing awareness of pain management importance
- Aging population with pain relief needs
- Improved healthcare access globally
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Rise in surgeries and postoperative pain -The increasing number of surgeries and postoperative pain cases is a major driver of the global opioids market. With the growing burden of chronic illnesses, trauma, and age-related conditions, more patients are undergoing surgical procedures that require effective pain management. Opioids remain widely used for their potent analgesic properties, especially in the immediate postoperative period, where rapid pain relief is critical for recovery and patient comfort.
As healthcare infrastructure expands and surgical volumes rise globally, particularly in developing countries, the demand for postoperative pain control solutions continues to grow. Opioids are frequently prescribed in hospital and outpatient settings for moderate to severe pain, contributing to sustained market demand. The clinical preference for opioids in managing acute pain—despite ongoing concerns over dependency—reinforces their role in surgical care protocols.
Restraints
- Concerns over opioid misuse and addiction
- Stringent regulatory controls
- Stigma and cultural barriers
- Limited opioid access in some regions
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Long-term therapy risks - Long-term therapy risks are a critical restraint limiting the growth of the global opioids market. Extended use of opioids is associated with serious health concerns such as tolerance, dependence, addiction, and respiratory depression. These risks have led to increased caution among healthcare providers when prescribing opioids for chronic conditions, thereby reducing long-term demand.
Regulatory scrutiny and public awareness campaigns have further highlighted the dangers of prolonged opioid use, prompting stricter guidelines and monitoring practices. As a result, many physicians are turning to alternative pain management strategies to minimize the risk of opioid misuse and overdose. This shift is slowing market growth, especially in regions heavily affected by opioid-related health crises.
Opportunities
- Abuse-deterrent formulations
- Telemedicine for pain management
- Personalized opioid therapy
- Multidisciplinary pain management
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Early intervention for chronic pain - The increasing emphasis on early intervention for chronic pain presents a strong opportunity for the global opioids market. Identifying and managing pain at earlier stages can prevent its progression to severe, debilitating conditions, enhancing patient quality of life. In clinical settings, opioids are often introduced during the early phases of moderate to severe chronic pain, particularly when non-opioid options prove ineffective. This proactive approach supports the need for controlled, short-term opioid therapies in well-monitored environments.
Healthcare systems are increasingly investing in integrated pain management programs that combine pharmacological and non-pharmacological treatments. Opioids remain a vital component of these programs, especially for patients with cancer-related pain, musculoskeletal disorders, and neuropathies. When used responsibly under supervision, opioids can improve function and reduce suffering, reinforcing their therapeutic relevance in early pain interventions.
Furthermore, advancements in pain assessment tools and personalized medicine are enabling physicians to tailor opioid prescriptions more effectively, minimizing misuse while maximizing outcomes. This evolution in pain management strategy encourages responsible opioid use, which could drive steady market growth. As the global burden of chronic pain rises, early intervention models may help reposition opioids as essential tools in comprehensive, patient-centered pain care pathways.
Competitive Landscape Analysis
Key players in Global Opioids Market include,
- Purdue Pharma
- Johnson & Johnson
- Pfizer Inc
- Teva Pharmaceutical Industries Ltd
- Endo Pharmaceuticals
- Mallinckrodt Pharmaceuticals
- Mylan NV
- Mundipharma
- Allergan plc
- Grünenthal Group
- Indivior PLC
- Daiichi Sankyo Company, Limited
- Sun Pharmaceutical Industries Ltd
- Takeda Pharmaceutical Company Limited
- Novartis International AG
In this report, the profile of each market player provides following information:
- Company Overview and Product Portfolio
- Market Share Analysis
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Product
- Market Snapshot, By Receptor Binding
- Market Snapshot, By Route Of Administration
- Market Snapshot, By Application
- Market Snapshot, By Region
- Opioids Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Increasing prevalence of chronic pain
- Growing awareness of pain management importance
- Aging population with pain relief needs
- Improved healthcare access globally
- Rise in surgeries and postoperative pain
- Restraints
- Concerns over opioid misuse and addiction
- Stringent regulatory controls
- Stigma and cultural barriers
- Limited opioid access in some regions
- Long-term therapy risks
- Opportunities
- Abuse-deterrent formulations
- Telemedicine for pain management
- Personalized opioid therapy
- Multidisciplinary pain management
- Early intervention for chronic pain
- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Opioids Market, By Product, 2021 - 2031 (USD Million)
- Codeine
- Fentanyl
- Morphine
- Meperidine
- Methadone
- Others
- Opioids Market, By Receptor Binding, 2021 - 2031 (USD Million)
- Strong Agonist
- Mild-To-Moderate Agonist
- Opioids Market, By Route Of Administration, 2021 - 2031 (USD Million)
- Oral
- Injectable
- Others
- Opioids Market, By Application, 2021 - 2031 (USD Million)
- Pain Management
- Cancer Pain
- Neuropathic Pain
- Osteoarthritis Pain
- Others
- Cold and Cough
- Diarrhea
- Others
- Pain Management
- Global Opioids Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Opioids Market, By Product, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Purdue Pharma
- Johnson & Johnson
- Pfizer Inc.
- Teva Pharmaceutical Industries Ltd.
- Endo Pharmaceuticals
- Mallinckrodt Pharmaceuticals
- Mylan N.V.
- Mundipharma
- Allergan plc
- Grünenthal Group
- Indivior PLC
- Daiichi Sankyo Company, Limited
- Sun Pharmaceutical Industries Ltd.
- Takeda Pharmaceutical Company Limited
- Novartis International AG
- Company Profiles
- Analyst Views
- Future Outlook of the Market