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Cold Flu and Allergy Remedies in the United States


Description: The U.S. cold, flu, and allergy remedies market relies heavily on new product innovation. Greatly influenced by seasonal rhythms and the rising cost of healthcare, the market changes dramatically with changes in vaccines and in the prescription market.

This report will help you understand:

- The huge impact of prescription to over-the-counter switches in tablets, including Claritin and the impending migration of Zyrtec.
- The effect of the 2006 Stop Meth Act, which moved pseudoephedrine products behind the counter, inconveniencing customers and highlighting potential dangers of over-the-counter remedies.
- Activity from the seven leading remedy manufacturers, and the effect of the Johnson & Johnson/Pfizer merger on the supply chain and advertising/promotional strategies.
- The retail landscape, dominated by the drug channel, and the attempts of food and mass channels to adopt similar pharmaceutical services.
- Close inspection of consumer behavior regarding remedies and the conditions they treat, yielding ideas about how manufacturers can increase usage and penetration.

Moreover, this report features in-depth analysis of the future of the market, including potential of and competition from alternative remedies; the impact of voluntary withdrawal of infants’ remedies; and the threat of FDA findings which may limit or stop sales of children’s remedies.

Not covered in this report are lozenges, medicated sweets, and products for the relief of coughs and sore throats.


Contents: Scope and Themes
What you need to know
Definition
Consumer research methodology
Abbreviations and terms
Abbreviations
Terms

Executive Summary
Sales driven by incidence, population factors
A healthy market boosted by Rx switches and new product launches
Tablets lead market as liquids slip and nasal products gain ground
Mergers consolidate supply structure
Ad & promo
Professional staff drive sales to drug channel—even for common cold and allergy remedies
The consumer
Incidence of ailments and usage of remedies
Attitudes towards CF&A remedies
The ethnic consumer
What the future holds

Market Drivers
Incidence of cold, flu, and allergies
Key points
Details
Figure 1: Severity of flu (only), October 2006
Figure 2: Severity of nasal allergies/hay fever (only), October 2006
Seasonal severity
Figure 3: Influenza seasonal severity, in the U.S., 2000-06
Higher contraction risk among children, women, elderly
Figure 4: Population by age, 2002-12
Figure 5: Population of OTC flu remedy users, based on those confirmed to have the flu, by gender, 2002-12
Rx switches boost sales
Uninsured turn to self-care, diagnosis
Shift of pseudoephedrine to behind the counter
Alternative remedies cut into OTC sales
Vaccines and Rx remedies compete with OTC
Figure 6: Preference for OTC vs. Rx cold, flu, and allergy remedies, October 2006

Market Size and Trends
Market size
Figure 7: Total U.S. retail sales of cold, flu, and allergy remedies, at current and constant prices, 2002-07
Wal-Mart estimate
Market trends
Multi-symptom relief
Flavor
Natural/organic ingredients

Market Segmentation
Cold, flu, and allergy remedy segments
Figure 8: FDM sales of cold, flu, and allergy remedies, segmented by delivery form, 2005 and 2007
Tablets
Figure 9: Sales of cold, flu, and allergy remedy tablets, at current and constant prices, 2002-07
Liquids
Figure 10: Sales of cold, flu, and allergy remedy liquids, at current and constant prices, 2002-07
Nasal products
Figure 11: Sales of cold, flu, and allergy remedy nasal products, at current and constant prices, 2002-07
Supply Structure
Introduction
Companies and brands
Figure 12: Manufacturer FDM sales of cold, flu, and allergy remedies in the U.S., 2005 and 2007
Tablets
Figure 13: Manufacturer brand sales of cold, flu, and allergy remedy tablets, in the U.S., 2005 and 2007
Liquids
Figure 14: Manufacturer brand sales of cold, flu, and allergy remedy liquids, in the U.S., 2005 and 2007
Nasal products
Figure 15: Manufacturer brand sales of cold, flu, and allergy remedy nasal products, in the U.S., 2005 and 2007

Advertising and Promotion
Introduction
Figure 16: Promotional expenditures of the top CF&A manufacturers*, 2005-06
Television marketing campaigns
Schering-Plough
Figure 17: Corocidin TV spot—high blood pressure-safe
Pfizer, Inc.
Figure 18: PediaCare liquid TV spot—pediatrician-endorsed
Figure 19: Sudacare Shower Soother and Sudacare Vapor Plug TV spot—non-medicated
Figure 20: Sudacare Shower Soother TV spot—non-medicated
Procter & Gamble
Figure 21: Vicks NyQuil and Vicks DayQuil TV spot—fast relief
Figure 22: Vicks NyQuil TV spot—tried and true
McNeil
Figure 23: Children’s Motrin liquid TV spot—pediatrician-endorsed
Figure 24: Tylenol Cold Multi-Symptom TV spot—multi-symptom; comparative advertising
Figure 25: Children’s Tylenol Plus Cold TV spot—multi-symptom; doctor-recommended
Adams Respiratory Therapeutics
Figure 26: Mucinex DM TV spot—memorable character
Wyeth Labs, Inc.
Figure 27: Advil TV spot—multi-symptom relief
Figure 28: Robitussin TV spot—wide product range
Novartis
Figure 29: TheraFlu Warming relief TV spot—restorative
Figure 30: Triaminic Nighttime Cold & Cough TV spot—child-friendly advertising
Other companies
Figure 31: Zicam TV spot—consumer testimonial
Figure 32: Zicam Cough Max TV spot—convenience
Figure 33: Alka-Seltzer Plus liquid TV spot—multi-symptom relief
Figure 34: Aleve cold/sinus TV spot—“real people;” circumvents pseudoephedrine restrictions
Retail Distribution
Introduction
Figure 35: U.S. FDM and convenience store retail sales of cold, flu, and allergy remedies, by channel, 2005 and 2007
Drug stores
Figure 36: U.S. drug store sales of cold, flu, and allergy remedies, at current and constant prices, 2002-07
Supermarkets
Figure 37: U.S. supermarket sales of cold, flu, and allergy remedies, at current and constant prices, 2002-07
Mass merchandisers
Figure 38: U.S. mass merchandiser sales of cold, flu, and allergy remedies, at current and constant prices, 2002-07
Convenience stores
Figure 39: U.S. convenience store sales of cold, flu, and allergy remedies, at current and constant prices, 2002-07

The Consumer: Use of Cold, Flu, and Allergy Remedies
Summary
Incidence of ailments, usage of remedies
Incidence of flu and allergies
Figure 40: Incidence of flu and nasal allergies/hay fever, by age, January-October 2006
Severity of flu and nasal allergies/hay fever
Figure 41: Severity of flu and nasal allergies/hay fever, by age, January-October 2006
Use of cold, flu, and sinus remedies
Figure 42: Use of cold, flu, and allergy remedies, by age, January-October 2006
Preferred brands of cold, flu, and allergy remedies
Figure 43: Preferred brands of cold, flu, and allergy remedies, by age, January-October 2006
Frequency of usage of cold, flu, and allergy remedies
Figure 44: Frequency of usage of cold, flu, and allergy remedies, by age, January-October 2006
OTC vs. Rx cold, flu, and allergy remedies
Figure 45: Preference for OTC vs. Rx cold, flu, and allergy remedies, by age, January-October 2006
Ailments treated with cold, flu, and allergy remedies
Figure 46: Ailments treated with cold, flu, and allergy remedies, by age, January-October 2006
Household usage of children’s cold, flu, and allergy remedies
Figure 47: Household usage of children’s cold, flu, and allergy remedies, January-October 2006
Types and brands of children’s remedies preferred among households
Figure 48: Household preference for types and brands of children’s cold, flu, and allergy remedies, January-October 2006
Teen use of cold, flu, and allergy remedies
Figure 49: Teen use of cold, flu, and allergy remedies, by gender and age, January-October 2006

The Consumer: Attitudes towards Cold, Flu, and Allergy Remedies and Their Side Effects
Summary
Attitudes towards cold, flu, and allergy remedies
Figure 50: Attitudes towards cold, flu, and allergy remedies, by gender, August 2007
Figure 51: Attitudes towards cold, flu, and allergy remedies, by age, August 2007
Figure 52: Attitudes towards cold, flu, and allergy remedies, by number of children in household, August 2007
Side effects from cold, flu, allergy remedies
Figure 53: cold, flu, and allergy remedy side effects experienced in the past 12 months, by age, August 2007

The Consumer: Ethnic Use of Cold, Flu, and Allergy Remedies
Summary
Incidence of ailments, usage of remedies among ethnicities
Incidence of flu and allergies among ethnicities
Figure 54: Incidence of flu and nasal allergies/hay fever, by race/ethnicity, January-October 2006
Severity of flu and nasal allergies/hay fever among ethnicities
Figure 55: Severity of flu and nasal allergies/hay fever, by race/ethnicity, January-October 2006
Preferred formulations of cold, flu, and allergy remedies among ethnicities
Figure 56: Preference for 4-6-hour or 12-hour cold, flu, and allergy remedies, by race/ethnicity, January-October 2006
Preferred brands of cold, flu, and allergy remedies among ethnicities
Figure 57: Preferred brands of cold, flu, and allergy remedies, by race/ethnicity, January-October 2006
Frequency of usage of cold, flu, and allergy remedies among ethnicities
Figure 58: Frequency of usage of cold, flu, and allergy remedies, by race/ethnicity, January-October 2006
OTC vs. Rx cold, flu, and allergy remedies preferences among ethnicities
Figure 59: Preference for OTC vs. Rx cold, flu, and allergy remedies, by race/ethnicity, January-October 2006
Ailments ethnicities treat with cold, flu, and allergy remedies
Figure 60: Ailments treated with cold, flu, and allergy remedies, by race/ethnicity, January-October 2006
Attitudes towards cold, flu, and allergy remedies among ethnicities
Figure 61: Attitudes towards cold, flu, and allergy remedies, by race/ethnicity, August 2007
Side effects from cold, flu, allergy remedies experienced among ethnicities
Figure 62: cold, flu, and allergy remedy side effects experienced in the past 12 months, by race/ethnicity, August 2007

Future and Forecast
Future trends
OTC switch of Zyrtec promises market boost
FDA advisory panel advises against children’s cough and cold remedies; manufacturers pull infants’ remedies
Market forecast
Cold, flu, and allergy remedies
Figure 63: Forecast of total U.S. retail sales of cold, flu, and allergy remedies, at current and constant prices, 2007-12
Cold, flu, and allergy remedy tablets
Figure 64: Forecast of U.S. FDM sales of cold, flu, and allergy remedy tablets, at current and constant prices, 2007-12
Cold, flu, and allergy remedy liquids
Figure 65: Forecast of U.S. FDM sales of cold, flu, and allergy remedy liquids, at current and constant prices, 2007-12
Cold, flu, and allergy remedy nasal products
Figure 66: Forecast of U.S. FDM sales of cold, flu, and allergy remedy nasal products, at current and constant prices, 2007-12
Forecast factors

Appendix: Trade Associations


Companies Mentioned - Schering-Plough - Pfizer, Inc. - Proctor & Gamble - McNeil - Adams Respiratory Therapeutics - Wyeth Labs, Inc. - Novartis - Zyrtec


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