The naloxone spray market size is expected to see exponential growth in the next few years. It will grow to $1.94 trillion in 2029 at a compound annual growth rate (CAGR) of 24.5%. The growth in the forecast period can be attributed to supportive government initiatives for naloxone distribution, expansion of naloxone accessibility programs, rising prescription rates for opioid analgesics, ongoing concerns and efforts to combat opioid crisis. Major trends in the forecast period include adoption of intranasal naloxone formulations, development of user-friendly naloxone devices, integration of naloxone education in opioid prescribing practices, inclusion of naloxone in community-based harm reduction programs.
The forecast of 24.5% growth over the next five years reflects a modest reduction of 0.4% from the previous estimate for this market. This reduction is primarily due to the impact of tariffs between the US and other countries. Tariff escalations are likely to burden U.S. harm reduction programs by driving up the cost of opioid overdose reversal drugs sourced from Israel and Canada, exacerbating public health response costs and increasing addiction treatment service burdens. The effect will also be felt more widely due to reciprocal tariffs and the negative effect on the global economy and trade due to increased trade tensions and restrictions.
The rising incidence of opioid overdoses is driving the growth of the naloxone spray market. Opioids, including medications like morphine, fentanyl, and tramadol, are commonly used to manage pain. However, their pharmacological effects can lead to dependence, breathing difficulties, and potentially fatal health issues when misused, used without medical supervision, or used for non-medical purposes. For instance, a December 2023 report from the Office for National Statistics, a non-ministerial government department in Wales, revealed that there were 4,907 drug poisoning deaths recorded in England and Wales in 2022, resulting in a rate of 84.4 deaths per million people. The rate was significantly higher among males, with 114.3 drug-poisoning deaths per million (totaling 3,240 deaths), compared to 55.8 deaths per million among females (amounting to 1,667 deaths). Thus, the increasing prevalence of opioid overdoses is a key factor driving the growth of the naloxone spray market.
The anticipated growth of the naloxone spray market is also linked to the increasing demand for telemedicine. Telemedicine, or telehealth, utilizes technology to provide remote medical services, offering comprehensive and immediate support to individuals at risk of opioid overdose. This approach proves valuable in addressing the opioid crisis effectively. In April 2023, National telehealth use increased by 7. 3%, reaching 5. 9% of medical claim lines, according to FAIR Health Inc. The rising demand for telemedicine contributes to the expansion of the naloxone spray market.
The surge in product approvals is influencing the naloxone spray market. Leading companies in the naloxone spray sector are concentrating on obtaining new product approvals to enhance their product portfolios and expand their business. For example, in May 2024, Walgreens, a US-based company, announced the launch of Walgreens Brand Naloxone HCl Nasal Spray. This over-the-counter product is designed to rapidly reverse the effects of opioid overdose, serving as a vital tool in the fight against the opioid epidemic. Naloxone works by blocking the effects of opioids on the brain, restoring normal breathing and preventing death when administered promptly. However, despite its proven effectiveness, access to naloxone remains limited in many communities, underscoring the significance of this launch in improving availability and raising awareness.
Major companies in the naloxone spray market are concentrating on innovative products like Narcan to boost their revenues. Narcan (naloxone hydrochloride) nasal spray 4 mg is specifically designed to help reverse opioid overdoses, particularly during a surge in overdose deaths. For instance, in August 2023, Padagis LLC, a US-based company, launched the nation's first over-the-counter (OTC) Naloxone HCl Nasal Spray. This product is intended to rapidly reverse the effects of opioid overdose and is now available for purchase without a prescription, representing a significant advancement in enhancing access to this life-saving medication. By making this crucial treatment widely available, Padagis aims to empower individuals and communities to respond effectively in emergency situations involving opioid overdoses.
In November 2022, Indivior, a US-based company that develops medications for substance use disorders (SUD) and serious mental illnesses, announced the acquisition of Opiant Pharmaceuticals for approximately $145 million. This acquisition strengthens Indivior's addiction treatment offerings by incorporating Opiant's late-stage assets, particularly OPNT003, an investigational treatment for opioid overdose. This move aligns with Indivior's mission to tackle the ongoing opioid crisis. Opiant Pharmaceuticals, also based in the US, specializes in utilizing intranasal and injectable delivery technologies to create effective therapeutic options.
Major companies operating in the naloxone spray market include Emergent BioSolutions Inc., Amphastar Pharmaceuticals Inc., Hikma Pharmaceuticals plc, Indivior plc, Nasus Pharma LLC, Opiant Pharmaceuticals Inc., Pfizer Inc., Samarth Pharma Pvt. Ltd., Teva Pharmaceutical Industries Ltd., Adapt Pharma Inc., Cardinal Health Inc., Kaleo Inc., McKesson Corporation, Mundipharma International Limited, NextDistro Inc., Rite Aid Corporation, Novartis International AG, Sandoz International GmbH, Fresenius Kabi USA LLC, West-Ward Pharmaceuticals Corp., Lupin Ltd.
North America was the largest region in the naloxone spray market in 2024. The regions covered in the naloxone spray market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa. The countries covered in the naloxone spray market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Italy, Canada, Spain.
Note that the outlook for this market is being affected by rapid changes in trade relations and tariffs globally. The report will be updated prior to delivery to reflect the latest status, including revised forecasts and quantified impact analysis. The report’s Recommendations and Conclusions sections will be updated to give strategies for entities dealing with the fast-moving international environment.
The sudden escalation of U.S. tariffs and the resulting trade tensions in spring 2025 are having a significant impact on the pharmaceutical sector. Companies are grappling with higher costs on imported active pharmaceutical ingredients (APIs), glass vials, and laboratory equipment - many of which have limited alternative sources. Generic drug manufacturers, already operating with minimal profit margins, are particularly affected, with some scaling back production of low-margin medications. Biotech firms are also experiencing delays in clinical trials due to shortages of specialized reagents linked to tariffs. In response, the industry is shifting API production to regions like India and Europe, building up inventory reserves, and advocating for tariff exemptions on essential medicines.
The naloxone spray market research report is one of a series of new reports that provides naloxone spray market statistics, including naloxone spray industry global market size, regional shares, competitors with a naloxone spray market share, detailed naloxone spray market segments, market trends and opportunities, and any further data you may need to thrive in the naloxone spray industry. This naloxone spray market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.
Naloxone spray is a substance that binds to opioid receptors, effectively inhibiting or reversing the actions of other opioids. Administering naloxone promptly can counteract the effects of opioid medications and restore normal breathing. This can be achieved through intravenous injection or nasal spray. Naloxone is typically dispensed as a solution in liquid form, designed for spraying into the nose, with each nasal spray containing a single dose intended for one-time use.
The main dosage options for naloxone spray are 2 mg/actuation and 4 mg/actuation. The 2 mg/actuation naloxone spray, equivalent to 1. 8 mg of naloxone, is utilized as an emergency medication for known or suspected opioid overdose, as indicated by respiratory and/or central nervous system depression. The 2 mg dose is licensed for use in opioid-dependent individuals at risk of severe opioid withdrawal, residing in an environment with low risk of accidental or intentional opioid exposure from household contacts. Naloxone sprays are available through various distribution channels, including hospitals, clinics, retail pharmacies, online pharmacies, and others.
The naloxone spray market consists of sales of injectable and prepackaged nasal spray. Values in this market are ‘factory gate’ values, that is the value of goods sold by the manufacturers or creators of the goods, whether to other entities (including downstream manufacturers, wholesalers, distributors and retailers) or directly to end customers. The value of goods in this market includes related services sold by the creators of the goods.
The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified).
The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.
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Table of Contents
Executive Summary
Naloxone Spray Global Market Report 2025 provides strategists, marketers and senior management with the critical information they need to assess the market.This report focuses on naloxone spray market which is experiencing strong growth. The report gives a guide to the trends which will be shaping the market over the next ten years and beyond.
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Description
Where is the largest and fastest growing market for naloxone spray? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward, including technological disruption, regulatory shifts, and changing consumer preferences? The naloxone spray market global report answers all these questions and many more.The report covers market characteristics, size and growth, segmentation, regional and country breakdowns, competitive landscape, market shares, trends and strategies for this market. It traces the market’s historic and forecast market growth by geography.
- The market characteristics section of the report defines and explains the market.
- The market size section gives the market size ($b) covering both the historic growth of the market, and forecasting its development.
- The forecasts are made after considering the major factors currently impacting the market. These include: the technological advancements such as AI and automation, Russia-Ukraine war, trade tariffs (government-imposed import/export duties), elevated inflation and interest rates.
- Market segmentations break down the market into sub markets.
- The regional and country breakdowns section gives an analysis of the market in each geography and the size of the market by geography and compares their historic and forecast growth.
- The competitive landscape chapter gives a description of the competitive nature of the market, market shares, and a description of the leading companies. Key financial deals which have shaped the market in recent years are identified.
- The trends and strategies section analyses the shape of the market as it emerges from the crisis and suggests how companies can grow as the market recovers.
Scope
Markets Covered:
1) By Dosage: 2 mg or Actuation; 4 mg or Actuation2) By Distribution Channel: Hospitals; Clinics; Retail Pharmacies; Online Pharmacies; Other distribution channels
Subsegments:
1) By 2 Mg or Actuation: Prescription Naloxone Spray; Over-The-Counter Naloxone Spray2) By 4 Mg or Actuation: Prescription Naloxone Spray; Over-The-Counter Naloxone Spray
Companies Mentioned: Emergent BioSolutions Inc.; Amphastar Pharmaceuticals Inc.; Hikma Pharmaceuticals plc; Indivior plc; Nasus Pharma LLC; Opiant Pharmaceuticals Inc.; Pfizer Inc.; Samarth Pharma Pvt. Ltd.; Teva Pharmaceutical Industries Ltd.; Adapt Pharma Inc.; Cardinal Health Inc.; Kaleo Inc.; McKesson Corporation; Mundipharma International Limited; NextDistro Inc.; Rite Aid Corporation; Novartis International AG; Sandoz International GmbH; Fresenius Kabi USA LLC; West-Ward Pharmaceuticals Corp.; Lupin Ltd.
Countries: Australia; Brazil; China; France; Germany; India; Indonesia; Japan; Russia; South Korea; UK; USA; Canada; Italy; Spain
Regions: Asia-Pacific; Western Europe; Eastern Europe; North America; South America; Middle East; Africa
Time Series: Five years historic and ten years forecast.
Data: Ratios of market size and growth to related markets, GDP proportions, expenditure per capita.
Data Segmentation: Country and regional historic and forecast data, market share of competitors, market segments.
Sourcing and Referencing: Data and analysis throughout the report is sourced using end notes.
Delivery Format: PDF, Word and Excel Data Dashboard.
Companies Mentioned
The companies featured in this Naloxone Spray market report include:- Emergent BioSolutions Inc.
- Amphastar Pharmaceuticals Inc.
- Hikma Pharmaceuticals plc
- Indivior plc
- Nasus Pharma LLC
- Opiant Pharmaceuticals Inc.
- Pfizer Inc.
- Samarth Pharma Pvt. Ltd.
- Teva Pharmaceutical Industries Ltd.
- Adapt Pharma Inc.
- Cardinal Health Inc.
- Kaleo Inc.
- McKesson Corporation
- Mundipharma International Limited
- NextDistro Inc.
- Rite Aid Corporation
- Novartis International AG
- Sandoz International GmbH
- Fresenius Kabi USA LLC
- West-Ward Pharmaceuticals Corp.
- Lupin Ltd.
Table Information
Report Attribute | Details |
---|---|
No. of Pages | 250 |
Published | September 2025 |
Forecast Period | 2025 - 2029 |
Estimated Market Value ( USD | $ 810.65 Billion |
Forecasted Market Value ( USD | $ 1946.99 Billion |
Compound Annual Growth Rate | 24.5% |
Regions Covered | Global |
No. of Companies Mentioned | 22 |