How Much Are You Paying for Pain Relief in Different Countries?

The cost of treating pain and fever varies significantly across countries. Although this may appear to be a minor detail, it is essential for enhancing consumer understanding and facilitating comparisons of healthcare accessibility. This report outlines the countries where paracetamol prices are at their highest and where they are most affordable, utilizing global data.

Key findings

  • The United States holds the title of having the most expensive paracetamol, proving widespread beliefs about high drug pricing within the country.
  • Paracetamol rates in Australia and Canada are the lowest when converted to USD, with Germany and Italy presenting the highest prices after the U.S.
  • The price of paracetamol per 500 mg tablet in the U.S. is 240% higher compared to the lowest price in Australia.
  • Canadian paracetamol drug prices are generally three times cheaper than prices in the U.S.
Per Capita spending on perscription drugs in 2019 nation report


Our methodology streamlined the analysis of paracetamol pricing across key nations by focusing on commercially successful drugs available at retail pharmacies. This approach encompassed evaluating retail prices to reflect costs accessible to consumers.

To achieve a standardized comparison, we calculated prices based on the active ingredient, converting local currencies to USD using current exchange rates.

The selection of countries — comprising the United States, Canada, the United Kingdom, Austria, Australia, Belgium, Germany, Italy, Sweden, and France — aimed to offer a comprehensive view of global paracetamol pricing. This choice was informed by the widespread availability of over-the-counter paracetamol.

Data collection involved a detailed review of online pharmacies and retailer websites to identify popular paracetamol products, prioritizing those from major retailers like Walgreens in the U.S. and Boots in the U.K. This strategy ensured the inclusion of reliable pricing information reflective of consumer buying experiences.

Additionally, our analysis accounted for frequent sales and pricing strategies in countries like Germany and Italy, which can significantly impact the average drug prices. We also noted the regulatory systems in countries like France or Sweden, where the government regulates drug prices.

The complete study data analyzed is accessible upon request at [email protected]

A closer look

The analysis reveals that Australia offers the most economical pricing for paracetamol at $0.11 per 500 mg tablet, narrowly outpacing Canada's competitive rate of $0.13. This low price per tablet highlights the effectiveness of healthcare policies in both nations aimed at ensuring medication affordability.

In Australia, a significant portion of prescription medications is made more affordable through subsidies provided by the Pharmaceutical Benefits Scheme (PBS), which seeks to guarantee accessible and low-cost medication for the population.

In Canada, the federal Patented Medicines Prices Review Board establishes caps on the prices of patented drugs and restricts price hikes to the rate of inflation.

By contrast, the United States exhibits the highest price for paracetamol at $0.38 per tablet, indicating a significant disparity in drug pricing strategies and underscoring the impact of national healthcare systems and market dynamics on medication costs.

Germany and Italy showcase higher pricing tiers for paracetamol, with a cost of $0.32 per tablet. In these two countries, sales and discounts are most frequent, affecting the average price of drugs but still keeping them higher than average. This puts them right after the United States.

Belgium ($0.26), Austria ($0.24), France ($0.24), and the United Kingdom ($0.22) present a moderate pricing model per 500 mg tablet, placing them in the middle range compared to the other analyzed countries, neither the most expensive nor the cheapest.

Notably, France, Germany, Sweden, and the United Kingdom have international pharmaceutical spending controls. In France, for instance, the law restricts price hikes for medications that have been available for less than 2.5 years. Beyond this period, price adjustments can only occur through an official directive that uniformly increases or decreases the prices of all medications on the market by a specific percentage.

Sweden has a relatively low price on paracetamol — $0.17 per tablet. This may reflect the fact that Swedish drugs in all pharmacies have to cost the same according to the law.

Regarding brands of drugs containing paracetamol, the most popular brand sold across the selection is Panadol (found in 4 out of 10 countries), followed by Tylenol and Dafalgan (each found in 2 out of 10 countries).

Most popular paracetamol-containing drugs

This analysis underlines the importance of examining not just the base price of medications but also the broader economic and policy frameworks that determine drug affordability. Countries with policies ensuring price uniformity offer valuable lessons in achieving equitable access to healthcare.

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