Annual Report 2025

Market

The global consumer health market experienced currency-adjusted growth of around 3%1 in 2025, reflecting a slower rate of expansion compared with 2024 (+5%). Pricing remained the main driver of growth, albeit with more moderate impacts compared to prior years, while volumes stabilized overall. Market expansion was seen in Europe/Middle East/Africa and Latin America, while macroeconomic conditions resulted in declines in the United States and China. All categories experienced growth, while the seasonal category allergy, cough and cold only saw moderate gains.

Key data – Consumer Health

 

 

 

 

 

 

Change (%)1

 

 

 

 

 

Change (%)1

€ million

 

Q4 2024

 

Q4 2025

 

Reported

 

Fx & p adj.

 

2024

 

2025

 

Reported

 

Fx & p adj.

Sales

 

1,567

 

1,461

 

–6.8

 

–4.6

 

5,870

 

5,802

 

–1.2

 

–0.1

Change in sales1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Volume

 

–4.0%

 

–6.9%

 

 

 

 

 

–5.5%

 

–1.3%

 

 

 

 

Price

 

+3.1%

 

+2.3%

 

 

 

 

 

+7.4%

 

+1.2%

 

 

 

 

Currency

 

+0.2%

 

–6.2%

 

 

 

 

 

–4.4%

 

–4.5%

 

 

 

 

Portfolio

 

0.0%

 

+4.0%

 

 

 

 

 

–0.1%

 

+3.4%

 

 

 

 

Sales by region

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Europe/Middle East/Africa

 

545

 

607

 

+11.4

 

+3.1

 

2,065

 

2,283

 

+10.6

 

+3.2

North America

 

566

 

487

 

–14.0

 

–6.1

 

2,119

 

1,992

 

–6.0

 

–2.0

Asia/Pacific

 

259

 

188

 

–27.4

 

–22.4

 

907

 

828

 

–8.7

 

–5.3

Latin America

 

197

 

179

 

–9.1

 

+1.6

 

779

 

699

 

–10.3

 

+2.6

EBITDA1

 

343

 

280

 

–18.4

 

 

 

1,264

 

1,292

 

+2.2

 

 

Special items1

 

(18)

 

(25)

 

 

 

 

 

(102)

 

(49)

 

 

 

 

EBITDA before special items1

 

361

 

305

 

–15.5

 

 

 

1,366

 

1,341

 

–1.8

 

 

EBITDA margin before special items1

 

23.0%

 

20.9%

 

 

 

 

 

23.3%

 

23.1%

 

 

 

 

EBIT1

 

442

 

184

 

–58.4

 

 

 

1,028

 

912

 

–11.3

 

 

Special items1

 

184

 

(25)

 

 

 

 

 

59

 

(49)

 

 

 

 

EBIT before special items1

 

258

 

209

 

–19.0

 

 

 

969

 

961

 

–0.8

 

 

Net cash provided by operating activities

 

366

 

373

 

+1.9

 

 

 

921

 

1,232

 

+33.8

 

 

Cash flow-relevant capital expenditures

 

73

 

75

 

+2.7

 

 

 

187

 

182

 

–2.7

 

 

Research and development expenses2

 

72

 

54

 

–25.0

 

 

 

254

 

223

 

–12.2

 

 

Fx & p adj. = currency- and portfolio-adjusted

1

For definition see A 2.3 “Alternative Performance Measures Used by the Bayer Group.”

2

After special items and depreciation/amortization/impairments

Sales

Sales at Consumer Health came in at €5,802 million in 2025, and were therefore in line with the prior-year level (Fx & portfolio adj. –0.1%) as the division navigated a challenging environment in key markets in North America and Asia/Pacific. We registered gains in the Digestive Health, Dermatology and Pain & Cardio categories, but posted declines at Nutritionals and Allergy & Cold. The drop in sales at Allergy & Cold was primarily attributable to a soft allergy season in North America and lower sales of cough and cold products in Latin America.

Sales by category

 

 

 

 

 

 

Change (%)1

 

 

 

 

 

Change (%)1

€ million

 

Q4 2024

 

Q4 2025

 

Reported

 

Fx & p adj.

 

2024

 

2025

 

Reported

 

Fx & p adj.

Consumer Health

 

1,567

 

1,461

 

–6.8

 

–4.6

 

5,870

 

5,802

 

–1.2

 

–0.1

Nutritionals

 

358

 

384

 

+7.3

 

–4.1

 

1,375

 

1,457

 

+6.0

 

–3.9

Dermatology

 

370

 

343

 

–7.3

 

–3.3

 

1,438

 

1,424

 

–1.0

 

+2.4

Allergy & Cold

 

337

 

283

 

–16.0

 

–10.7

 

1,252

 

1,173

 

–6.3

 

–3.0

Digestive Health

 

254

 

239

 

–5.9

 

+0.5

 

938

 

937

 

–0.1

 

+3.7

Pain & Cardio

 

236

 

202

 

–14.4

 

–4.3

 

830

 

777

 

–6.4

 

+2.1

Other

 

12

 

10

 

–16.7

 

–3.0

 

37

 

34

 

–8.1

 

+1.6

Fx & p adj. = currency- and portfolio-adjusted

1

For definition see A 2.3 “Alternative Performance Measures Used by the Bayer Group.”

  • Sales in the Europe/Middle East/Africa region rose by 3.2% (Fx & portfolio adj.) to €2,283 million. The Dermatology category saw an increase in sales that was primarily driven by Priorin™ and Bepanthen™. Sales at Digestive Health continued to rise following a strong prior year, with growth primarily fueled by gains for Iberogast™ and Talcid™. Our Nutritionals business also posted higher sales, mainly thanks to Supradyn™ and Elevit™. In addition, the acquisition of Natsana GmbH, Germany, had a positive impact on absolute sales in this category, with these sales contributions accounted for as a portfolio effect.

  • Sales in North America decreased by 2.0% (Fx & portfolio adj.) to €1,992 million amid a challenging market environment. Business was down at Nutritionals, partly due to the winding down of the US direct-to-consumer business under the Care/of brand in the prior year. We also posted a decline in sales in the allergy business that was largely attributable to a soft season. In addition, sales in the Pain & Cardio category decreased slightly against the prior year. By contrast, we recorded a strong increase in sales in the Digestive Health category, primarily thanks to significant gains for MiraLAX™ that were partly driven by the launch of MiraFAST™.

  • Sales in Asia/Pacific declined by 5.3% (Fx & portfolio adj.) to €828 million. The division navigated a weak market environment in China, encountering significant headwinds that mainly impacted the Nutritionals business. We also registered a decline in sales in the Digestive Health category. By contrast, sales at Dermatology were in line with the strong prior year, while sales of our allergy products increased, primarily driven by gains for Claritin™ that were partly attributable to product line extensions.

  • Sales in Latin America increased by 2.6% (Fx & portfolio adj.) to €699 million, with gains at Pain & Cardio and Nutritionals more than offsetting declines at Allergy & Cold and Digestive Health. Growth at Pain & Cardio was driven by Actron™, while the increase in sales at Nutritionals was fueled by Redoxon™ and Supradyn™.

Earnings

EBITDA before special items declined by 1.8% to €1,341 million in 2025 (2024: €1,366 million). Earnings were impacted by a negative currency effect of €73 million (2024: €46 million) that the division was able to partially offset thanks to its continuous cost and price management efforts. Investments in marketing our products were at the prior-year level, while overall selling expenses were down. The EBITDA margin before special items came in at 23.1%, and was therefore 0.2 percentage points below the prior-year level.

EBIT amounted to €912 million (2024: €1,028 million) after special charges of €49 million (2024: net special gains of €59 million) relating to restructuring.

Special items1 Consumer Health

€ million

 

EBIT
Q4 2024

 

EBIT
Q4 2025

 

EBIT
2024

 

EBIT
2025

 

EBITDA
Q4 2024

 

EBITDA
Q4 2025

 

EBITDA
2024

 

EBITDA
2025

Restructuring

 

(22)

 

(25)

 

(104)

 

(49)

 

(22)

 

(25)

 

(104)

 

(49)

Divestments/closures

 

 

 

(43)

 

 

 

 

(2)

 

Impairment losses/loss reversals

 

202

 

 

202

 

 

 

 

 

Other

 

4

 

 

4

 

 

4

 

 

4

 

Total special items

 

184

 

(25)

 

59

 

(49)

 

(18)

 

(25)

 

(102)

 

(49)

1

For definition see A 2.3 “Alternative Performance Measures Used by the Bayer Group.”

Fourth quarter of 2025

Sales

Sales at Consumer Health declined by 4.6% (Fx & portfolio adj.) to €1,461 million in the fourth quarter. We recorded a decline in sales at Allergy & Cold that was primarily attributable to a soft cold season in North America. Sales also decreased at Nutritionals, Dermatology and Pain & Cardio, with business mainly down in Asia/Pacific amid a market environment that remained challenging. By contrast, we posted an increase in sales at Digestive Health that was primarily driven by significant gains in Europe and North America.

Earnings

EBITDA before special items declined by 15.5% to €305 million in the fourth quarter of 2025 (Q4 2024: €361 million). Earnings were mainly impacted by the decline in sales as well as a negative currency effect of €24 million (Q4 2024: positive currency effect of €10 million). We also registered higher investments in marketing our products as well as an increase in the cost of goods sold. However, we were able to partially offset these effects thanks to our continuous cost and price management efforts as well as higher income from the sale of minor, nonstrategic brands. The EBITDA margin before special items declined by 2.1 percentage points to 20.9%.

EBIT at Consumer Health amounted to €184 million (Q4 2024: €442 million) after special charges of €25 million (Q4 2024: net special gains of €184 million) relating to restructuring.

1 Source: Bayer’s estimate (as of November 2025), taking into account external sources