Material Insights · Understanding the Material World

Paracetamol

Paracetamol (acetaminophen), the world's most used painkiller and fever reducer; India leads API supply but its key starting material came largely from China.

Fine chemicals · Pharmaceutical · No. 94

  • Single chemical
  • Feedstock: Oil, gas or coal
  • not published globally; India about 72 kt/yr output (6,000 t/month, 2020); Pharmaoffer recorded 35.9 kt of traded transactions in the 12 months to June 2026
  • HS 292429
Fine chemicals · Pharmaceutical · Foundation · Matter

India supplied almost 40% of the world's paracetamol in 2020, yet relied on China for its key ingredient.

Chart: Illustration: Paracetamol

Where it comes from

Chart: Map of where it comes from

Benzene becomes nitrobenzene, which is hydrogenated to para-aminophenol and then acetylated; about 0.72 kg of PAP goes into each kilo of paracetamol.

Three things to know
  1. A tonne of paracetamol needs about 0.8 t of nitrobenzene and 0.68 t of acetic anhydride.
  2. Meghmani's 13,500 t a year PAP plant, built under PLI, is India's main step away from Chinese supply.
  3. India held 49.4% of recorded paracetamol export transactions in the 12 months to June 2026.
The journey
  1. 1 BenzeneTurned into nitrobenzene or phenol
  2. 2 Para-aminophenolHydrogenated in acid over platinum catalyst
  3. 3 AcetylationReacted with acetic anhydride to paracetamol
  4. 4 Pure powderCrystallised to pharmacopoeia standard, drummed
  5. 5 MedicinesTablets, cold remedies and children's syrups
Covered in The chemical industry: what it makes and how it is organisedChemicalsPharmaceuticals and fermentation: from molecule to medicineChemicalsThe fine and specialty chemicals business: how it really worksChemicals
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