By Tess Stynes 

Johnson & Johnson reported fourth-quarter sales slipped 0.6% as growth in its domestic pharmaceutical revenue wasn't enough to offset a drag on its international revenue from a stronger U.S. dollar.

The health-care giant's shares fell about 1% in recent premarket trading, even though per-share earnings, excluding one-time charges, beat analysts's expectations.

For 2015, the company forecast adjusted per-share earnings between $6.12 and $6.27. Analysts polled by Thomson Reuters recently expected per-share profit of $6.13.

The New Brunswick, N.J., company's sales have been propelled by newer drugs--such as diabetes drug Invokana, blood-thinner Xarelto and psoriasis treatment Stelara--as J&J strives to revive its consumer and medical-devices businesses.

J&J's hepatitis C drug, Olysio, also had been contributing to the growth but was expected to drop off as the result of growing competition. In the latest period Olysio sales reached $256 million in the U.S., above analysts's expectations, but below the $671 million in the third quarter.

The company's total revenue decreased to $18.25 billion from $18.36 billion, and below the average analyst estimate of $18.56 billion on Thomson Reuters.

During the latest quarter, J&J's total pharmaceutical sales rose 9.6% to $8 billion. Domestic pharmaceutical sales increased 23% to $4.36 billion. International pharmaceutical sales dropped 2.7% to $3.64 billion, but excluding currency impacts, sales abroad grew 5.8%.

Excluding currency impacts, world-wide sales of Stelara rose 35% in the latest quarter. U.S. sales of Xarelto surged 58% to $428 million.

Overall J&J reported a profit of $2.52 billion, or 89 cents a share, compared with $3.52 billion, or $1.23 a share a year earlier. Excluding an increase in litigation-related items, integration costs and other items, per-share earnings rose to $1.27 from $1.24 and above the average analyst estimate of $1.26 a share.

The company's consumer-products segment posted revenue decline of 3.9% to $3.61 billion, mostly because of the negative impact of foreign-exchange rates on international sales. U.S. consumer sales increased 2.5%.

The medical-devices business recorded a sales drop of 9% to $6.65 billion, hurt by currency impacts and the divestiture of its diagnostics business last year.

Write to Tess Stynes at tess.stynes@wsj.com

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