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Editorial caution Compounded — not FDA-approved. This page is an editorial overview, not medical advice or a recommendation. Many peptides have limited human-trial evidence. Always work with a licensed, board-certified clinician.

What it is

Semax is a synthetic ACTH(4-10) analog studied as a neuroprotective and nootropic peptide.

Mechanism of action

Semax is a synthetic heptapeptide derived from a fragment of ACTH (adrenocorticotropic hormone). It modulates BDNF and neurotrophin expression, monoaminergic signaling (dopamine, serotonin, norepinephrine), and has neuroprotective effects in animal models of stroke and traumatic brain injury. Developed in Russia and approved there for stroke recovery and cognitive dysfunction.

Reported uses

Evidence base

Russian clinical research; limited Western trials.

Regulatory status

Compounded — not FDA-approved.

Typical dosing context

Most common form: intranasal spray, 250 mcg–1 mg per dose, 1–3 times daily depending on protocol. Two concentrations exist: 0.1% (lower-dose nootropic use) and 1% (clinical use for stroke and severe cognitive dysfunction). Cycle length is typically 2–4 weeks on, with breaks.

Dosing in research and clinical-use contexts varies. Specific protocols should always be set by a prescribing clinician, not by patient-direct sources.

Side effects and safety

Generally well-tolerated. Reported side effects: mild stimulation, occasional headache, nasal irritation. Some patients report difficulty sleeping if dosed late in the day.

Common stacking protocols

Semax is commonly combined with selank (anxiolytic) for balanced cognitive + emotional support. Some protocols layer with cholinergic supplements (alpha-GPC, citicoline) for additive memory effects.

How to access Semax

Most peptides discussed on this page are compounded products requiring a prescription from a licensed clinician. Reputable telehealth peptide programs include physician-led oversight, accredited compounding pharmacies, and clear regulatory framing. For weight-management GLP-1 programs, see our provider reviews.

Frequently asked questions

What is Semax?

Semax is a synthetic ACTH(4-10) analog studied as a neuroprotective and nootropic peptide.

Is Semax FDA-approved?

Compounded — not FDA-approved.

What are the typical uses of Semax?

Uses include: Cognitive support (research), Stroke recovery (Russian clinical use). This is research and clinical-use context, not a recommendation. Always work with a licensed clinician.

What is the evidence behind Semax?

Russian clinical research; limited Western trials.

What is the typical dosing for Semax?

Reported dosing: Intranasal, 250–600 mcg per dose. Actual dosing should always be determined by your prescribing clinician, not by online sources.

Semax vs selank?

Semax is more stimulating and cognitive-focused; selank is more calming and anxiolytic. Many users combine the two for balanced effects.

Is semax addictive?

No dependence or withdrawal pattern has been documented in available data. Tolerance can develop with continuous use, which is why cycling is recommended.

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