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Semax_Dosage, benefits & legal status

Also known as ACTH 4-10

Published July 22, 2026 · Updated July 25, 2026

A peptide used for sharper focus, memory, and mental clarity.

Focus & brainACTH(4-10) peptideResearch only
Common vial size30 mg
Dose0.2 up to 0.6 mg per day
Frequency1-2x daily
RouteNasal spray, or injected under the skin
StatusResearch only
CycledTaken in courses, usually 10 to 14 days, with breaks between

Common vial size is what vendors typically sell, not a recommendation. Enter your own vial in the calculator.

01

What is Semax?

Plain language first. The technical label stays, but it never stands alone.

Overview

It raises BDNF, a chemical that helps brain cells grow and connect. That is why people use it for focus and memory, and why it is used in Russia after strokes.

The technical version

Semax is a 7-amino-acid peptide based on a fragment of ACTH, a brain-signaling hormone, given as a nasal spray.

What it's used for

Sharpens focus, memory, and mental clarity by raising a brain-growth signal. It works within about half an hour and is used in Russia for stroke recovery and attention.

02

How does Semax work?

What it does in the body, and where.

Semax is seven amino acids based on a fragment of ACTH, a brain-signalling hormone, with the hormonal part removed. It is a nasal spray, and it is a registered medicine in Russia.

  1. 01
    It reaches the brain through the nose
    The nasal route bypasses the blood-brain barrier, which is why it is not injected.
  2. 02
    BDNF rises
    BDNF is a protein that supports the growth and connection of brain cells, and raising it is the main proposed mechanism.
  3. 03
    Almost all research is Russian-language
    It has been used clinically there for decades for stroke and cognitive complaints, but the studies are largely not replicated or published in Western journals.
Where it acts
Brain

Where this compound is thought to act.

03

What else is it used for?

Each group carries its own evidence level.

Approved means regulators have cleared it for that purpose. Investigational means it is in trials. Early research means it is being studied and is not established.

Stroke recovery

Clinical use
  • RegulatoryIt is a registered prescription medicine in Russia for stroke, brain injury, and optic nerve disease.
  • Human trialIn a study of 110 post-stroke patients, nasal Semax raised a brain-growth protein and improved daily-function and motor scores over about five months. The study had no randomisation, no placebo group, and reported no statistics.

Focus and brain signalling

Early research
  • Animal studyA single nasal dose raised BDNF protein about 1.4-fold and its gene activity 3-fold in rat brain within hours.
  • No dataNo Western randomised controlled trial exists for any use.

The published record

Research index

398

Records indexed for Semax

105 in humans, 78 of them original studies.

FDA: Nominated but withdrawn; previously category 2.

Browse the records

In animalsPro
In the labPro
ReviewsPro
Senior author sharePro

Counted from Europe PMC indexing, not read by a person. Human means indexed under humans, which includes reviews and work on human cells. Original studies exclude reviews and lab work on human cells.Last updated 11 September 2026.

Semax vial rendering
Compound field notes

At a glance

Four things to know about Semax

01

Evidence

Research only

02

Category

Brain, mood and sleep

03

Common vial

30 mg

04

Half-life

Minutes

04

How much, and do you cycle it?

The range, and whether you take breaks.

0.2 up to 0.6 mg per day, 1-2x daily. Taken in courses, usually 10 to 14 days, with breaks betweenCommunity practice

The Russian clinical literature uses course dosing rather than continuous use, and users report the effect fading if it is taken every day without a break. No controlled study has compared courses against continuous use.

Compare this against the whole library →

05

How long does it stay in the body?

The half-life, and where the figure comes from.

MinutesHuman study

Refers to the nasal route. The underlying work is in Russian-language journals.

Not yet traced to a primary source.

You can compare this against the whole library to see where it sits.

06

What does it cost?

Typical dose and cost, in plain numbers.

Semax is not injected

It is taken nasal spray, or injected under the skin.

Cost per month
Cost per dose
Typical dose
200 mcg–600 mcg / dayHuman study
What it costs

Semax starts at $20.14 across 54 vendors, typically $2.30 – $9.40 per mg.

86 listings, last read Sep 5, 2026. Shipping and card fees are not included.

See all 86 listings →
07

How do you store it?

Before mixing, and after.

Fridge after opening. Use within about 30 days.

Store sealed Semax in the fridge. Once opened, keep it upright in the fridge and plan to finish it inside roughly 30 days. Keep it out of light and do not freeze the liquid.

08

What are the side effects and cautions?

Known cautions and warnings for this compound.

Who should avoid it

Check these before anything else.
  • No formal contraindications established outside Russia
  • Pregnancy

Stop and get help

These are emergencies. Seek care.
  • No serious adverse events have been reported at studied doses
  • Signs of an allergic reaction

Common effects

Expected, and usually mild.
  • Mild nasal irritation, from nasal use
  • Occasional short-lived headache
  • Possible difficulty sleeping if taken late in the day
  • No tolerance, dependence, or withdrawal has been documented
  • Nothing is documented about injecting it

What regulators say

Where this page says nothing is established, that means nobody has studied it, not that a compound is safe.

09

Is Semax approved?

And where the numbers on this page come from.

No. Semax is not approved for any use, anywhere. It is sold labelled for laboratory research only, and there is no legal route to buy it for human use. It is approved in Russia, but not in the United States.

  • Approval status
    Research only
  • Route
    Nasal spray, or injected under the skin
  • Checked
    August 2026
  • Approved outside the US
    Russia: Cleared by Russia's Ministry of Health in 1994.This does not change the United States position above.

What has happened recently

Semax is approved and prescribed in Russia. It has never been approved in the United States. On July 24, 2026, an FDA advisory committee voted by a narrow margin to recommend adding Semax to the list of substances US pharmacies may compound. The FDA's own scientific reviewers had advised against it. The vote is advice, not a decision, and compounding Semax is still not legal in the US today.

You can compare this against the whole library, or read how to check a seller.


Guides for this compound

Sources

  • Semax research review, Alzheimer's Drug Discovery Foundation(2025)
    An independent assessment by neuroscientists at a research foundation, and the most useful thing in it is what the reviewer could not do. Semax is a real drug in Russia, used there for stroke, encephalopathy, Parkinson's, optic nerve atrophy and neurological deficits in newborns. The reviewer went looking for the evidence behind that and reports being unable to access the original human data, because the studies are published in Russian and reachable only as abstracts. What is accessible amounts to two pilot studies in healthy volunteers and two in stroke patients. The clearest of them gave 24 healthy subjects intranasal semax and found a change in resting brain imaging signal, which is a measurement rather than a benefit. On dementia and cognitive ageing the report's entry for clinical evidence is a single word: none. Two further things belong on a page for people considering this compound. Every dose documented here is intranasal drops, one to two drops of a 0.1% solution twice daily in healthy people, while semax is widely sold for injection. And the side effect profile is drawn from a review rather than from primary safety data, with nasal discoloration in about 10% of patients and raised blood glucose in about 7% of diabetics, with long-term effects unknown.
  • FDA, Pharmacy Compounding Advisory Committee meeting, July 23-24, 2026(2026)
    FDA brought Semax before its Pharmacy Compounding Advisory Committee on 24 July 2026, to consider adding it to the 503A bulks list. The uses evaluated were cerebral ischemia, migraine and trigeminal neuralgia. None of those is the cognitive or nootropic use Semax is sold for in the West. They match its registered Russian indications instead, which tells you what evidence was actually submitted for review. Two things about the page itself. It sets out the agenda and links FDA's briefing document for each substance, but it does not record how the vote went, so it tells you what was assessed rather than what was decided. And the page notes that advisory committees give non-binding recommendations which FDA generally follows but is not legally bound to, so even the vote would not be the final word.
  • FDA, bulk drug substances for compounding that may present significant safety risks(2026)
    FDA lists semax as the heptapeptide. It cites immunogenicity risk for certain routes from aggregation and peptide-related impurities, and says it has no or only limited safety information for the proposed routes, so it cannot know whether the drug would cause harm in people. As of the 22 April 2026 version of this page, the substance sits in the second table, headed bulk drug substances nominated but withdrawn, rather than in the live category 2 list. The nomination was withdrawn, which is not the same as being approved or cleared: FDA still publishes the safety language above, and no longer has a nomination in front of it to evaluate.

Last reviewed 14 August 2026

Beyond these, 398 records are indexed. Browse the records