Semax_Dosage, benefits & legal status
Also known as ACTH 4-10
A peptide used for sharper focus, memory, and mental clarity.
Common vial size is what vendors typically sell, not a recommendation. Enter your own vial in the calculator.
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.
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.
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.
- 01It reaches the brain through the noseThe nasal route bypasses the blood-brain barrier, which is why it is not injected.
- 02BDNF risesBDNF is a protein that supports the growth and connection of brain cells, and raising it is the main proposed mechanism.
- 03Almost all research is Russian-languageIt 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 this compound is thought to act.
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
398
Records indexed for Semax
105 in humans, 78 of them original studies.
FDA: Nominated but withdrawn; previously category 2.
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.

At a glance
Four things to know about Semax
Evidence
Research only
Category
Brain, mood and sleep
Common vial
30 mg
Half-life
Minutes
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.
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.
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.
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.
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.
What are the side effects and cautions?
Known cautions and warnings for this compound.Who should avoid it
- No formal contraindications established outside Russia
- Pregnancy
Stop and get help
- No serious adverse events have been reported at studied doses
- Signs of an allergic reaction
Common effects
- 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
- FDA: Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks (category 2 and withdrawn nominations), current as of April 22, 2026Nominated but withdrawn; previously category 2
Listed as Semax (heptapeptide)
Checked 11 September 2026
Where this page says nothing is established, that means nobody has studied it, not that a compound is safe.
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 statusResearch only
- RouteNasal spray, or injected under the skin
- CheckedAugust 2026
- Approved outside the USRussia: 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.
- DoseFrom research and community reports. No regulator has reviewed this dose.
- Vial sizeFrom what vendors typically list; not a recommendation.
- Sources
- Reviewed14 August 2026
What else is like Semax?
Others in Brain, mood and sleep, side by side.If you're weighing Semax, it's worth reading Selank, N-Acetyl Semax Amidate, and DSIP (Delta Sleep-Inducing Peptide) in the same class.
A peptide used for sharper focus, memory, and mental clarity.
- Dose
- 0.2 up to 0.6 mg per day
- How often
- 1-2x daily
A peptide that eases anxiety while keeping you clear-headed.
- Dose
- 0.25 up to 0.5 mg per day
- How often
- 1-2x daily
A longer-lasting version of Semax for focus and memory.
- Dose
- 0.2 up to 0.4 mg per day
- How often
- 1-2x daily
A before-bed peptide used to deepen sleep.
- Dose
- 0.1 up to 0.2 mg per dose (start low, increase slowly)
- How often
- Nightly
Guides for this compound
- How to Reconstitute a Peptide
Mix peptide powder with bacteriostatic water, step by step.
- How to Read an Insulin Syringe
Read the units, convert to millilitres, and draw the exact dose.
- mcg vs mg: The Peptide Dosing Mistake to Avoid
Your vial says mg and your protocol says mcg. Here is the conversion and how to check it.
- How to Read a Peptide COA
What the purity number does and does not tell you, and how to spot an edited report.
- How to Vet a Peptide Vendor
Independent COAs, HPLC purity, and the red flags that mean walk away.
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
