Educational use only — not medical advice. This guide summarizes information reported in published research and community practice for educational purposes. It is not medical advice and not a recommendation to use any compound. Any doses, schedules, or combinations shown are examples of what has been reported, not instructions for you. Many peptides described here are research compounds that are not FDA-approved for the uses discussed and may be investigational or restricted. Effects, risks, and legal status vary; individual needs and results vary. Consult a qualified, licensed healthcare professional before making any decision. Do not use this content to diagnose, treat, or dose yourself.
Semax at a glance
- What it is
- Semax, the synthetic heptapeptide Met-Glu-His-Phe-Pro-Gly-Pro — an ACTH(4-7) fragment extended with a Pro-Gly-Pro tail that slows enzymatic breakdown. It carries no corticotropic activity.
- Researched for
- Ischaemic stroke and cognitive/attention research, almost entirely within a Russian research tradition; the English-indexed literature is dominated by rat brain-ischaemia gene-expression work.
- Commonly reported range
- Community figures cluster around 300-600 mcg per administration; the registered Russian product is a 0.1% or 1% intranasal drop, dosed in drops rather than by weight.
- Route reported
- The registered product and most published research use the intranasal route. Subcutaneous injection is a community practice with no registered product behind it.
- Reported frequency
- Community reports describe once or twice daily in short courses; the Russian clinical protocols are also short-course.
- Mechanism
- An ACTH fragment lacking corticotropic activity; associated in animal work with BDNF/neurotrophin signalling and with broad changes in ischaemia-related gene expression.
- Plasma half-life
- Minutes. The Pro-Gly-Pro tail slows degradation relative to the bare ACTH fragment but does not make it long-lived.
- Regulatory status
- Registered as a medicine in Russia; not FDA-approved and not approved anywhere in the EU or US. Research/educational use only.
Reported ranges from research/community — examples, not recommendations.
What it is / mechanism
Semax is a synthetic analogue of the ACTH(4-10) region — specifically the ACTH(4-7) fragment Met-Glu-His-Phe, extended with Pro-Gly-Pro. The tail is the design feature: the bare fragment is degraded almost immediately by plasma and tissue peptidases, and the added tripeptide slows that enough for the molecule to be administered practically. It was developed at the Institute of Molecular Genetics of the Russian Academy of Sciences, and the whole compound is best understood as a stabilised piece of a hormone rather than a novel molecule.
The important pharmacological point is what it does not do. ACTH's defining action is stimulating cortisol release from the adrenal cortex, and that activity lives in a different part of the molecule. The 4-7 fragment retains the behavioural and neurotrophic activity historically attributed to ACTH fragments while carrying no corticotropic effect, which is precisely why the fragment was chosen. Semax is not a corticosteroid, does not raise cortisol as its mode of action, and should not be reasoned about as though it were an ACTH substitute.
What it does at a molecular level is less cleanly established than the marketing suggests. The most frequently cited association is with brain-derived neurotrophic factor and its receptor TrkB, with animal work reporting increased BDNF expression in relevant brain regions after administration. Beyond that, the strongest and most reproducible body of evidence is transcriptomic rather than receptor-level: in rat models of focal cerebral ischaemia, Semax produces broad, measurable changes in gene expression — Medvedeva et al. (BMC Genomics, 2014; PMID 24661604) reported genome-wide transcriptional changes affecting immune and vascular system genes, and Dergunova et al. (2021; PMID 34097675) reported suppression of transcripts encoding proinflammatory mediators after reversible brain ischaemia. Sudarkina et al. (2021; PMID 34201112) reported a corresponding protein-expression profile.
That is a real mechanistic literature, and it is worth reading it for what it is: consistent evidence that the compound changes ischaemia-related gene expression in rat brain. It is not a demonstration of a receptor, and it is not a human efficacy finding. A separate strand of interest concerns copper — Semax has been characterised as a copper-chelating peptide affecting copper-catalysed reactive oxygen species production in amyloid model systems — which is chemistry in artificial membrane models rather than a clinical mechanism.
Researched effects
The reported effects and the indexed evidence for them are two different things, and separating them is the most useful thing this section can do.
What is reported: in Russian clinical and preclinical research Semax has been associated with improvements in attention, memory consolidation and mental fatigue, and it is registered in Russia for use in ischaemic stroke and transient ischaemic attack, as well as in ophthalmological indications involving the optic nerve. Those registrations are genuine — a national regulator did approve the product — and they rest on clinical work conducted largely in Russian-language journals over several decades.
What is indexed in English: overwhelmingly animal work. A PubMed search for Semax returns rat brain-ischaemia transcriptomics, Alzheimer's-model animal studies, artificial-membrane copper chemistry, and a 2025 mouse spinal-cord-injury study reporting an effect on the mu opioid receptor gene Oprm1. Human work is sparse; Panikratova et al. (Doklady Biological Sciences, 2020; PMID 32342318) applied a functional connectomic approach to Selank and Semax effects, which is a human neuroimaging study but not an efficacy trial.
The gap between those two paragraphs is the honest summary of Semax's evidence base. It is not that the clinical research does not exist; it is that most of it is not accessible to, or indexed by, the databases an English-speaking reader can check, and that the portion which is indexed is preclinical. A reader outside Russia is largely being asked to take the clinical case on trust. That is a materially different position from a compound whose trials can be looked up, and it is a reasonable thing to weigh — in either direction — rather than something to be quietly omitted.
One further asymmetry is worth naming. The nootropic and mental-fatigue claims that dominate discussion of Semax outside Russia are not what the registered product is registered for. The registrations concern stroke and optic-nerve indications. Attention and cognition in healthy people is the use most people are actually interested in, and it is the use with the least behind it.
Evidence & regulatory status
- Developed at the Institute of Molecular Genetics of the Russian Academy of Sciences, and registered as a medicine in Russia for ischaemic stroke and transient ischaemic attack and for certain optic-nerve indications. That registration is real, and it is national — Semax is not approved by the FDA or in the EU.
- The English-indexed literature is predominantly preclinical: rat focal-cerebral-ischaemia transcriptomics (Medvedeva et al., BMC Genomics 2014, PMID 24661604), suppression of proinflammatory transcripts after reversible brain ischaemia (Dergunova et al. 2021, PMID 34097675) and a corresponding brain protein-expression profile (Sudarkina et al. 2021, PMID 34201112).
- Human work in the indexed literature is sparse. Panikratova et al. (Doklady Biological Sciences 2020, PMID 32342318) used a functional connectomic approach to study Selank and Semax effects — human neuroimaging, not an efficacy trial.
- Route: the registered Russian product is an intranasal solution (0.1% or 1% drops), and most published research uses the intranasal route. The subcutaneous injection widely discussed in research communities corresponds to no registered product and to little published work.
- The nootropic use that dominates non-Russian discussion is not the registered indication. Semax is registered for stroke and optic-nerve conditions; cognition in healthy people is the least-supported of its reported uses.
- Related compound: N-Acetyl Semax Amidate is a separately modified version discussed in its own guide. Figures and reports for one should not be assumed to transfer to the other.
Dosage — reported ranges (overview)
The figures below are examples of what has been reported, not a recommendation, and the two sources of figures are not directly comparable.
The registered Russian pharmaceutical product is an intranasal solution supplied at 0.1% or 1% concentration and dosed in drops per nostril rather than by microgram weight, in short courses. Converting a drop count into a microgram figure requires knowing the drop volume, and the resulting number is an estimate rather than a labelled dose — a 0.1% solution is 1 mg/mL, so a drop of roughly 0.05 mL carries about 50 mcg, but drop size varies with the dropper.
Community sources discussing reconstituted research material describe amounts clustering around 300-600 mcg per administration, once or twice daily, usually in courses of one to several weeks rather than continuously. These figures are anecdotal. They are also frequently quoted without specifying route, which matters a great deal here, since intranasal and subcutaneous administration of the same microgram amount are not equivalent.
The reconstitution table below uses 300 mcg and 600 mcg as arithmetic reference points within that community range, for the purpose of making the concentration math legible. No dose, route or frequency is recommended.
A printable protocol sheet with a reconstitution reference and an injection log comes with All-Access Lifetime.
Reconstitution — bac-water math
Semax is dosed in micrograms, so reconstitution is a concentration calculation where small errors matter. Add bacteriostatic water slowly down the vial wall and swirl rather than shake. Concentration in mcg/mL = total micrograms in the vial / mL of water, and one unit on a U-100 insulin syringe is always 0.01 mL. Worked example for a 10 mg (10,000 mcg) vial:
| Bac water added | Concentration | 300 mcg (example, community-reported) | 600 mcg (example, community-reported) |
|---|
| 1 mL | 10,000 mcg/mL | 3 units | 6 units |
| 2 mL | 5,000 mcg/mL | 6 units | 12 units |
| 3 mL | 3,333 mcg/mL | 9 units | 18 units |
This is concentration math, not a dose recommendation.
Injection / administration basics
The registered product and most published research use the intranasal route, delivered as drops or a metered spray. That is not an incidental detail: the compound was developed and tested as an intranasal preparation, and the published pharmacology describes that route. Subcutaneous injection of reconstituted research powder is a community practice with no registered product behind it and little published characterisation.
One practical consequence is that the same reconstituted solution can be used either way. A vial reconstituted with bacteriostatic water can be loaded into a metered nasal applicator, in which case the concentration determines the micrograms delivered per actuation rather than per syringe unit — the arithmetic is the same calculation with a different final step. The calculator on this page and the concentration table below cover the concentration part regardless of which route the reader is reasoning about.
General handling concepts — sterile technique, recomputing concentration whenever the vial size changes, and working from your own label — are covered here as general information. The detailed workflow comes with All-Access Lifetime, which includes the printable protocol sheet and injection log for every compound. This is general educational information, not a personal administration protocol; a qualified professional should guide any actual use.
Half-life & frequency rationale
Semax is cleared from plasma very rapidly, on the order of minutes, despite the Pro-Gly-Pro stabilisation that protects it relative to the unmodified ACTH(4-7) fragment. The stabilising tail buys enough time for the molecule to be administered practically; it does not produce a long-lived compound, and no reading of the pharmacokinetics supports the idea of a sustained blood level between administrations.
That creates the same interpretive problem as several short-lived peptides: the reported effects, whatever their size, are described as outlasting the compound's presence in circulation by a wide margin. The usual explanation offered is that the effect is downstream — a change in gene expression or neurotrophin signalling initiated during a brief exposure and persisting afterwards — and in Semax's case that explanation has more support than most, since the strongest preclinical evidence is precisely transcriptomic. A measurable change in gene expression in rat brain after ischaemia is exactly the kind of finding that could outlast a peptide cleared in minutes.
It is still an inference rather than a demonstrated human mechanism, and it is worth holding at that level of confidence. The short half-life is also part of why the intranasal route matters in the original research: direct nose-to-brain delivery is a recurring rationale in this literature, whether or not it is fully established.
Side effects, safety & contraindications
Semax is generally described as well tolerated in the available studies, with reported issues limited mainly to local nasal irritation from the intranasal drops — a route-specific and unsurprising finding. Animal toxicology in the Russian literature is described as unremarkable at the amounts studied.
As with the efficacy record, the limitation is what the tolerability data can be checked against. Most of it sits in the same body of Russian-language clinical work that is not indexed in English, so a reader outside that literature is relying on secondary description rather than on trial reports they can read. The English-indexed studies are largely animal work, which does not generate a human adverse-event profile. And the subcutaneous route that many people actually use has essentially no published safety characterisation at all, because it is not the route the compound was developed for.
None of that indicates a specific hazard. It indicates that 'well tolerated' here rests on a thinner and less verifiable base than the same phrase would for an FDA-approved product, which is a distinction worth keeping. Consult a licensed professional; this is not a safety clearance.
Stacking — overview
Semax is most commonly discussed alongside Selank, the two being the best-known peptides from the same Russian research tradition and frequently presented as a complementary pair — Semax for attention and alertness, Selank for anxiety. Panikratova et al. studied both in the same neuroimaging work, but no clinical trial has evaluated them administered together. Each combination is covered in depth — the mechanism-level rationale, what is reported in practice, and combination-specific cautions — in the paid Semax Stacking Module included with this guide.
Russian nootropic pairing (reported)
Semax + Selank — the two best-known peptides from the same research tradition, discussed as complementary; no trial has studied the combination.
Sleep and stress discussion (reported)
Semax + Selank + DSIP — a community grouping based on each compound's individual reported profile, not on any published combination study.
Stacking across compounds
The overview above covers Semax. The cross-compound material — which pairings are redundant rather than additive, where interaction risk is documented versus merely unstudied, and the blend arithmetic worked end to end — lives in the Peptide Stacking Guide, which is free to read in outline and $39 in full (included with All-Access Lifetime).
Included with this guide
The Semax Stacking Module
The overview above is the free summary. The Semax Stacking Module goes through each combination in depth — the mechanism-level reason it is proposed, what is actually reported in practice, and the cautions specific to that pairing — plus what to avoid and why. Included with Semax Standard Access.
- How to think about stacking Semax — 4 principles
- 2 combinations covered in detail
- What to avoid, and why — 4 items
- Combination-specific cautions
Combinations covered: Russian nootropic pairing, Sleep and recovery discussion.
For how combinations are grouped by research context, the named blends, and why a pre-mixed blend vial cannot be calculated from its total milligrams, see the peptide stacks guide.
Storage & handling
- Lyophilized (unreconstituted) vials are typically stored refrigerated and protected from light; the sealed powder is generally described as stable for extended periods, and long-term storage is usually at -20 C.
- Reconstituted solution: refrigerate at ~2-8 C, protect from light, and do not freeze once mixed; commonly reported usable window is ~2-4 weeks.
- If the solution is being used intranasally rather than by syringe, the same storage constraints apply to the applicator — a nasal dropper left at room temperature is the same solution in a warmer place.
References
Sourced from the rat focal-cerebral-ischaemia literature — Medvedeva et al., BMC Genomics 2014 (PMID 24661604) on genome-wide transcriptional changes, Dergunova et al. 2021 (PMID 34097675) on suppression of proinflammatory transcripts, and Sudarkina et al. 2021 (PMID 34201112) on the corresponding brain protein-expression profile; Panikratova et al., Doklady Biological Sciences 2020 (PMID 32342318) on a functional connectomic study of Selank and Semax; work on Semax as a copper-chelating peptide in amyloid model systems (PMID 35080861); and the development and registration record of the Institute of Molecular Genetics of the Russian Academy of Sciences.
Evidence File
The Semax Evidence File: The Registry Blank, the Dev-Name Trial, and the Dose Nobody Studied
The free guide says the clinical work behind Semax is not indexed in English. That is half the story, and the smaller half. This file separates two very different absences, recovers a randomised human trial that no search for the word Semax will ever return, finds the single registry record that the same naming trick hides, reads each of the four indexed Russian trials for what it actually reports rather than what it is cited for, and traces the circulating dose, half-life and neurotrophin figures back to the papers that generated them. It closes by naming, search string by search string, what the literature does and does not contain.
- 1 registry record worldwide, under its development name only, and it enrolled rats
- 40 patients in the only randomised human trial, which a Semax search never returns
- 10x to 60x: how far every human trial dose sits above the circulating community figure
- 89.5% vs 30.8%: the only clean responder effect size anywhere in the human record
Two absences the free page merges into one
The randomised trial that no search for the word Semax returns
The four indexed Russian trials, read for what they report
The internal control nobody quotes
The largest reported effect in the record is for an indication nobody markets
The safety item that is not nasal irritation
Circulating figures traced to origin
The named absences, with the searches that establish them
8 more sections in the Evidence File for Semax
Unlock the Evidence File, Sourcing File and Benefit & Outcome Review for Semax for $14 — or every compound in the library, plus the printable protocol sheets, for $99.
The twelve sections above this one, and every calculator on the site, stay free to read without an account.
Sourcing File
Sourcing Semax: What the Sequence MEHFPGP Decides About Every Certificate
Seven residues, and four of them settle questions a generic certificate-reading guide cannot reach. This file works the Semax numbers rather than describing them: the verified identity record and the one field vendors reuse as a regulatory claim, a computed mass table covering every plausible substitute and degradation product, the arithmetic trap that lets three different correct numbers all look like the molecular weight, and salt-form maths carried all the way through to the microgram figure on a syringe. It closes with a line-by-line read of a certificate and the two questions any Semax document has to answer.
- 813.348 neutral, 813.9 average, 814.355 protonated: three correct molecular weights
- +15.995 Da, the one-methionine oxidation peak a purity percentage hides
- 300 vs 263 vs 234 mcg from the same syringe reading, on label ambiguity alone
- 0 usable absorbance at 280 nm: the sequence has no tryptophan and no tyrosine
The identity record, and the field that is not a regulatory approval
Four rules the sequence writes before any laboratory is involved
The mass table: what else could be in the vial, and how far away it sits
Three correct answers to what is the molecular weight
Salt form: the same syringe reading, three different microgram amounts
What a Semax certificate must show, and what a blank field means
A certificate read line by line
7 more sections in the Sourcing File for Semax
Unlock the Evidence File, Sourcing File and Benefit & Outcome Review for Semax for $14 — or every compound in the library, plus the printable protocol sheets, for $99.
The twelve sections above this one, and every calculator on the site, stay free to read without an account.
Benefit & Outcome Review
Benefit and Outcome Review: Semax
Fourteen claims circulate for this compound across research summaries and community protocols, and they were not selected by the strength of the evidence behind them. Each is graded here on the same four questions: what was measured, in what species and system, against what comparator, and whether any human function improved rather than merely a number changing. Responder splits and time courses are given where they were published and named as missing where they were not. The verdict vocabulary is defined first, so a reader can disagree with a grade rather than with a summary of it.
- 14 circulating claims graded on the same four questions
- 2 placebo-controlled human studies exist, both imaging, neither testing performance
- 0 retrievable human reports contain a cognitive test result
- Post-course durability has never been measured for the peptide on its own
How a claim is graded here
Focus, attention and cognition in healthy adults
Raises BDNF, and the four qualifiers the claim drops
Stroke and optic nerve: the registered indications, without the numbers
Traumatic brain injury: a biomarker that is not an outcome
Mood, motivation, fatigue - and the anxiolysis claim that belongs elsewhere
The claims with no human data, and the one with the only human number
Non-responders, durability, and the property nobody markets
8 more sections in the Benefit & Outcome Review for Semax
Unlock the Evidence File, Sourcing File and Benefit & Outcome Review for Semax for $14 — or every compound in the library, plus the printable protocol sheets, for $99.
The twelve sections above this one, and every calculator on the site, stay free to read without an account.
Related peptide guides
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Guide FAQ
Quick answers about guide scope, access, and educational use context.
What is Semax?
Semax is a synthetic heptapeptide, Met-Glu-His-Phe-Pro-Gly-Pro, based on the ACTH(4-7) fragment with a Pro-Gly-Pro extension that slows enzymatic degradation. It was developed at the Institute of Molecular Genetics of the Russian Academy of Sciences and is registered as a medicine in Russia for ischaemic stroke and transient ischaemic attack, and for certain optic-nerve indications. It carries no corticotropic activity, so it does not act as an ACTH substitute.
What is the reported Semax dosage?
Two different sets of figures circulate. The registered Russian product is a 0.1% or 1% intranasal solution dosed in drops per nostril rather than by weight — at 0.1% (1 mg/mL) a roughly 0.05 mL drop carries about 50 mcg, though drop size varies. Community sources using reconstituted research material describe roughly 300-600 mcg per administration, once or twice daily in short courses. Those are anecdotal figures, often quoted without specifying route, and the route matters. Both are examples, not recommendations.
How many units of Semax is 300 mcg?
It depends on the concentration. For a 10 mg (10,000 mcg) vial: with 1 mL of bacteriostatic water the solution is 10,000 mcg/mL, so 300 mcg is 3 units on a U-100 syringe; with 2 mL it is 5,000 mcg/mL and 300 mcg is 6 units; with 3 mL it is about 3,333 mcg/mL and 300 mcg is 9 units. A 30 mg vial triples the concentration and thirds the unit reading. Use the calculator on this page with your own vial figures.
Is Semax taken intranasally or by injection?
The registered product is intranasal drops, and most published research uses that route — the compound was developed and tested as a nasal preparation. Subcutaneous injection of reconstituted research powder is a community practice with no registered product behind it and very little published characterisation. The same reconstituted solution can be loaded into a metered nasal applicator, where the concentration sets the micrograms delivered per actuation instead of per syringe unit.
What is Semax's half-life?
Minutes. The Pro-Gly-Pro tail slows degradation relative to the bare ACTH(4-7) fragment but does not make the molecule long-lived, and there is no sustained blood level between administrations. The usual explanation for effects outlasting the compound is downstream signalling — a plausible reading here, since the strongest preclinical evidence for Semax is changes in gene expression rather than acute receptor occupancy.
Does Semax raise cortisol?
Not as its mechanism. Semax is derived from the ACTH(4-7) region, and ACTH's corticotropic activity — its ability to stimulate cortisol release — resides in a different part of the molecule. The fragment was selected precisely because it retains the neurotrophic and behavioural activity historically attributed to ACTH fragments without the adrenal effect.
Is Semax FDA-approved?
No. Semax is registered as a medicine in Russia but is not approved by the FDA and is not approved in the EU. Material sold outside Russia is research-grade and not reviewed by any regulator for self-administration.
How strong is the evidence for Semax?
It is genuinely mixed, and the honest answer depends on which literature you can read. Semax carries a real national registration for stroke indications, based on clinical work published largely in Russian-language journals. The English-indexed literature is dominated by rat brain-ischaemia studies — genome-wide transcriptional changes (PMID 24661604), suppression of proinflammatory transcripts (PMID 34097675) and matching protein-expression profiles (PMID 34201112) — which is consistent preclinical evidence, not human efficacy data. Human indexed work is sparse. The cognition-in-healthy-people use that dominates discussion outside Russia is also the least-supported one.
What is the difference between Semax and N-Acetyl Semax Amidate?
N-Acetyl Semax Amidate is a separately modified version of the molecule, with an acetyl group at the N-terminus and an amidated C-terminus, changes intended to further slow degradation. It is discussed in its own guide in this library. The two are related but distinct preparations, and figures, reports or concentration calculations for one should not be assumed to transfer to the other — check which one your own vial is labelled as.
Does Medibact sell Semax?
No. Medibact publishes this educational Semax guide and supplies the USP-grade bacteriostatic water used to reconstitute lyophilized peptides, made at an FDA-registered U.S. facility. It does not sell the peptide itself.
Compliance and trust notes
- Educational content only; no personalized health or outcome claims.
- No personalized use recommendation outputs.
- Use this material for general learning and research-context literacy.