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Peptide Encyclopedia / Semax

Encyclopedia

Semax

Semax is a synthetic peptide based on a fragment of ACTH, developed in Russia and used there as an intranasal treatment for cognitive disorders and ischemic stroke. It carries no FDA or EU approval and sits on Russia's list of essential drugs. Educational only, not medical advice.

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Also known asSemax, ACTH(4-10) Pro-Gly-Pro, Methionyl-glutamyl-histidyl-phenylalanyl-prolyl-glycyl-proline
Regulatory statusSemax is NOT FDA-approved and is not approved in the US or EU.

Regulatory status

Semax is NOT FDA-approved and is not approved in the US or EU. It is registered/approved only in Russia (developed at the Institute of Molecular Genetics, Russian Academy of Sciences; approved there in the 1990s), where it is used as an intranasal preparation for cognitive disorders and ischemic stroke and has appeared on Russia's Vital and Essential Medicines list. In the US it is an unapproved research chemical.

Mechanism

Semax is a synthetic heptapeptide analog of the ACTH(4-10) fragment, modified with a C-terminal Pro-Gly-Pro to resist enzymatic degradation while retaining neurotropic activity without stimulating cortisol release. Reported mechanisms include rapid induction of BDNF and NGF expression and their receptors, neuroprotective and antioxidant effects, modulation of monoaminergic systems, and reduction of post-ischemic inflammatory cascades. Mechanistic data are largely from animal/cell studies. Pharmacokinetics (half-life Short plasma half-life (parent peptide rapidly degraded, on the order of minutes); CNS/behavioral effects reported to outlast plasma presence after intranasal dosing.): Administered intranasally in Russian clinical use. The peptide is rapidly hydrolyzed by aminopeptidases; the Pro-Gly-Pro tail prolongs activity relative to the unmodified ACTH fragment. Detailed validated human PK parameters are limited and largely in Russian-language sources. No robustly verified Western-standard human PK half-life found.

Evidence

Human evidence is concentrated in small Russian studies of acute ischemic stroke and cognitive/neurological conditions, reporting improved recovery of neurological function when added to standard therapy. These trials are generally small, often non-randomized or non-placebo-controlled, and not replicated to Western regulatory standards. Animal data on neuroprotection and BDNF/NGF induction are more extensive. Honest level: limited-human. Reported use: In Russian clinical practice Semax is reported as an intranasal solution (e.g., 0.1% for cognitive use; higher 1% concentrations reported in stroke protocols, often several thousand mcg/day in divided intranasal doses). Off-label community use elsewhere is intranasal for cognitive/nootropic purposes. These reflect reported practice; rigorous Western dose-finding trials are lacking.

Safety

In available Russian studies Semax was generally reported as well tolerated with few adverse effects at studied intranasal doses. Comprehensive long-term safety, large adverse-event databases, and Western regulatory review are lacking. Research-chemical sourcing carries purity and sterility risks. No verified large-scale safety dataset found..

Contraindications

Pregnancy and breastfeeding (no adequate safety data), No formally established clinical contraindications due to limited trial data.

Interactions

No well-characterized drug interactions documented in peer-reviewed literature

Track Semax in PepWise

Log every dose and injection site, get the reconstitution and units math automatically, follow your cycle, and record how you feel, then export a provider report. Semax tracker, free to start.

Sources

  1. Gusev EI, Martynov MY, Kostenko EV, et al. The efficacy of semax in the treatment of patients at different stages of ischemic stroke. Zh Nevrol Psikhiatr Im S S Korsakova. 2018;118(3):61-68. https://pubmed.ncbi.nlm.nih.gov/29798983/
  2. Dolotov OV, Karpenko EA, Inozemtseva LS, et al. Semax, an analog of ACTH(4-10) with cognitive effects, regulates BDNF and trkB expression in the rat hippocampus. Brain Res. 2006;1117(1):54-60. https://pubmed.ncbi.nlm.nih.gov/16996037/
  3. Medvedeva EV, Dmitrieva VG, Povarova OV, et al. The peptide semax affects the expression of genes related to the immune and vascular systems in rat brain focal ischemia: genome-wide transcriptional analysis. BMC Genomics. 2014;15:228. https://pubmed.ncbi.nlm.nih.gov/24661604/
  4. Eremin KO, Kudrin VS, Saransaari P, et al. Semax, an ACTH(4-10) analogue with nootropic properties, activates dopaminergic and serotoninergic brain systems in rodents. Neurochem Res. 2005;30(12):1493-1500. https://pubmed.ncbi.nlm.nih.gov/16362768/
  5. Ashmarin IP, Nezavibatko VN, Myasoedov NF, et al. A nootropic adrenocorticotropin analog 4-10-semax (15 years experience in its design and study). Zh Vyssh Nerv Deiat Im I P Pavlova. 1997;47(2):420-430. https://pubmed.ncbi.nlm.nih.gov/9173042/
  6. Stavchansky VV, Yuzhakov VV, Botsina AY, et al. The effect of Semax and its C-end peptide PGP on the morphology and proliferative activity of rat brain cells during experimental ischemia: a pilot study. J Mol Neurosci. 2011;45(2):177-185. https://pubmed.ncbi.nlm.nih.gov/21279733/
  7. Glazova NY, Merchieva SA, Sebentsova EA, et al. Semax and Pro-Gly-Pro activate the transcription of neurotrophins and their receptor genes after cerebral ischemia. Cell Mol Neurobiol. 2009;29(6-7):871-878. https://pubmed.ncbi.nlm.nih.gov/19662538/

PepWise is an informational and educational tracking tool, not medical advice and not a medical device. Semax may be experimental, restricted, or prescription-only; many research peptides are not FDA-approved. Consult a licensed healthcare provider before starting, changing, or stopping any protocol. Operated by STC Consulting, Inc.