Semax

Synthetic HeptapeptideRx: PrescriptionCompound: Approved

Also known as: ACTH(4-10) analog, L-Methionyl-L-glutamyl-L-histidyl-L-phenylalanyl-L-prolylglycyl-L-proline, Met-Glu-His-Phe-Pro-Gly-Pro, SEMAX, Semx

Educational Only — Not medical advice. Consult a qualified clinician before using any peptide.

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Summary

Synthetic peptide analog of ACTH(4-10) with nootropic, neuroprotective, and cerebrovascular effects; used in Russia and some CIS countries for cognitive impairment, stroke recovery, and optic nerve atrophy

Mechanism of Action

Nootropic and neuroprotective effects via modulation of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) expression; inhibits enkephalin-degrading enzymes; modulates monoaminergic and cholinergic neurotransmission; enhances cerebral blood flow

Routes of Administration

IntranasalSubcutaneous

Goals & Uses

  • NeuroprotectionNeurologyModerate
  • stroke recoveryNeurorehabilitationModerate
  • optic nerve atrophyOphthalmologyModerate
  • Anxiety reductionNeuropsychiatricLow
  • ADHD symptom managementAttentionLow
  • Cognitive enhancementNootropicModerate

Contraindications

  • children under 2 yearsAgeModerate
  • PregnancyPopulationModeratePotential fetal risk or insufficient safety data
  • severe allergic reaction to peptide componentsHypersensitivityHigh
  • LactationReproductiveModerate
  • acute psychosisPsychiatricHigh
  • Uncontrolled hypertensionCardiovascularLow

Adverse Effects

  • Allergic reactionImmunologicRareImmune-mediated hypersensitivity response
  • irritation at application siteLocalUncommon
  • HeadacheNeurologicUncommonPain in the head or upper neck
  • InsomniaPsychiatricUncommonDifficulty sleeping
  • Increased blood pressureCardiovascularRare
  • AnxietyPsychiatricRareExcessive worry or nervousness

Drug Interactions

  • cholinesterase inhibitorsLow
  • monoamine oxidase inhibitors (MAOIs)Moderate
  • stimulants (amphetamine, methylphenidate)Low
  • AntihypertensivesLowMay potentiate hypotensive effects in some contexts

Population Constraints

  • Hepatic impairmentOrgan FunctionRelative
  • Renal impairmentOrgan ImpairmentRelative
  • Pediatric patientsAgeRelative
  • Pregnant womenReproductiveRelative

Regulatory Status

  • European UnionUnapprovedNot EMA approved
  • United StatesUnapprovedNot FDA approved; not available as prescription drug
  • United KingdomUnapprovedNot MHRA approved; unlicensed medicine

Approved in Russia and Ukraine; not approved by FDA or EMA; widely used off-label for cognitive enhancement

Evidence & Sources

Frequently Asked Questions

What is Semax?

Synthetic peptide analog of ACTH(4-10) with nootropic, neuroprotective, and cerebrovascular effects; used in Russia and some CIS countries for cognitive impairment, stroke recovery, and optic nerve atrophy

What is Semax used for?

Semax is educationally associated with: Neuroprotection, stroke recovery, optic nerve atrophy, Anxiety reduction, ADHD symptom management, Cognitive enhancement. Educational only — not medical advice.

How is Semax administered?

Recorded routes of administration: Intranasal, Subcutaneous.

What are the potential side effects of Semax?

Reported adverse effects include: Allergic reaction, irritation at application site, Headache, Insomnia, Increased blood pressure, Anxiety. This list is not exhaustive — consult a qualified clinician.

Who should avoid Semax?

Recorded contraindications: children under 2 years, Pregnancy, severe allergic reaction to peptide components, Lactation, acute psychosis, Uncontrolled hypertension. Consult a qualified clinician before use.

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