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Cognition & moodEvidence grade: Early human data

Semax

Met-Glu-His-Phe-Pro-Gly-Pro (ACTH(4-10) analogue)

A Russian-developed ACTH fragment studied for attention, stroke recovery and BDNF expression, without the hormonal activity of ACTH itself.

Last reviewed · 2 references

How it works

Semax is a synthetic fragment of adrenocorticotropic hormone with the hormonal portion removed. Within an hour of intranasal dosing, rodent studies show sharp increases in BDNF and its receptor TrkB in the hippocampus. It also appears to slow the breakdown of enkephalins and to modulate dopaminergic and serotonergic tone. In Russia it holds regulatory approval for stroke and cognitive indications; elsewhere it is unapproved.

Early human data. Some human data exists, usually small, open-label, or from a single research group.

What the research reports

  • Increased BDNF and TrkB expression in hippocampus (rodent, within 1h)
  • Improved attention and working memory in small human studies
  • Neuroprotection and functional recovery in ischaemic stroke trials conducted in Russia
  • Reduced anxiety-like behaviour without sedation in animal models

What it has not been shown to do

  • No large multi-centre trial outside Russia has replicated the stroke results
  • Not demonstrated as a treatment for major depressive disorder
  • Long-term safety beyond a few months is uncharacterised

Dosing reference

Research literature commonly reports 200–600 mcg/day intranasally, split across doses. Clinical stroke protocols used substantially higher amounts under supervision.

Calculate my dose for Semax
Routes studied
Intranasal, Subcutaneous
Half-life
Very short in plasma (minutes); central effects reported to outlast it considerably
Cycle length in the literature
Studies typically run 10–14 days, then a break

Working out a draw volume from a vial? Use the free reconstitution calculator.

Side effects and contraindications

Reported side effects

  • Nasal irritation with intranasal use
  • Headache
  • Overstimulation or irritability at higher amounts
  • Sleep disruption if dosed late in the day

Do not use if

  • Pregnancy and breastfeeding
  • Uncontrolled anxiety or bipolar disorder — stimulating effects can destabilise
  • Concurrent MAOIs or stimulants without clinical oversight

The practice that shares the mechanism

BDNF opens a plasticity window; it does not decide what gets encoded. That is the argument for pairing a BDNF-raising compound with deliberate mental rehearsal rather than passive use. Focused practice during the window is what turns raised plasticity into a changed pattern.

What amplifies it

  • Deep sleep — BDNF-dependent consolidation happens overnight, not during the dose
  • Adequate protein: the compound cannot outrun a shortage of amino acid substrate
  • Zone-2 cardio independently raises BDNF and stacks additively

Mechanism hubs

Stacks that include it

Common questions

Sources & evidence notes

Evidence grade: Early human data2 sources · 1 human · 1 animal · reviewed 1 Jun 2026

Some human data exists, usually small, open-label, or from a single research group.

Confidence score 27/100

Limited confidence

Animal or mixed preclinical work. Enough to justify interest, not enough to predict an outcome in a person.

Search all sourcesExports the 2 sources currently shown.
Study type
Species
Evidence grade

Showing 2 of 2 sources

  1. 1.

    Neuroscience Letters, 2006 · Source (opens in a new tab)

    Animal studyLimited gradeRodent or other animal model. Frequently fails to replicate in people.
  2. 2.

    Zhurnal Nevrologii i Psikhiatrii, 2011 · Source (opens in a new tab)

    Human trialModerate gradeHuman data, but open-label, uncontrolled, or from a single group.