Semax (NA-Semax)
Synthetic ACTH Analog | Nootropic & Neuroprotective Peptide
Community Research
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Semax is a synthetic heptapeptide derived from adrenocorticotropic hormone (ACTH) fragment 4-10, originally developed in Russia for stroke recovery. It achieves enhanced CNS penetration through direct transport via olfactory epithelium and trigeminal nerves, bypassing the blood-brain barrier.
Rapidly increases BDNF levels, modulates dopaminergic and serotonergic systems, and achieves direct brain delivery through olfactory transport with 0.093% blood-brain barrier penetration (vs 0.01% IV).
Molecular Data
MEHFPGPMethionine
Position 1
Glutamic Acid
Position 2
Histidine
Position 3
Phenylalanine
Position 4
Proline
Position 5
Glycine
Position 6
Proline
Position 7
Research Indications
Improved short-term and working memory performance in fatigued individuals (71% vs 41% accuracy).
Enhanced sustained attention during demanding cognitive tasks.
Faster acquisition of new information and improved retention.
Accelerated rehabilitation with increased BDNF levels in stroke patients.
Supports recovery from traumatic brain injury.
Shows anti-amyloid properties in Alzheimer's models.
Supports neurogenesis through increased brain-derived neurotrophic factor.
Enhanced neural connections and brain network activity.
Improved ability to cope with cognitive stress.
Dosing Protocols
Intranasal is the primary and most effective route, providing direct brain delivery through olfactory transport. Onset 15-30 minutes, peak 1-2 hours, duration 4-6 hours.
| Goal | Dose | Frequency | Route |
|---|---|---|---|
| Cognitive enhancement | 300-600mcg | 1-2x daily | Intranasal spray/drops |
| Intensive cognitive support | 600-900mcg | 2-3x daily | Intranasal |
| Brain injury recovery | 900-1500mcg | 2-3x daily | Intranasal |
Reconstitution Instructions
- Semax solution (0.1% or 1%)
- Nasal spray bottle
- Preservative-free saline (if reconstituting)
- 1 Pre-mixed solutions available as 0.1% or 1%
- 2 For research: reconstitute powder with sterile saline
- 3 Use preservative-free saline for nasal administration
- 4 Calculate concentration per spray/drop desired
- 5 Refrigerate and use within recommended timeframe
- 6 Alternate nostrils when administering
Interactions
What to Expect
Side Effects & Safety
Common Side Effects
- Mild nasal discomfort (nasal route)
- Possible nasal sensation upon administration
Stop Signs - Discontinue if:
- Severe nasal irritation, bleeding, or persistent congestion
- Unusual anxiety, agitation, or sleep disturbances
- Headaches worsening with use
- Signs of allergic reaction (rash, breathing difficulty)
- Significant blood pressure changes or heart palpitations
Contraindications
- Pregnancy or breastfeeding
- Known peptide allergies
- Do not exceed 4-week continuous use without medical supervision
Quality Checklist
Good Signs
- Clear, colorless solution (nasal)
- Proper concentration labeling as 0.1% or 1% Semax
- Cold chain shipping with cold packs
- Sterile packaging (sealed bottles/ampoules)
- White lyophilized powder (injectable)
- Complete dissolution in solution
- Third-party testing (≥98% purity)
Warning Signs
- Nasal irritation potential
- Injection site reactions (redness, swelling)
Bad Signs
- Crystallization or precipitation indicates degradation
- Cloudy or colored solutions
- Any visible particles
Frequently Asked Questions
Why is intranasal Semax 9x better at crossing the blood-brain barrier than IV?
Intranasal delivery (0.093% BBB penetration) bypasses the blood-brain barrier entirely by using olfactory nerve transport directly to the brain. IV injection (0.01% BBB penetration) relies on the peptide crossing from blood into brain tissue, which is blocked by the BBB. This is why intranasal Semax is the preferred route despite being counterintuitive.
Does Semax actually reverse amyloid plaque buildup in Alzheimer's?
In mouse models, yes. A 2025 study showed 2.8-fold reduction in amyloid plaques in Alzheimer's mice. However, this is preclinical data. No human clinical trials exist for Semax and Alzheimer's. The mechanism (anti-amyloid + anti-aggregating effects) is promising, but human efficacy remains unknown.
Can I take Semax every day, or should I cycle it?
Semax is typically used in 2-4 week cycles rather than indefinitely. While it doesn't cause dependence like benzodiazepines, continuous use without breaks hasn't been extensively studied for optimal long-term results. The 4-6 hour duration per dose means daily dosing is common, but periodically cycling off allows receptor sensitivity to reset.
Will Semax help me recover faster from a stroke?
Yes. Clinical evidence supports Semax for stroke recovery. In a 110-patient trial, 6000 mcg/day intranasal increased BDNF levels and accelerated functional recovery during rehabilitation. It's one of Semax's most established therapeutic applications with actual human clinical data backing it.
References
- A Nootropic Adrenocorticotropin Analog 4-10 Semax: 15 Years Experience in Its Design and StudyAshmarin IP, Nezavibatko VN, Levitskaya NG, et al.Zhurnal Vysshei Nervnoi Deiatelnosti imeni I.P. Pavlova (1997)
Foundational 15-year review: Semax stimulates operative memory and attention, increases hypoxia resistance, and improves brain circulation for 20-24 hours after intranasal doses of 0.015-0.050 mg/kg.
- The Efficacy of Semax in the Treatment of Patients at Different Stages of Ischemic StrokeGusev EI, Barskov IV, et al.Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova (2018)
110 patients after ischemic stroke; Semax (6000 mcg/day intranasal) increased BDNF plasma levels, sped functional recovery, and improved motor performance during rehabilitation.
- Effects of Semax on the Default Mode Network of the BrainDolgorukova AM, Klyushnik TP, Gusev EI, et al.Bulletin of Experimental Biology and Medicine (2018)
24 healthy volunteers (43.9 +/- 9.5 years); resting-state fMRI showed increased default mode network volume in medial frontal cortex after intranasal 1% Semax vs placebo.
- The Peptide Semax Affects the Expression of Genes Related to the Immune and Vascular Systems in Rat Brain Focal Ischemia: Genome-Wide Transcriptional AnalysisDergunova LV, Limborska SA, et al.BMC Genomics (2014)
Genome-wide study of ischemized rat brain cortex: Semax modulated expression of 24 vascular genes at 3h and enhanced immune-response gene expression at 24h post-pMCAO, including immunoglobulin and chemokine groups.
- Semax, an Analog of ACTH(4-10) with Cognitive Effects, Regulates BDNF and trkB Expression in the Rat HippocampusDolotov OV, Karpenko EA, Inozemtseva LS, et al.Brain Research (2006)
Single application at 50 mcg/kg produced 1.4-fold increase in BDNF protein and 1.6-fold increase in trkB tyrosine phosphorylation in rat hippocampus.
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Disclaimer
This information is for educational and research purposes only. Consult a healthcare professional before use.