Semax (10 mg Vial) Dosage Protocol
Semax is a synthetic heptapeptide derived from the ACTH(4-10) sequence (Met-Glu-His-Phe-Pro-Gly-Pro). Developed in Russia and used clinically in Russia and Ukraine for stroke recovery, cognitive enhancement, and neuroprotection. It is studied for BDNF upregulation, neuroprotection, and cognitive enhancement through non-classical mechanisms.
âš¡ Quickstart Highlights
Dosing & Reconstitution Guide
Route: Intranasal (preferred for CNS effects) or subcutaneous | Frequency: 1–2× daily
| Phase | Daily Dose | Drops (intranasal) | Notes |
|---|---|---|---|
| Starting | 300 mcg/day | ~2 drops per nostril | Assess tolerance; AM dosing |
| Standard | 600 mcg/day | ~4 drops per nostril | Split AM and midday |
| Advanced | 900 mcg/day | ~6 drops per nostril | Short cycles; assess carefully |
Reconstitution Steps
- Draw 3.0 mL bacteriostatic water into a sterile syringe.
- Inject slowly down the inside glass wall of the vial; avoid foaming.
- Gently swirl until dissolved. Do not shake.
- Label with reconstitution date. Refrigerate at 2–8°C; use within 28 days.
Supplies Planning
| Item | 4-Week Cycle | 8-Week Cycle |
|---|---|---|
| Semax vials (10 mg) | 1 vial | 2 vials |
| Intranasal dropper/spray | 1 | 1–2 |
| Bacteriostatic water (10 mL) | 1 × 10 mL | 1 × 10 mL |
Mechanism of Action
Semax is a fragment analog of ACTH(4-10) — a naturally occurring peptide region of adrenocorticotropic hormone that has cognitive effects independent of the adrenal axis. The Pro-Gly-Pro C-terminal extension in semax was added to improve stability against enzymatic degradation, extending its activity compared to the natural ACTH fragment.
Key mechanisms under study: BDNF (brain-derived neurotrophic factor) upregulation — semax increases BDNF expression in the hippocampus and frontal cortex in animal models; VEGF upregulation supporting neurovascular repair after ischemia; dopamine receptor sensitivity modulation; and anti-inflammatory effects in neuroinflammation models. In Russian clinical contexts, it is approved for stroke rehabilitation and neurocognitive deficits, with a long clinical use record.
Research Findings & Safety Profile
- Approved drug in Russia and Ukraine for ischemic stroke recovery, cognitive impairment, and optic nerve pathology.
- Upregulates BDNF and VEGF in hippocampus and frontal cortex in animal models — neurotrophin support mechanism.
- Intranasal delivery provides superior CNS access compared to systemic injection for this peptide.
- Cognitive enhancement effects reported in human studies: improved memory consolidation, attention, focus.
- Excellent safety profile in approved clinical use spanning 20+ years in Russia.
- Possible effects: mild stimulant-like effects (avoid evening dosing), occasional mild headache, transient nasal irritation.
Storage
| State | Temperature | Duration | Notes |
|---|---|---|---|
| Lyophilized | −20°C (−4°F) | Up to 24 months | Dry, dark conditions |
| Reconstituted | 2–8°C (35–46°F) | Up to 28 days | Avoid freeze-thaw; protect from light |