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Pick up to three peptides to see how their mechanisms, studied uses and evidence levels differ. Rows where the entries disagree are marked with a blue edge.

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Comparison
Semax

Cognitive & neuro

Evidence level
Limited evidence
Approval status
Approved drug
Mechanism of action
  1. 1.Animal studies report increased expression of BDNF and NGF, growth factors involved in neuron survival and plasticity.
  2. 2.Modulates monoamine turnover in the brain and inhibits enkephalin breakdown, which is proposed to affect mood and attention.
  3. 3.Unlike ACTH itself it does not appear to stimulate cortisol release, because the hormone-active part of the molecule is absent.
  4. 4.Shown to reduce oxidative stress markers in animal brain-injury models.
Studied for
  • Recovery after ischaemic stroke
  • Optic nerve disease and visual field loss
  • Cognitive impairment and attention
  • Transient ischaemic attacks
  • Attention deficit in children (small Russian studies)
Reported effects
  • Russian trials report faster neurological recovery and higher cognitive scores
  • Improved visual acuity in some optic nerve studies
  • Increased BDNF measured in animal brains
  • Sample sizes are small and independent replication outside Russia is essentially absent
Side effects
  • Reported as well tolerated in Russian studies
  • Nasal irritation and dryness
  • Headache
  • Transient anxiety or irritability reported occasionally
  • Independent long-term safety data are unavailable
Research protocol

Research context only — in Russia it is prescribed as a 0.1% nasal solution in short courses set by a physician. Western research has no standard protocol, and internet regimens are not clinically validated.

Research context only

Evidence justification
There are published clinical studies, but they are small, largely from a single country, and have not been independently replicated in large randomised trials.