Semax
ACTH(4-10) analogue
focus
memory
mental clarity
mental fatigue
learning
fatigue
motivation
stress
neuroplasticity
low mood
brain recovery
neuroprotection
emotional balance
A Russian-registered nootropic used clinically for stroke recovery; raises BDNF in animal and some human work.
Goal profile
BRAIN
8/8 axes
MOOD
4/8 axes
ENERGY
1/5 axes
Evidence
1982
first described
236
indexed studies
How strong the evidence is
Early human data
Randomised stroke and cognition trials, registered as a pharmacy medicine in Russia. Several groups, one country — no Western regulator has looked at the file.
Highest study design
randomised human trials
Human studies
48
Replication
several groups, one country
Regulatory status
approved outside the US and EU
Last reviewed
2026-08-14
The bar is derived from these five facts, not set by hand. Human study counts follow the weekly PubMed refresh; the rest change only when a trial is published or a regulator acts.
How strong the effect is
strength 3 of 5 · weight 0.57
Changes how you feel
Cognitive outcomes after stroke.
What's unique
Registered as a medicine in Russia, which means real manufacturing standards and real post-market data.
Unexpected positive evidence
Stroke trials found the benefit held at 12 months, past the window anyone expected.
Benefits
neuroprotection against oxidative stress, inflammation, and age-related cognitive decline
Memory · immediate
enhanced memory formation, learning capacity, and cognitive endurance
Neuroplasticity · from week 5
improved stress adaptation and emotional regulation
Emotional balance · from week 4
support for brain repair and healthy long-term cognitive function
Memory · immediate
potent upregulation of BDNF and NGF (key drivers of neuroplasticity and neuronal survival)
Memory · immediate
overall brain optimization and resilience as we age
Memory · immediate
Timeline
Days 1–7
Rapid onset for many. Clearer thinking, easier focus, less mental fatigue, and a subtle lift in drive appear within days. Word recall and learning feel smoother.
Weeks 2–4
Benefits strengthen and stabilise. Attention holds longer, memory consolidates better, clarity stays consistent through the day, and stress resilience noticeably increases.
Weeks 4–8
Peak cumulative window. Faster learning, sharper executive function, better recovery from mental exertion. Many describe the brain simply working better under load.
Post-cycle
Benefits taper gradually rather than crashing. Many retain a better baseline for focus and mental endurance, especially with good sleep and continued mental demand.
Risks
Short-term
Occasional over-stimulation at higher doses.
Long-term
Twenty years of clinical use with no signal, though outside Russia the data is hard to audit.
Tolerance & withdrawal
Effects blunt after 3–4 weeks of daily use. Cycling restores them.
Dosing
Dose
250–1,000 mcg
Most settle around 500 mcg; some split it into morning and early afternoon for a longer tail.
Route
Subcutaneous — abdomen
A small volume into the belly. The dose is low enough that technique barely matters.
Timing
Morning, preferably fasted; some split morning and early afternoon
Morning fasted lines up with cognitive demand; late dosing costs sleep for some.
Frequency
Daily, or 5 on / 2 off
Daily works, but 5/2 is what people settle on — the pause preserves the effect.
Cycle
4–8 weeks, then an equal break
Four to eight weeks, then an equal break. Longer runs flatten out.
Duration
Structured cycling
Rather than indefinite daily use — the pause is what keeps it working.
Forms
injectable
~100%
+ Full dose delivered; nothing lost to first-pass
− Daily needles, sites, sharps disposal
Refrigerate 2–8 °C after reconstitution
nasal
Product-specific
+ A needle-free route listed in the source catalog
− Absorption and safety cannot be inferred from the injectable form
Follow the specific product storage instructions
Nasal forms are listed in the source catalog; this does not establish approval, efficacy or equivalent absorption. HEIVE injection calculations do not apply to nasal forms.
Sources
236 indexed papers in the source catalog snapshot; not a live PubMed count
Catalog evidence category: known. This is an editorial classification, not a clinical review.
Community anecdotes do not establish safety or efficacy.
Primary regulatory sources are linked below; clinical literature has not been independently reviewed for this FAQ.
FAQ
Semax (ACTH(4-10) analogue) is a heptapeptide. The HEIVE catalog describes it as: A Russian-registered nootropic used clinically for stroke recovery; raises BDNF in animal and some human work. It is also known as ACTH(4-10).
Regulatory sources checked: . Source verification only; no clinician review is claimed.