NAD+
supplementA coenzyme every cell uses for energy; offered as IV drips and injections at longevity clinics.
Semax is a peptide that is research only, not approved for human use in the US.
Also known as ACTH(4-10) analog, Semax heptapeptide
Semax is a synthetic peptide derived from a fragment of the hormone ACTH. It is registered as a medicine in Russia for stroke and other conditions and is sold online in the US as a "nootropic".

Not approved for human use in the US. We list it so you can learn what it is, but we do not link to anyone selling it. FDA removed it from the Category 2 "significant safety risk" compounding list on April 15, 2026, and FDA's advisory committee narrowly recommended adding it to the 503A bulks list in July 2026. It is not on that list yet: FDA still has to finish rulemaking, so there is no settled lawful compounding route today. The July 2026 vote was 8-5, reviewed for cerebral ischemia, migraine and trigeminal neuralgia.
As of September 23, 2026.
Key takeaways
Preclinical only: semax is a modified fragment of ACTH, a pituitary hormone. In rats, it raised levels of BDNF, a growth factor that supports brain cells.
FDA describes its neuroprotective and anti-anxiety effects in rodents as working through poorly understood mechanisms. There is no good evidence it improves thinking in healthy people.


Supporting data are mainly animal studies and Russian clinical reports that have not been replicated in rigorous international trials; no good evidence for cognitive enhancement in healthy people.
Outside Russia, semax has not been tested in rigorous trials, and FDA reviewers raised specific safety questions.
FDA's July 2026 briefing document found no human pharmacokinetic studies by any route and no safety data for injection.
FDA briefing document for the July 2026 advisory committee: semaxFDA reviewers noted that in mice semax boosted amphetamine-driven dopamine release, a pattern seen with drugs of abuse, and no abuse-potential studies exist.
FDA briefing document for the July 2026 advisory committee: semaxFDA also flagged possible anti-clotting effects that could raise bleeding risk, especially with other blood thinners.
FDA briefing document for the July 2026 advisory committee: semaxThe FDA advisory committee voted 8 to 5 in July 2026 to recommend adding semax for cerebral ischemia and migraine, after FDA staff recommended against it.
McDermott Will & Schulte: PCAC backs majority of peptides in two-day public meeting (July 2026)Summaries of published guidelines, drug labels, regulators and reviews, each attributed to its source. DiscoverMedica does not employ clinicians.
These save with the compound when you add it to My Journal, so they’re on the printout for your visit.
Semax is not approved for human use, so DiscoverMedica links to no seller.
We don’t link to sellers of research-only compounds. Products sold “for research use only” are not made for people and are not held to pharmaceutical quality standards.
There is no good evidence it does in healthy people. The research is mostly animal studies and Russian clinical reports.
Russian registration does not mean it has met FDA standards. FDA found no human data on how it behaves in the body.
Not lawfully today. Semax is not FDA-approved, and it is not yet on the list of ingredients pharmacies may compound from, so a licensed telehealth provider has no approved or compounded product to prescribe. An FDA advisory committee voted in July 2026 to recommend adding it, but FDA still has to decide and complete rulemaking. We will update this page if that changes. DiscoverMedica does not link to anyone selling it.
It means the product is not made or tested for people. FDA has sent warning letters to sellers who use that label while making health claims, and says it judges a product by how it is marketed, not by the disclaimer.
Semax is not approved for human use in the US. Not approved for human use in the US. We list it so you can learn what it is, but we do not link to anyone selling it.
This is not a complete list of risks. Talk to a licensed clinician or pharmacist about your own situation. If you have a severe reaction, call 911. You can report side effects to the FDA through MedWatch at 1-800-FDA-1088.
Guide reviewed September 23, 2026.
Educational information only, not medical advice. It does not replace a conversation with a licensed clinician.
A coenzyme every cell uses for energy; offered as IV drips and injections at longevity clinics.
An amino acid from tea leaves, often paired with coffee for calm focus.
Fish and algae oils (EPA and DHA) taken for heart and brain health.
The most researched sports supplement, for strength and power; brain effects are being studied.