Semax and Selank are synthetic peptides seven amino acids long, both developed at the Institute of Molecular Genetics of the Russian Academy of Sciences. Each was built the same way: a short fragment of a peptide the body makes, extended with the same three amino acids, Pro-Gly-Pro, to slow its breakdown by enzymes. Semax starts from a fragment of adrenocorticotropic hormone (ACTH), and Selank from tuftsin, a fragment of the immunoglobulin G (IgG) antibody.
Both are registered as medicines in Russia, where they are sold as nasal drops. Neither is approved by the U.S. Food and Drug Administration (FDA). In 2026 their U.S. paths split. An FDA advisory committee recommended Semax for pharmacy compounding in July, and in October the Department of Health and Human Services (HHS) said it does not intend to take enforcement action against pharmacies compounding Semax under set conditions. Selank was not before the committee and is not in the HHS policy.
Two fragments with the same tail
- Semax is Met-Glu-His-Phe-Pro-Gly-Pro, CAS 80714-61-0. Its first four amino acids are ACTH(4-7), and FDA's 2026 review describes it as an analog of ACTH(4-10), the fragment that keeps the hormone's neurobehavioral activity. It lacks the region of ACTH that drives adrenal steroid output, so it does not act as a corticotropin.
- Selank is Thr-Lys-Pro-Arg-Pro-Gly-Pro, CAS 129954-34-3. Its first four amino acids are tuftsin, a tetrapeptide from the heavy chain of IgG, reported by Najjar and Nishioka of Tufts University in 1970 and named after it.
The different starting fragments set the two research programs apart. Semax's literature centers on cerebral ischemia, the loss of blood flow to brain tissue, and Selank's on anxiety.
What the laboratory research reports
The two share one reported mechanism. Kost and colleagues reported in 2001 that both Semax and Selank inhibit the enzymes in human serum that break down enkephalins, the body's own opioid peptides.
Past that, the preclinical work diverges. In rats, Dolotov and colleagues reported in 2006 that Semax raised expression of brain-derived neurotrophic factor (BDNF) and its receptor TrkB in the hippocampus. Selank's work points to the GABA system, the brain's main inhibitory signaling pathway. Volkova and colleagues reported in 2016 that Selank and GABA shifted the expression of related genes in the rat frontal cortex in correlated ways, and a 2018 study on isolated brain membranes by Vyunova and colleagues described Selank as a positive allosteric modulator of GABA binding.
These are animal and laboratory findings, and none establishes an effect in people. Each compound's page covers its mechanism in more detail.
The clinical record
Controlled human data for both peptides are small and come from Russia, mostly published in Russian.
FDA's 2026 review evaluated Semax for cerebral ischemia, migraine and trigeminal neuralgia. The cerebral ischemia references FDA found were published in Russian, and because the full texts were not available in English, the agency did not consider them.
Selank's main studies compare it with benzodiazepines and appeared in Zhurnal Nevrologii i Psikhiatrii. Zozulya and colleagues set it against medazepam in generalized anxiety disorder and neurasthenia in 2008, and Medvedev and colleagues against phenazepam in 2014. As of October 2026, ClinicalTrials.gov lists no registered study of either peptide.
Where FDA and HHS stand
Section 503A of the Federal Food, Drug, and Cosmetic Act governs compounding by state-licensed pharmacies. A bulk substance with no United States Pharmacopeia (USP) monograph and no place in an approved drug, as with both peptides, can be compounded only from FDA's 503A bulks list, and FDA sorts nominated substances into categories while that list is built. Category 2 holds substances FDA considers may present significant safety risks. Both peptides were placed in it in September 2023.
Semax since then:
- April 2026: FDA removed Semax from Category 2 after its nominations were withdrawn, then evaluated it on its own initiative.
- July 24, 2026: the Pharmacy Compounding Advisory Committee voted 8 to 5 to recommend adding Semax to the 503A bulks list. FDA's review staff had recommended against it.
- October 2026: HHS issued a policy under which it does not intend to take enforcement action against pharmacies and physicians compounding Semax free base for intranasal use, subject to ten conditions, until a final rule decides whether Semax joins the list.
Selank since then:
- September 2024: FDA removed Selank acetate, listed under its research code TP-7, from Category 2 after its nominator said it intended to nominate a different substance.
- The committee has not heard Selank, and it is not one of the six peptides in the HHS policy.
FDA's Category 2 page still lists both in its table of withdrawn nominations, with the same concern for each: a risk of immunogenicity, an unwanted immune response, from aggregation and peptide-related impurities. The committee vote is advisory, and the 503A list changes only through notice-and-comment rulemaking. Our post on the HHS policy covers its terms, and the July 2026 vote post covers the committee meeting.
Salt forms, N-acetyl versions and other names
FDA's documents name salt forms. Semax acetate and Selank acetate are the unmodified peptides paired with acetic acid, and the HHS policy covers Semax free base alone. Vendors also sell modified versions that are separate molecules:
- N-Acetyl Semax and N-Acetyl Selank, often sold as "amidate", carry an acetyl group at the N-terminus and an amide at the C-terminus. No FDA list or committee vote has named either, and the HHS policy does not cover them.
- Adamax and Adalank are vendor names for products described as Semax and Selank carrying an adamantane group. No peer-reviewed paper or public registry gives a structure for either, and some vendor pages equate Adalank with N-Acetyl Selank Amidate, a different compound.
- The Semax + Selank blend puts both in one vial, and its listed size is the combined total. No published study has tested the two together.
What they cost
As of October 30, 2026, 38 vendors in our index list Semax and 36 list Selank. Median price per milligram for a single vial, one price per vendor:
- Semax 5mg: $5.20 per mg, across 4 vendors.
- Semax 10mg: $3.50 per mg, across 34 vendors.
- Semax 30mg: $3.00 per mg, across 4 vendors.
- Selank 5mg: $5.10 per mg, across 8 vendors.
- Selank 10mg: $3.50 per mg, across 30 vendors.
- Semax + Selank blend 10mg: $4.71 per mg, across 6 vendors.
- Semax + Selank blend 20mg: $3.75 per mg, across 7 vendors.
At 10mg, the size most vendors carry, the two medians are identical, and most vendors charge the same for both. Of the 29 vendors that sell both at 10mg, 20 charge the same price for each, 7 charge more for Selank and 2 charge more for Semax. Thirteen vendors also sell each peptide as a premixed nasal spray, priced per bottle and left out of these figures. Prices compare milligrams as listed, whichever salt form each vendor counts. Definitions are on the methodology page, and blends vs separate vials compares blend and single-vial pricing.
Sources
- PubChem, Semax (CID 9811102): sequence and molecular formula.
- PubChem, Selank (CID 11765600): sequence and molecular formula.
- Najjar and Nishioka, Nature, 1970: the discovery of tuftsin.
- Kost and colleagues, Bioorganicheskaya Khimiya, 2001: Semax and Selank inhibit enkephalin-degrading enzymes in human serum.
- Dolotov and colleagues, Brain Research, 2006: Semax, BDNF and TrkB in the rat hippocampus.
- Volkova and colleagues, Frontiers in Pharmacology, 2016: Selank and GABA-related gene expression.
- Vyunova and colleagues, Protein and Peptide Letters, 2018: Selank and GABA binding.
- Zozulya and colleagues, Zhurnal Nevrologii i Psikhiatrii, 2008: Selank against medazepam.
- Medvedev and colleagues, Zhurnal Nevrologii i Psikhiatrii, 2014: Selank against phenazepam.
- FDA briefing document for Semax-related bulk drug substances, July 2026: Russian registration, the uses evaluated and the Russian-language references.
- FDA, July 23-24, 2026 Meeting of the Pharmacy Compounding Advisory Committee
- FDA, bulk drug substances that may present significant safety risks: Semax and Selank acetate among the withdrawn nominations.
- HHS, Enforcement Discretion Policy Regarding 503A Compounding Using Certain Peptide Bulk Drug Substances, with its Federal Register notice of availability (91 FR 68526, October 30, 2026).
Prices are as of October 30, 2026, computed from the PeptideScouter index. Sources checked October 30, 2026.