Side-by-side · Research reference
SemaxvsSermorelin
Side-by-side comparison across mechanism, dosage, evidence, side effects, administration, and stack synergies. Citations on every claim where available.
AHuman-MechanisticDraft12/39 cited
BPhase 3Reviewed14/43 cited
Semax
Cognitive enhancer · Russian Pharma
Intranasal · 2–3×/day during cognitive demand
Sermorelin
GHRH 1-29 fragment · Short-acting
SQ · Pre-sleep · 1×/day
01Mechanism of Action
Parameter
Semax
Sermorelin
Primary target
BDNF / NGF expression + monoamine modulationKaplan 2017
Pituitary GHRH receptorWalker 1994
Pathway
↑ BDNF + NGF synthesis + 5-HT modulation → neuroplasticity + anxiolysis + cognitive enhancementKaplan 2017
GHRH-R → Gαs → cAMP → PKA → GH vesicle exocytosisWalker 1994
Downstream effect
Improved memory + attention; reduced anxiety; neuroprotection in ischemiaKaplan 2017
Pulsatile GH release; subsequent IGF-1 elevationMolteno 2013
Feedback intact?
—
Yes — short pulse preserves feedback
Origin
Synthetic 7-AA peptide derived from ACTH(4-7) with C-terminal Pro-Gly-Pro stabilising tailKaplan 2017
Unmodified active 29-AA fragment of human GHRH (1-44)Walker 1994
Antibody development
—
—
02Dosage Protocols
Parameter
Semax
Sermorelin
Frequency
2–3× per day during cognitive demand
Once daily, pre-sleep
Lower / starter dose
100 mcg / dose
100 mcg per dose
Evidence basis
Human-mechanistic + Russian clinicalKaplan 2017
Phase 3 (Geref pediatric); clinical practiceWalker 1994Molteno 2013
Duration
10–14 day cycles, repeated PRN
8–12 weeks per cycle
Reconstitution
Pre-formulated nasal spray (commercial); research vial: bacteriostatic water
Bacteriostatic water
Timing
Morning + early afternoon
Pre-sleep, fasted preferred
Half-life
Short plasma; CNS effect lasts ~3–6 hr
~12 min (plasma)Molteno 2013
Shorter than tesamorelin (~26 min) — simpler GHRH analogue.
04Side Effects & Safety
Parameter
Semax
Sermorelin
Nasal irritation
Mild burning or congestion (transient)
—
Sleep disruption
Late-day dosing may interfere with sleep
—
Headache
Uncommon, transient
—
Long-term safety
Limited Western RCT data
—
Pregnancy / OB
Avoid
Avoid
Injection site reaction
—
Mild erythema, transient pain
Flushing / headache
—
Common transient effect
IGF-1 elevation
—
Modest at standard doses
Cancer risk
—
Contraindicated in active malignancy (GH/IGF-1 axis)
Glucose handling
—
Generally neutral
Absolute Contraindications
Semax
- ·Pregnancy / breastfeeding
Sermorelin
- ·Active malignancy
- ·Pregnancy / breastfeeding
- ·Disrupted hypothalamic-pituitary axis
Relative Contraindications
Semax
- ·Active psychiatric instability
- ·Concurrent strong stimulants
Sermorelin
- ·Untreated diabetes
05Administration Protocol
Parameter
Semax
Sermorelin
1. Form
Pre-formulated nasal spray (commercial) or research vial reconstituted with bacteriostatic water.
Add 2 mL bacteriostatic water to 5 mg vial → 2.5 mg/mL = 250 mcg per 0.1 mL.
2. Administration
Intranasal — 2–3 sprays per nostril per dose. Tilt head slightly back.
SQ — abdomen or thigh. Rotate sites.
3. Timing
Morning + early afternoon. Avoid evening (sleep disruption).
Pre-sleep, fasted.
4. Storage
Refrigerate after reconstitution; light-protected.
Lyophilised: room temp, light-protected. Reconstituted: refrigerate ≤30 days.
5. Caveat
Cycle on/off to avoid neurochemical adaptation.
29–31G, 4–8 mm insulin syringe.
06Stack Synergy
Semax
+ Selank
ModerateSemax (cognitive enhancer, BDNF/NGF) and Selank (anxiolytic + immune) form the canonical Russian "neuro stack" — both intranasal peptide bioregulators with complementary axes. Semax for cognitive demand; Selank for stress mitigation.
- Semax
- 200–600 mcg intranasal · morning + afternoon
- Selank
- 150–300 mcg intranasal · midday + early evening
- Primary benefit
- Cognitive enhancement + stress mitigation
Sermorelin
+ Ipamorelin
StrongSermorelin (GHRH analogue) and ipamorelin (selective GHRP) form the prototypical GHRH+GHRP dual-axis stack at the lowest cost. Both peak within 30 min and produce a sharp physiological GH pulse without cortisol/prolactin elevation.
- Sermorelin
- 200–300 mcg SQ · pre-sleep
- Ipamorelin
- 200–300 mcg SQ · same injection
- Primary benefit
- Pulsatile GH stimulation, recovery, body composition