Side-by-side
| Cerebrolysin | Semax | |
|---|---|---|
| Mechanism | Porcine-derived peptide mixture; neurotrophic factor-like activity. | ACTH(4-10) analog; BDNF and NGF elevation; monoaminergic modulation. |
| Half-life | Administered as a course. | Short (intranasal). |
| Dose | 5-30 mL IM or IV. | 250-500 mcg × 2-3 daily intranasal. |
| Cycle | Daily for 10-20 days; 2 courses/year typical. | 14 days on / 14 off. |
| Research context | CARS and CASTA trials: stroke recovery; registered for stroke and dementia1. | Russian registration for stroke and ADHD; BDNF/NGF mechanism2. |
| Cost tier | High (IV/IM administration, large volume). | Low-to-mid. |
Cerebrolysin and Semax operate on different scales. Cerebrolysin is a complex peptide preparation derived from porcine brain tissue, administered as a multi-mL IV or IM infusion course1. Its mechanism is characterised as neurotrophic-factor-like, mimicking aspects of BDNF, NGF, and other endogenous growth factors. It is registered in Europe, Asia, and parts of Latin America for stroke recovery and dementia indications.
Semax is a single synthetic heptapeptide, administered as an intranasal spray at microgram doses2. Its mechanism is narrower: BDNF and NGF elevation plus monoaminergic modulation. It is registered in Russia for stroke recovery and attention-related indications, and used more often in maintenance/self-research contexts than acute clinical ones.
Research-protocol fit diverges sharply. Cerebrolysin research protocols are course-based, clinical-grade, and typically run in acute stroke or dementia populations with the full monitoring that implies. Semax research protocols are lighter-touch, intranasal, and typically run in cognitive-enhancement or attention contexts rather than acute clinical ones. The two are rarely compared as substitutes; they are compared because both appear in the stroke-recovery literature, but the research design and administration context are quite different. See nootropic peptide mechanisms for the broader class map.
Frequently asked
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Related comparisons
- Comparison Selank vs Semax Selank vs Semax: anxiolytic tuftsin analog vs ACTH(4-10) BDNF modulator. Russian-registered nootropics compared with cited research.
- Comparison Cerebrolysin vs Selank Cerebrolysin vs Selank: porcine neurotrophic mixture vs tuftsin-analog anxiolytic. Clinical course vs intranasal research peptide compared.
- Comparison DSIP vs Selank DSIP vs Selank: delta-sleep-inducing peptide vs tuftsin-analog anxiolytic. Sleep architecture vs stress-resilience research with cited sources.
References
- Muresanu DF, et al. Cerebrolysin and Recovery After Stroke (CARS): A Randomized, Placebo-Controlled, Double-Blind Trial. Stroke. 2016. PMID: 26564102
- Dolotov OV, et al. Semax, an analogue of ACTH(4-10), binds specifically and increases BDNF. J Neurochem. 2006. PMID: 16635254
All references verified against PubMed via NCBI E-utilities.