Semax Dosage: The Registered Drops and the Trials

Semax is dosed as a percentage solution, not a vial. What the Russian registrations and the four tagged trials state, converted to mg/mL and syringe units.

Medibact Guides · Published 2026-09-20

Illustration: A partially filled clear glass vial on a white lab bench, softly lit.
Illustration

Semax is unusual among the compounds on this site in having a registered product, a clinical literature and a set of stated doses — and unusual in the way those doses are written. They are percentages and drops, because the registered form is a nasal solution rather than a vial of powder. That makes the arithmetic here a translation problem rather than a sourcing one: a percentage is a concentration, a concentration is what a reconstituted vial produces, and the two can be compared directly. This page reports what the trials and the registrations state, converts each figure into mg/mL and U-100 syringe units, and flags one published figure that cannot be read as printed. It reports and does not recommend.

The Semax calculator runs the sums for any vial and volume; the water volumes for the 10 mg and 30 mg vials are worked through on the Semax reconstitution page, and the all-compounds chart carries the one-line version beside every other compound.

The percentage is the concentration

A percentage solution in this notation is grams per 100 millilitres. So 0.1% is 0.1 g in 100 mL, which is 1 mg/mL, and 1% is 10 mg/mL. Both registered Semax strengths are therefore ordinary concentrations, and a vial of powder reaches either of them by division:

Target What it means 10 mg vial 30 mg vial
0.1% 1,000 mcg/mL 10 mL of water 30 mL
0.5% 5,000 mcg/mL 2 mL 6 mL
1% 10,000 mcg/mL 1 mL 3 mL

The 10 mL and 30 mL rows are arithmetic rather than options: research vials are rarely built to hold that much liquid, and a volume the vial cannot take is not a volume. The practical consequence runs the other way — a vial reconstituted in the 1 to 3 mL that fits it is at or near the 1% strength, which is the strength the largest clinical figures were given at.

What the trials state

Study Subjects Dose and route What it reported Opened
Zh Nevrol Psikhiatr, PMID 11517472 (1997) 30 patients, acute hemispheric ischaemic stroke; 80 controls 12 mg/day (moderate) and 18 mg/day (severe), intranasal, 5 and 10 day courses Some influence on the rate of restoration of neurological function, chiefly motor 2026-09-20
Zh Vyssh Nerv Deiat, PMID 9173745 (1997) Review of fifteen years of research, animals and people 0.015 to 0.050 mg/kg intranasal Effects on memory, attention and hypoxia resistance lasting 20 to 24 hours 2026-09-20
Vestn Oftalmol, PMID 10741256 (2000) Patients with optic nerve disease, three groups Nasal drops, or endonasal electrophoresis, added to standard therapy Improved visual acuity and visual field against control 2026-09-20
Zh Nevrol Psikhiatr, PMID 18379501 (2007) 27 patients, motor neuron disease 1% solution, 12 mg/day, two 10-day courses, two-week break No effect on denervation or clinical scores; quality-of-life total improved, maximal at day 10 2026-09-20
Bull Exp Biol Med, PMID 30225715 (2018) 24 healthy volunteers, mean age 43.9 1% solution intranasally, single administration A larger rostral subcomponent of the default-mode network on resting-state fMRI against placebo 2026-09-20
Zh Nevrol Psikhiatr, PMID 29798983 (2018) 110 patients after ischaemic stroke 6,000 mcg/day, two 10-day courses, 20-day interval Plasma BDNF, motor performance and Barthel index compared across early and late rehabilitation 2026-09-20

Two features of that set matter more than any single number. The range is wide — 6 mg a day in rehabilitation, 12 to 18 mg in the acute period, and a per-kilogram figure from the research literature that comes to 1 to 3.5 mg for a 70 kg adult — and the spread is not noise but three different questions. And the strongest design in the group is an open-label study of 27 people; there is no large blinded trial here to anchor any of it.

The figure that cannot be read as printed

A 2015 Russian study of lipid metabolism in psoriasis reports that 60 patients received "0.1% semax solution intranasally 600 mg/day for 10 days". Those two figures contradict each other. At 0.1%, a millilitre holds 1 mg, so 600 mg is 600 mL of solution in a day — through the nose, for ten days. The reading consistent with the product named in the same clause is 600 micrograms a day, which is 0.6 mL of the 0.1% solution and sits sensibly between the rehabilitation and per-kilogram figures.

This is worth stating rather than quietly correcting, because it is the failure mode of the whole microgram-milligram family: the two units differ by a factor of a thousand, the symbols differ by one letter, and nothing in a citation chain re-checks the arithmetic. A figure copied from that sentence into a summary page arrives with a printed source and is wrong by three orders of magnitude.

The arithmetic per vial

The calculator's presets are the 10 mg and 30 mg vials. One U-100 unit is a hundredth of a millilitre (MedlinePlus, "Giving an insulin injection", reviewed 2024-07-21). The right-hand columns are a drop of the 0.1% product, the rehabilitation study's daily amount and the acute-stroke figure.

Vial and water mcg/mL mcg per unit 50 mcg 6,000 mcg 12,000 mcg
10 mg in 1 mL (1%) 10,000 100 0.5 units 60 120
10 mg in 2 mL 5,000 50 1 120 240
10 mg in 3 mL 3,333 33.3 1.5 180 360
30 mg in 3 mL (1%) 10,000 100 0.5 60 120
30 mg in 6 mL 5,000 50 1 120 240
30 mg in 10 mL 3,000 30 1.7 200 400

The right-hand column is the arresting one: at every volume that fits the vial, the acute-stroke daily amount is more than a full 1 mL insulin syringe, and at the 1% strength it is 1.2 mL — more than an entire 10 mg vial holds. The clinical figures were given as nasal drops of a manufactured solution, where 1.2 mL a day is unremarkable; expressed as syringe draws from a research vial, the same figure stops looking like a dose and starts looking like a supply calculation. That difference is the reason this site converts every figure rather than quoting it.

At the other end, a single 0.1% drop of 50 mcg is half a unit at the 1% strength, which is below what a U-100 syringe can read. The two ends of the same compound's figures therefore both fall outside what one syringe measures, at opposite edges.

What the figures omit

The trial figures carry a route — intranasal in every human study opened — a population that is usually neurological and often acutely ill, a course structure of 5 to 20 days rather than continuous use, and a manufactured solution of stated strength. They do not carry a subcutaneous dose, because no human study used that route; they do not carry pharmacokinetics in people; and outside Russia they do not carry a regulator. The mechanism and the evidence file are covered in Medibact's Semax guide, and the pairing most often discussed alongside it has its own page at Selank and Semax. Peptifact's Semax dosage page reads the same literature from the journalism side.

What this page does not do

It does not state an amount of Semax to use, a frequency, a course or a route. It converts percentages into mg/mL, mg/mL into micrograms per syringe unit, and reports which study or registration each figure came from, including one whose printed units cannot be right. Decisions about administering anything to a person belong with a clinician.

Sources and dates

Opened 2026-09-20: PubMed through the NCBI E-utilities for Semax in title or abstract (208 records), with the publication-type filters for clinical trial (4 records) and randomised controlled trial (1 record), and the abstracts of PMIDs 11517472, 9173745, 10741256, 18379501, 30225715, 29798983 and 27051926 read; the ClinicalTrials.gov v2 API for Semax as an intervention (no records); the DailyMed SPL search API for Semax (no records); PubChem compound record 9811102 for the sequence and molecular weight; MedlinePlus, "Giving an insulin injection" (reviewed 2024-07-21). The registered drop strengths and the 0.1% and 1% Russian registrations are as recorded in this site's dosage chart on 2026-09-18 from the Russian drug-reference entries. Corrections go to the contact page.

Frequently asked questions

What is the Semax dosage in the published studies?

Three scales, all intranasal. Acute stroke: 12 mg a day for moderate strokes and 18 mg for severe, over 5 and 10 day courses, in the 1997 study of 30 patients. Stroke rehabilitation: 6,000 mcg a day in two 10-day courses, in the 2018 study of 110 patients. Motor neuron disease: 12 mg a day of the 1% solution in two 10-day courses. A 1997 review reports a much smaller research scale, 0.015 to 0.050 mg/kg. Four of the 208 indexed records carry the clinical-trial tag; one carries the randomised-controlled-trial tag.

How much is 0.1% and 1% Semax in mg/mL?

0.1% is 1 mg per mL and 1% is 10 mg per mL. A percentage in this notation is grams per 100 mL, so 0.1 g in 100 mL is 1 mg/mL. That conversion is what lets the registered strengths be compared with a reconstituted vial: a 10 mg vial in 10 mL of bacteriostatic water is 1 mg/mL, the 0.1% strength, and the same vial in 1 mL is 10 mg/mL, the 1% strength.

How many units is 600 mcg of Semax?

From a 10 mg vial in 1 mL — 10,000 mcg/mL, 100 mcg per U-100 unit — 600 mcg is 6 units. In 2 mL it is 12 units, in 3 mL 18, and at the 0.1% strength of 10 mg in 10 mL it is 60 units. The peptide in the vial never changes; only how much liquid the same 600 mcg sits in does, which is the whole of what a water volume decides.

Why are Semax doses stated as drops rather than micrograms?

Because the registered products are nasal solutions delivered by a dropper, and the dose that reaches a nostril is set by the drop, not by the bottle. At 0.1% one drop is about 50 mcg and at 1% about 500 mcg, as recorded in this site's dosage chart on 2026-09-18 from the Russian reference entries. The weakness of drop-counting is that a drop volume depends on the dropper: the conventional figure is 20 drops per millilitre, which is 0.05 mL, but no research vial comes with a calibrated dropper cap.

Is Semax approved anywhere outside Russia?

No approval could be found. DailyMed held no Semax label on 2026-09-20 and ClinicalTrials.gov held no registered study. Semax is registered in Russia as 0.1% and 1% nasal solutions, and the clinical literature is overwhelmingly Russian-language: of the four records carrying the clinical-trial tag, three are in Russian journals. That is a literature, but it is not a Western registration, and none of the studies is a large blinded trial.

Do the trial figures apply to a research vial?

The amounts can be reproduced; the product cannot. A 30 mg vial in 3 mL is the same 10 mg/mL concentration the 1% studies used, so 12 mg is 1.2 mL of it. What the vial does not reproduce is the registered solution's preservative system, its manufacturing controls, its dropper and the clinical setting each study ran in — and the trials were intranasal, so a figure taken from them and given by another route is not the figure the study measured.