Semax vs Setmelanotide

A detailed comparison to help you understand the differences and choose the right peptide for your research goals.

Semax

Semax is a synthetic peptide derived from ACTH (adrenocorticotropic hormone). Developed in Russia as a nootropic and neuroprotective agent.

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Setmelanotide

Setmelanotide (Imcivree) is an FDA-approved MC4R agonist for chronic weight management in patients with obesity due to specific genetic conditions (POMC, PCSK1, or LEPR deficiency).

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Side-by-Side Comparison

AspectSemaxSetmelanotide
MechanismEnhances BDNF expression, modulates dopamine and serotonin systems, and provides neuroprotective effects. Increases attention, memory formation, and learning.Selective agonist of melanocortin 4 receptors (MC4R) in the hypothalamus, restoring the satiety signaling pathway that is disrupted in certain genetic obesity syndromes.
Typical DosageIntranasal: 200-600mcg 2-3 times daily. Higher doses (up to 1mg) used in clinical settings for stroke recovery.Adults: Start 2mg daily, titrate based on tolerability up to 3mg daily. Pediatrics (6+): Weight-based dosing starting at 1mg daily.
AdministrationPrimarily administered intranasally. N-Acetyl Semax Amidate (NASA) is a modified version with enhanced stability and potency.Subcutaneous injection once daily. Requires genetic testing to confirm eligible mutations before prescribing.
Side EffectsGenerally well-tolerated. May cause mild irritability or hair shedding in some users.Injection site reactions, skin hyperpigmentation, spontaneous penile erections, depression, and suicidal ideation (boxed warning). GI effects less common than GLP-1s.
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Key Differences

Unique to Semax:

Unique to Setmelanotide:

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