Straight answers
Common questions about Semax.
- What is the FDA status of Semax?
- No compounding pathway today. An FDA advisory committee recommendation is not a listing. Semax is not FDA-approved, and there is no pathway for a US pharmacy to compound it today. FDA removed it from its 503A Category 2 in April 2026 after the nominations were withdrawn, but removal is not a listing. FDA's Pharmacy Compounding Advisory Committee recommended it on July 24, 2026. A recommendation is not a listing: nothing changes unless FDA publishes a final rule. Checked against primary sources on October 13, 2026.
- Is compounded Semax an approved drug?
- No. Compounded medications are not approved by the FDA and have not been reviewed for safety, effectiveness, or quality. Semax is not FDA-approved, and there is no lawful pathway for a US pharmacy to compound it today. Its safety and effectiveness in people have not been established. PEPLUX is a telehealth platform, not a pharmacy or drug manufacturer. Medications are compounded and dispensed by independently licensed US compounding pharmacies.
- What does the evidence support for Semax, and what does it not?
- Most of the published research on semax comes from a small number of laboratories and is in animals and cell systems. The human studies are few and small, and they do not meet the standard needed to show that it works for any use. Its safety and effectiveness in people have not been established. FDA states that it has no, or only limited, safety information for the proposed routes of administration.
- What are the risks of Semax?
- Safety in people has not been established. Without large controlled human trials, its side effects and longer-term risks are not known. The full list of side effects, and of who should not use Semax, is in the risks section of this page. Your prescriber reviews your history before deciding whether it is appropriate for you.
- Does Semax require baseline labs?
- No. Semax does not require baseline labs, though your prescriber may order them based on your history. Baseline labs are included in the price.
- What does Semax cost?
- $229 per month. Medication: included. Clinician visit: included. Baseline labs: included. Lab retests: included when ordered by your provider. Shipping: included. Patient portal access: included. Care-team chat support: included. *If medically eligible.
- Is Semax prohibited in sport?
- Not named on the WADA 2026 Prohibited List. Not named on the 2026 list. Whether the S0 class (substances with no government approval for human therapeutic use) reaches it has not been confirmed.
- How is Semax given?
- Nasal spray or subcutaneous injection. Your prescriber decides whether it is appropriate for you and sets the regimen. PEPLUX does not publish dosing.