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Comparison

Fisetin vs Semax

Side-by-side of Fisetin and Semax. Every row below is pulled from the compound schema and will update as our data grows. For deeper reads, follow through to each compound page.

Effects at a glance

Fisetin

  • Flavonoid found in strawberries; most potent natural senolytic in screening assays (Yousefzadeh 2018)
  • Hickson 2019 confirmed reduced senescent-cell burden in human adipose tissue at 20 mg/kg pulsed for 2 days
  • Pulsed Mayo protocol (20 mg/kg/day x 2 days monthly) is the only dose with human biomarker evidence
  • Daily low-dose (100-500 mg) is mechanistically weaker but commonly used
  • Low oral bioavailability; with-fat dosing modestly improves absorption
  • Active cancer is a relative contraindication pending clearer polyphenol-treatment data

Semax

  • Synthetic heptapeptide analog of ACTH(4-10) developed in Russia in the 1980s
  • Approved in Russia for ischemic stroke, cognitive impairment, and cerebrovascular disorders
  • Lacks the corticotropic activity of native ACTH due to the Pro-Gly-Pro stabilizing tail
  • Russian RCTs report improved cognitive recovery in acute ischemic stroke versus standard care
  • Modulates BDNF and NGF expression and dopaminergic signaling in preclinical models
  • Standard route is intranasal; not FDA approved; research-use-only outside Russia

Side-by-side

Attribute Fisetin Semax
Category supplement peptide
Also known as 3,7,3',4'-tetrahydroxyflavone Met-Glu-His-Phe-Pro-Gly-Pro, ACTH(4-10) Pro-Gly-Pro analog
Half-life (hr) 2 0.5
Typical dose (mg) 500 0.6
Dosing frequency pulsed 2 days/month (Mayo protocol) or daily continuous (empirical) 2-3x daily (intranasal)
Routes oral intranasal
Onset (hr) 1 0.5
Peak (hr) 4 2
Molecular weight 286.24 813.94
Molecular formula C15H10O6 C37H51N9O10S
Mechanism Senolytic via Bcl-2 family inhibition (Bcl-xL, Bcl-w); broad polyphenol with Nrf2 activation, mTOR inhibition at high concentrations, and antioxidant effects. Modulates BDNF and NGF expression in hippocampus and cortex, enhances dopaminergic and serotonergic signaling, and reduces oxidative stress markers in preclinical ischemia models. Lacks corticotropic activity of native ACTH.
Legal status OTC dietary supplement Approved in Russia for stroke and cognitive disorders; not FDA approved; research-use-only grey market elsewhere
WADA status allowed unknown
DEA / Rx OTC supplement Not FDA approved; not scheduled; research-chemical status outside Russia
Pregnancy Insufficient data Not recommended; insufficient data
CAS 528-48-3 80714-61-0
PubChem CID 5281614 9811102
Wikidata Q230614 Q4413083

Safety profile

Fisetin

Common side effects

  • mild GI upset
  • headache (rare)

Contraindications

  • active cancer (theoretical, polyphenol interactions)
  • pregnancy and lactation (insufficient data)
  • concurrent CYP3A4-sensitive medications

Interactions

  • statins (CYP3A4 substrates): theoretical reduction in statin clearance at high fisetin doses(minor)
  • warfarin: theoretical CYP-mediated interaction; monitor INR if combining(moderate)
  • other senolytics (rapamycin, dasatinib + quercetin): additive senolytic effect; pairing is investigational(minor)

Semax

Common side effects

  • mild nasal irritation
  • transient mild headache
  • rare mild euphoria or activation

Contraindications

  • pregnancy
  • lactation
  • acute psychotic disorder
  • severe hypertension (caution due to mild activating effect)

Interactions

  • stimulants (caffeine, amphetamines): potential additive activation; monitor for overstimulation(minor)
  • antipsychotics: theoretical antagonism via dopaminergic modulation(minor)

Which Should You Take?

Fisetin comes out ahead for most readers on the criteria we weight: 2 catalogued goals, OTC dietary supplement, oral dosing, with a Tier-B outcome catalogued. Semax is the right call when one of the conditionals below applies.

  • If your priority is healthspan extension, pick Fisetin.
  • If your priority is long-term neuroprotection, pick Semax.
  • If your priority is stroke recovery, pick Semax.

Edge case: If you want to avoid research-only / gray-market sourcing, Fisetin is the more accessible choice.

Default choice: Fisetin. Lower friction to source, and broader goal coverage. Reach for Semax only if your priority sits squarely in the goals it owns above.

This verdict is generated from each compound's schema (goals, legal status, evidence outcomes, dosing route). It updates automatically as our compound data evolves; the deeper read sits on each individual compound page.

Common questions

What is the difference between Fisetin and Semax?

Fisetin and Semax differ in category (supplement vs peptide), mechanism, and typical dosing. See the side-by-side table for full details.

Which has a longer half-life, Fisetin or Semax?

Fisetin half-life is 2 hours; Semax half-life is 0.5 hours.

Can you stack Fisetin with Semax?

Stack compatibility depends on mechanism overlap, legal status, and individual response. Check each compound page for specific interactions and contraindications before combining.

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