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Peptides · Neuro & cognitive (under FDA review)
Tuftsin-analog peptide with physician-request review.
Why this needs to be personal
The evidence base for Selank is concentrated in Russian-language clinical and mechanistic literature, including anxiety-related use abroad. That foreign experience has not produced an FDA-approved US product or a US prescribing standard.
Physicians may submit patient-specific prescription requests for Selank for pharmacy review. Certain preparations may be available now when clinically appropriate, lawfully prescribed, supported by patient-specific documentation, and approved by the dispensing pharmacy. Availability is determined case by case. This is not a consumer access promise; it is a clinical, sourcing, formulation, and regulatory review process. This ingredient is part of an evolving FDA review process for peptide-related bulk substances used in compounding.
A physician-submitted request is not the same as importing a foreign-labeled nasal spray or buying research peptide. Pharmacy review must decide whether the patient-specific request fits US compounding requirements and the evidence record.
In brief
Selank is a short synthetic peptide developed by Russian researchers at the Institute of Molecular Genetics in Moscow 23. Its structure is based on a natural immune-system peptide called tuftsin, with three extra amino acids added at the end to slow how quickly the body breaks it down. In Russia, Selank is sold as a nasal spray for generalized anxiety disorder and adjustment-related anxiety 11. It is not approved by the FDA in the United States, and almost all of the published primary clinical literature is in Russian.
Selank has no FDA approval in the United States. This ingredient is part of an evolving FDA review process. Physicians may submit patient-specific prescription requests for pharmacy review. Availability is determined case by case, and availability may change after FDA review, PCAC discussion, final agency action, or state-board guidance.
At a glance
Prescription review
Physicians may submit patient-specific prescription requests for Selank for pharmacy review. Certain preparations may be available now when clinically appropriate, lawfully prescribed, and approved by the dispensing pharmacy. Availability is determined case by case.
Real medicine, not gray market
A research-use-only website ships a vial from a warehouse. There is no prescription, no pharmacist, no facility inspection, and no way to recall the product if something is wrong with it. If the vial is mislabeled, contaminated, or under-potent, there is nobody whose license is at stake.
A 503A compounding pharmacy is the other thing. Your doctor writes the prescription. A licensed pharmacist, whose name is on the label, prepares the medicine in a facility the state inspects. If something goes wrong, there is a person and a license on the hook, and a documented chain of custody on every lot. That accountability is what makes it safe.
What it is
Selank is a synthetic heptapeptide with the primary sequence Thr-Lys-Pro-Arg-Pro-Gly-Pro. The N-terminal four residues correspond to tuftsin, a tetrapeptide naturally produced by enzymatic cleavage of the immunoglobulin G heavy chain in the spleen, with documented immunomodulatory activity. The C-terminal tripeptide Pro-Gly-Pro is appended to tuftsin to slow proteolytic degradation in plasma and extend the in vivo half-life sufficient for pharmacologic activity after intranasal administration 2322.
Selank was developed in the 1990s at the Institute of Molecular Genetics of the Russian Academy of Sciences (Moscow), the same laboratory that developed the ACTH-derived neuropeptide Semax. The compound was registered in the Russian Federation as Selank Nasal Spray (also known by the research code TP-7) for use in generalized anxiety disorder, adjustment disorders, and related anxiety-asthenic conditions. It has no FDA approval and no equivalent regulatory registration in the United States, European Union, United Kingdom, Canada, Australia, or Japan 111628.
Selank is not available as an FDA-approved manufactured pharmaceutical product in the United States. Material sold under the Selank name in the US peptide marketplace is not subject to FDA bulk-drug-substance review, USP General Chapter <797> sterility standards, or pharmacist verification of identity, potency, or purity. The substance is currently on FDA's Category 2 list in the bulk-drug-substance review for use in 503A compounding 30.
How it works
Selank's proposed anxiolytic mechanism is multimodal and incompletely characterized 1. The most consistently reported molecular interaction is inhibition of enkephalin-degrading enzymes, including aminopeptidase N, dipeptidyl peptidase III, neutral endopeptidase, and angiotensin-converting enzyme, in human plasma and rodent brain 25. By slowing the degradation of endogenous Met- and Leu-enkephalin, selank is hypothesized to indirectly amplify endogenous opioid tone and to produce anxiolytic effects partially reversed by naloxone in rodent studies.
GABAergic modulation has been characterized at the level of gene expression. Volkova et al. (2016) reported that selank administration affected the expression of genes involved in GABAergic neurotransmission, including GABA-A receptor subunits and glutamic acid decarboxylase, in mouse brain. Filatova et al. (2017) extended this finding in vitro in IMR-32 neuroblastoma cells, where GABA, selank, and olanzapine each altered the expression of GABAergic neurotransmission genes 1719. Povarov et al. (2017) reported electrophysiologic effects on spontaneous synaptic activity in rat hippocampal CA1 neurons 21.
Additional reported effects include modulation of serotonergic and dopaminergic systems 137; potentiation of diazepam-mediated anxiolysis in rodent unpredictable chronic mild stress 20; modulation of pro- and anti-inflammatory cytokine gene expression in spleen and brain 141527; and altered functional brain connectivity in a small EEG-based functional connectomic study 26. The Vyunova et al. (2018) review of selank-receptor molecular interactions integrates these strands but notes that no single canonical receptor target has been definitively established 23.
Research history
Selank originated in the 1990s at the Institute of Molecular Genetics of the Russian Academy of Sciences (Moscow) as a tuftsin-analog peptide designed for anxiolytic activity with extended in vivo stability via the C-terminal Pro-Gly-Pro extension. Initial mechanistic work in the early 2000s characterized inhibition of enkephalin-degrading enzymes in human plasma as a candidate mechanism: Zozulya et al. (2001) reported the inhibitory effect of selank on enkephalin-degrading enzymes as a possible mechanism of its anxiolytic activity; Kost et al. (2001) reported that semax and selank inhibit enkephalin-degrading enzymes from human serum; and Sokolov et al. (2002) extended the finding in mice with different emotional and stress phenotypes 123. Zolotarev et al. (2004) used tritium-labeled Leu-enkephalin to characterize the inhibitory effect on plasma enkephalin-degrading enzymes 5.
Behavioral and physiologic characterization in rodents followed. Kozlovskii et al. (2002) reported optimizing effects on active avoidance conditioning; Semenova et al. (2005) characterized seasonal effects in hibernating animals; Meshavkin et al. (2006) demonstrated naloxone-blocked attenuation of apomorphine-induced hyperdopaminergic behaviors, supporting the endogenous-opioid mechanism 467. Pavlov et al. (2007) reported gastric mucosal homeostasis effects, Semenova et al. (2008) characterized correction of integrative brain activity and biogenic amine levels after antenatal hypoxia, and Sarkisova et al. (2008) reported effects on depression-like behavior in WAG/Rij and Wistar rats 8910.
Russian-language clinical reports emerged in the late 2000s. Zozulia et al. (2008) described efficacy and mechanisms in generalized anxiety disorder and neurasthenia; Uchakina et al. (2008) reported immunomodulatory effects in patients with anxiety-asthenic disorders; Medvedev et al. (2015) reported optimization of selank treatment in anxiety disorders 111216. Subsequent mechanistic and preclinical work in the 2010s and 2020s characterized GABAergic gene expression effects 1719, cytokine and inflammatory gene expression 141527, hippocampal synaptic activity 21, ethanol-induced memory protection 24, morphine withdrawal attenuation 29, and a small functional connectomic study 26. The Vyunova et al. (2018) review of selank biological activity at the molecular level 23 and the Siebert et al. (2017) review of tuftsin and its analogs 22 are the most-cited English-language summaries; the Doyno (2021) Journal of Clinical Pharmacology review surveys selank among GABA-acting agents available outside the United States 28.
Timeline
Compounded use
Physicians may submit patient-specific prescription requests for pharmacy review. For Selank, certain preparations may be available now when clinically appropriate, lawfully prescribed, and approved by the dispensing pharmacy. Availability is determined case by case and may depend on patient-specific documentation, ingredient status, source qualification, formulation feasibility, state requirements, and pharmacist judgment. The review starts with the evidence constraint: The evidence base for Selank is concentrated in Russian-language clinical and mechanistic literature, including anxiety-related use abroad. That foreign experience has not produced an FDA-approved US product or a US prescribing standard.
This ingredient is part of an evolving FDA review process. RonanRx is monitoring FDA's PCAC process and any subsequent agency action. This ingredient is part of an evolving FDA review process for peptide-related bulk substances used in compounding. Availability may change after FDA review, PCAC discussion, final agency action, or state-board guidance. For Selank, RonanRx ties that monitoring to the evidence limits described above and to any patient-specific documentation submitted by the prescriber.
Valid patient-specific prescription required. Supporting clinical rationale may be requested. Compounded medications are not FDA-approved. No consumer self-ordering, no office stock, no bulk dispensing. Requests for Selank are reviewed before any preparation is made or released. A physician-submitted request is not the same as importing a foreign-labeled nasal spray or buying research peptide. Pharmacy review must decide whether the patient-specific request fits US compounding requirements and the evidence record.
Formulations and routes
| Form | Concentration | Description |
|---|---|---|
| Intranasal solution (Russian manufactured product) | 0.15% Selank in aqueous solution, delivered as nasal drops or spray | Selank Nasal Spray (and nasal drops) is the form registered in the Russian Federation. The intranasal route is the studied delivery method in the Russian clinical literature and in the rodent pharmacology characterized by Vasil'eva et al. (2016) comparing intranasal and intraperitoneal administration.111618 |
| Research-grade synthetic heptapeptide | — | Selank is available from peptide chemistry suppliers as a synthetic heptapeptide for research use only. It is not an FDA-approved drug substance, has no US-manufactured pharmaceutical product, and is on FDA's Category 2 list for 503A compounding.30 |
Dosing
No FDA-labeled or US-trial-validated dosing regimen exists for Selank. The Russian-language clinical literature describes intranasal administration of 0.15% Selank Nasal Spray at doses on the order of 900 µg per day (typically divided across several intranasal applications) for generalized anxiety disorder and adjustment disorder 30. These regimens come from Russian-language reports and are not the result of FDA-recognized phase III development 1116. Independent Western validation of these dose regimens is not available in the PubMed-indexed clinical literature.
RonanRx does not publish a consumer dosing schedule for Selank. Any request requires a valid patient-specific prescription, supporting clinical rationale, and pharmacist review. Route, strength, dosing interval, monitoring expectations, and dispensing quantity would be determined case by case from the prescriber's documentation and pharmacy feasibility review.
Doses listed are literature context, not patient instructions. Dosing decisions are made by the prescribing doctor and tailored to the individual patient.
Safety
No FDA-reviewed human safety data are indexed for Selank. The Russian-language clinical literature describes Selank Nasal Spray as generally well tolerated in small open-label and single-center studies of generalized anxiety disorder, anxiety-asthenic states, and neurasthenia, with most reports characterizing adverse effects as mild and transient 111216. Independent multicenter randomized placebo-controlled safety data are not available in PubMed-indexed Western literature. Absence of acute toxicity in small Russian cohorts does not establish a safety profile equivalent to that supported by an FDA-recognized phase III program.
Because Selank is on FDA's Category 2 bulk-substance list for 503A compounding 30, FDA has identified either safety concerns or an information gap that must be evaluated 15. Clinicians considering Selank-containing preparations from non-503A sources should be aware that such products are not subject to FDA bulk-substance review, USP <797> sterility standards, or pharmacist verification of identity and potency. Availability through RonanRx is determined case by case after pharmacy review.
Preclinical rodent studies report short-term tolerability across a range of model systems, anxiolytic-like behavior, ethanol- and morphine-related models, hippocampal electrophysiology, hepatic morphology under chronic foot-shock stress, gastric mucosal homeostasis, and immune gene expression 25814. Longer-term toxicology, reproductive toxicity, carcinogenicity, and detailed human pharmacokinetic data are not available in the indexed literature. Selank is prohibited at all times by the World Anti-Doping Agency under S0 (non-approved substances) 28 2429.
Honest gap. No FDA-recognized human contraindications for Selank are indexed in the English-language literature. Selank is not an FDA-approved drug substance and has no US prescribing-information label. FDA Category 2 bulk-substance status precludes 503A compounding pending reclassification. Russian product labeling for Selank Nasal Spray exists but is not FDA-reviewed.
Honest gap. No FDA-recognized human drug-interaction studies for Selank are indexed at the time of review. Preclinical rodent work has described pharmacodynamic interactions consistent with the proposed mechanism, including potentiation of diazepam-mediated anxiolysis in unpredictable chronic mild stress [kasian2017] and naloxone-reversible attenuation of apomorphine-induced hyperdopaminergic behaviors [meshavkin2006]. These are mechanistic findings in rodents and do not constitute validated human drug-interaction characterization.
Honest gap. No FDA-recognized human adverse-event series for Selank are indexed in English-language PubMed. Russian-language clinical reports describe Selank Nasal Spray as generally well tolerated in small cohorts. Preclinical rodent studies report short-term tolerability without consistent organ-toxicity signals at experimental doses. Detailed human adverse-event characterization equivalent to an FDA-recognized phase III safety database is not available.
Monitoring
No RonanRx-specific monitoring protocol has been established for Selank. If a patient-specific prescription is submitted, supporting clinical rationale may be requested, and monitoring expectations would be reviewed case by case against the published evidence, route, sterile or nonsterile status, concomitant therapies, and patient risk factors.
Special populations
No FDA-recognized use guidance for Selank in this population is established. Any patient-specific request would require prescriber rationale, patient-specific risk review, and pharmacist approval before dispensing.
No FDA-recognized human lactation data for Selank are indexed 30.
No FDA-recognized pediatric data for Selank are indexed. Russian product labeling exists but is not FDA-reviewed 30.
No FDA-recognized geriatric data for Selank are indexed 30.
No FDA-recognized renal-impairment data for Selank are indexed 30.
No FDA-recognized hepatic-impairment data for Selank are indexed 30.
Evidence quality
The Selank evidence base is dominated by Russian-language primary literature with minimal independent Western validation 212429. PubMed-indexed studies include: foundational mechanistic work on enkephalin-degrading enzymes; behavioral and electrophysiologic characterization in rodents; GABAergic gene expression studies in vitro and in mouse brain 1719; cytokine and inflammation gene expression studies 141527; route comparison (intranasal vs intraperitoneal) in mice 18; hepatic morphology under chronic stress 25; gastric mucosal homeostasis 8; serotonergic and dopaminergic mechanism work 137; a small functional connectomic study in humans 26; and small Russian-language clinical reports of efficacy in generalized anxiety disorder, neurasthenia, and anxiety-asthenic conditions 111216. Class reviews summarize the molecular pharmacology 2322 and place Selank among GABA-acting agents available outside the United States 28.
No FDA-recognized randomized multicenter placebo-controlled phase III efficacy program for Selank exists 123. No FDA-approved branded product exists. Independent Western replication of the Russian clinical findings is minimal. Selank is currently on FDA's Category 2 bulk-substance list for 503A compounding 30 1020. The mechanistic and preclinical evidence is internally consistent and biologically plausible, and the Russian clinical reports describe a generally favorable safety and tolerability profile in small cohorts, but the corpus does not meet the standard of evidence that supports FDA-recognized clinical claims 5. Any clinical claim about Selank in US patients extrapolates from foreign-language and preclinical-grade evidence and should be framed accordingly 469.
Major studies
| Study | Design | Participants | Duration | Finding |
|---|---|---|---|---|
| Zozulya et al. (2001, Bull Exp Biol Med), Enkephalin-degrading enzyme inhibition | In vitro biochemical characterization of selank inhibition of enkephalin-degrading enzymes in human plasma | — | — | Selank inhibits human plasma enkephalin-degrading enzymes; proposed as a candidate mechanism for the anxiolytic phenotype via prolongation of endogenous enkephalin half-life 1 |
| Kost et al. (2001, Bioorg Khim), Semax and selank inhibit enkephalin-degrading enzymes | In vitro biochemical characterization in human serum | — | — | Both semax and selank inhibit enkephalin-degrading enzymes in human serum, consistent with a shared mechanistic feature of Russian-developed peptide neuromodulators 2 |
| Sokolov et al. (2002, Bull Exp Biol Med), Behavior and plasma enkephalin-degrading enzymes | Behavioral and biochemical study in mice with different emotional and stress reactivity phenotypes | — | — | Selank alters behavior and plasma enkephalin-degrading enzyme activity differently across mouse strains, supporting strain-dependent expression of the proposed mechanism 3 |
| Zozulia et al. (2008, Zh Nevrol Psikhiatr Im S S Korsakova), GAD and neurasthenia clinical report | Russian-language clinical report describing efficacy and proposed mechanisms of action of selank in the therapy of generalized anxiety disorder and neurasthenia | — | — | Open-label and single-center observations of anxiolytic activity in GAD and neurasthenia with a generally favorable tolerability profile; not an FDA-recognized phase III program 11 |
| Uchakina et al. (2008), Immunomodulatory effects in anxiety-asthenic disorders | Russian-language clinical report in patients with anxiety-asthenic disorders | — | — | Selank exhibited immunomodulatory effects (cytokine profile changes) alongside reported anxiolytic activity in the studied cohort 12 |
| Medvedev et al. (2015, Zh Nevrol Psikhiatr Im S S Korsakova), Optimization of selank in anxiety disorders | Russian-language clinical report on optimization of selank treatment in anxiety disorders | — | — | Open-label clinical observations of dosing strategy and response in anxiety disorders; the study describes treatment optimization in a Russian clinical context 16 |
| Volkova et al. (2016, Front Pharmacol), GABAergic gene expression | Gene-expression study of selank effects on transcripts involved in GABAergic neurotransmission | — | — | Selank administration altered expression of GABA-A receptor subunit and glutamic acid decarboxylase genes; mechanistic link to GABAergic anxiolysis 17 |
| Filatova et al. (2017, Front Pharmacol), GABA, selank, olanzapine in IMR-32 cells | In vitro gene-expression study in IMR-32 neuroblastoma cells | — | — | GABA, selank, and olanzapine each altered the expression of genes involved in GABAergic neurotransmission, supporting a transcriptional component of selank's GABAergic effect 19 |
| Kasian et al. (2017, Behav Neurol), Selank potentiates diazepam in UCMS | Rodent unpredictable chronic mild stress (UCMS) model with co-administration of selank and diazepam | — | — | Selank enhanced the anxiolytic effect of diazepam in rats subjected to unpredictable chronic mild stress, supporting a GABAergic pharmacodynamic interaction 20 |
| Vyunova et al. (2018, Protein Pept Lett), Molecular biology of selank activity | Narrative review of the molecular aspects of heptapeptide selank biological activity | — | — | Integrates the molecular pharmacology evidence, enkephalin-degrading enzyme inhibition, GABAergic transcriptional effects, serotonergic/dopaminergic modulation, cytokine modulation, into a coherent class summary; no single canonical receptor target is established 23 |
| Doyno et al. (2021, J Clin Pharmacol), GABA-acting agents review | Narrative review of sedative-hypnotic agents that impact GABA receptors, including selank among GABA-acting agents available outside the United States | — | — | Surveys the English-language pharmacology of selank, characterizes the Russian regulatory context, and notes WADA prohibition under S0 (non-approved substances); identifies selank as not FDA-approved and not subject to FDA evidence review 28 |
| Siebert et al. (2017, Curr Med Chem), Tuftsin and analogs review | Narrative review of tuftsin and its analog peptides including selank | — | — | Places selank in the tuftsin-analog class with the C-terminal Pro-Gly-Pro extension as the structural rationale for in vivo stability; summarizes immunomodulatory and CNS activity 22 |
| Kolik et al. (2019, Bull Exp Biol Med), Ethanol memory protection | Rodent ethanol-induced memory impairment model with selank intervention | — | — | Selank protected against ethanol-induced memory impairment with concurrent regulation of hippocampal BDNF content, supporting a neuroprotective component of the mechanism 24 |
| Konstantinopolsky et al. (2022, Bull Exp Biol Med), Morphine withdrawal | Rodent model of morphine withdrawal with selank intervention | — | — | Selank attenuated aversive signs of morphine withdrawal in rats, consistent with the endogenous-opioid component of the proposed mechanism 29 |
| Panikratova et al. (2020, Dokl Biol Sci), Functional connectomic study | Small functional connectomic approach to studying selank and semax effects in humans | — | — | Reported alterations in functional brain connectivity patterns associated with selank administration; small exploratory study, not an efficacy trial 26 |
| Vasil'eva et al. (2016, Eksp Klin Farmakol), Intranasal vs intraperitoneal route | Pharmacological comparison of selank effects after intranasal vs intraperitoneal administration in BALB/c and C57BL/6 mice | — | — | Both routes produced biological activity with route- and strain-dependent differences; supports intranasal delivery as a viable administration route for CNS effects 18 |
Pharmacology
No FDA-recognized human pharmacokinetic studies of Selank are indexed. The C-terminal Pro-Gly-Pro extension was incorporated specifically to slow proteolytic degradation in plasma relative to the parent tuftsin tetrapeptide, and rodent route-comparison work has characterized intranasal vs intraperitoneal administration with respect to biological activity rather than detailed PK parameters 1823. Selank is reported to cross into the central nervous system after intranasal administration, with rodent studies and a small human functional connectomic study consistent with CNS pharmacodynamic effects 26.
Validated human PK parameters, including Cmax, Tmax, bioavailability, terminal half-life, and volume of distribution, are not available in PubMed-indexed Western literature at the time of review.
Reported pharmacodynamic endpoints in preclinical studies include anxiolytic-like behavior in rodent models (elevated plus maze, open field, social interaction, UCMS-induced anxiety) 20; ethanol-induced memory impairment with hippocampal BDNF as a molecular readout 24; aversive signs of morphine withdrawal 29; expression of GABAergic-neurotransmission genes in vitro and in vivo 1719; expression of pro- and anti-inflammatory cytokines in spleen and brain 141527; serotonergic and dopaminergic neurochemistry 137; and electrophysiology of hippocampal CA1 synaptic activity 21. In small Russian clinical reports the principal endpoint is clinician-rated anxiety severity in generalized anxiety disorder and anxiety-asthenic conditions 1116. No validated US clinical pharmacodynamic biomarker for Selank exists.
RonanRx operations
Physicians may submit patient-specific prescription requests for pharmacy review. For Selank, certain preparations may be available now when clinically appropriate, lawfully prescribed, and approved by the dispensing pharmacy. Availability is determined case by case and may depend on patient-specific documentation, ingredient status, source qualification, formulation feasibility, state requirements, and pharmacist judgment. The review starts with the evidence constraint: The evidence base for Selank is concentrated in Russian-language clinical and mechanistic literature, including anxiety-related use abroad. That foreign experience has not produced an FDA-approved US product or a US prescribing standard.
This ingredient is part of an evolving FDA review process. RonanRx is monitoring FDA's PCAC process and any subsequent agency action. This ingredient is part of an evolving FDA review process for peptide-related bulk substances used in compounding. Availability may change after FDA review, PCAC discussion, final agency action, or state-board guidance. For Selank, RonanRx ties that monitoring to the evidence limits described above and to any patient-specific documentation submitted by the prescriber.
Valid patient-specific prescription required. Supporting clinical rationale may be requested. Compounded medications are not FDA-approved. No consumer self-ordering, no office stock, no bulk dispensing. Requests for Selank are reviewed before any preparation is made or released. A physician-submitted request is not the same as importing a foreign-labeled nasal spray or buying research peptide. Pharmacy review must decide whether the patient-specific request fits US compounding requirements and the evidence record.
For Selank, the pharmacist review starts before any preparation is made. Valid patient-specific prescription required. Supporting clinical rationale may be requested. The pharmacist reviews ingredient status, sourcing, formulation feasibility, state requirements, patient-specific documentation, and whether dispensing is appropriate case by case.
If a Selank preparation is approved after pharmacy review, RonanRx applies source documentation, formulation records, lot traceability, release checks, and storage controls appropriate to the actual dosage form. Research-use vial storage practices do not substitute for pharmacy-assigned storage, beyond-use dating, sterility controls when applicable, or recallable batch records. The patient-specific framework and quality controls are documented in the cited compounding references 313332.
If a Selank preparation is approved after pharmacy review, RonanRx applies source documentation, formulation records, lot traceability, release checks, and storage controls appropriate to the actual dosage form. Research-use vial storage practices do not substitute for pharmacy-assigned storage, beyond-use dating, sterility controls when applicable, or recallable batch records.
FAQ
Physicians may submit patient-specific prescription requests for pharmacy review. Certain preparations may be available now when clinically appropriate, lawfully prescribed, and approved by the dispensing pharmacy. Availability is determined case by case. Compounded medications are not FDA-approved, and no consumer self-ordering, office stock, or bulk dispensing is offered.3031
Selank (TP-7) is a synthetic heptapeptide with the sequence Thr-Lys-Pro-Arg-Pro-Gly-Pro 23. The N-terminal four residues correspond to tuftsin, a natural immunomodulatory tetrapeptide, and the C-terminal Pro-Gly-Pro extension confers protease resistance 22. It was developed in the 1990s at the Institute of Molecular Genetics of the Russian Academy of Sciences (Moscow) as an anxiolytic peptide.
Selank is registered in the Russian Federation as Selank Nasal Spray for generalized anxiety disorder and adjustment-related anxiety 111628. It is not approved by the FDA in the United States and has no equivalent registration in the European Union, United Kingdom, Canada, Australia, or Japan.
The primary clinical literature is almost entirely Russian-language: small open-label or single-center reports in generalized anxiety disorder, neurasthenia, and anxiety-asthenic conditions 111216. The preclinical literature is more substantial and includes mechanistic work on enkephalin-degrading enzymes, GABAergic gene expression, serotonergic and dopaminergic modulation, and cytokine and inflammation gene expression. The English-language review by Doyno (2021) is the most-cited Western summary 28. There is no FDA-recognized phase III program 23.
Physicians may submit patient-specific prescription requests for pharmacy review. Certain preparations may be available now when clinically appropriate, lawfully prescribed, and approved by the dispensing pharmacy. Availability is determined case by case. Compounded medications are not FDA-approved, and no consumer self-ordering, office stock, or bulk dispensing is offered.3031
Selank is prohibited at all times by the World Anti-Doping Agency under category S0 (non-approved substances). Athletes subject to the WADA Code must not use Selank in or out of competition 28.
Possibly, if the agency receives sufficient evidence to evaluate safety and clinical utility in a US regulatory framework. The Category 2 designation reflects FDA's current assessment of the evidence base and is not a permanent finding. RonanRx will track future bulk-substance review revisions and will reconsider compounding only if and when Selank is moved to Category 1 30.
Clinician resource
The full white paper covers every section on this page plus chemical identity, evidence grading, indication-by-indication summaries, research gaps, and reference appendix. Suitable for sharing with prescribing doctors and pharmacist reviewers.
References
How to access
Physicians may submit patient-specific prescription requests for Selank for pharmacy review. Availability is determined case by case, and RonanRx is monitoring FDA's PCAC process and any subsequent agency action.
For doctors
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If your doctor has already prescribed Selank, sign up so we can prepare and ship your medication. The signup wizard collects intake and connects you to the prescribing workflow.
Patient without a doctor
RonanRx prescribes through partner clinics — we don't initiate prescriptions on this site. See how the referral works and how to find a clinic in your state that has evaluated patients for Selank.
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