Selank – Nasal spray

Selank

Level B
Selank – Nasal spray

Editor: Dr. Jobby John, PharmD, FACA

Peptide Ledger review boards: Medical Review Board (Dr. Jobby John, PharmD, FACA; Dr. Richard Harris, MD, PharmD, MBA; Dr. Tracy Neal, MD; Dr. John Thoppil, MD; Dr. Natalie Kash, MD; Dr. Rahil Roopani, MD)Pharmacist Review Committee (Rachel Kuretich, PharmD, PharmD; Daniel Alonso, PharmD, PharmD; Christina Gunter, PharmD, PharmD; Patrick Gurley, PharmD, MS, PharmD, MS; Gyu-Hee Min, PharmD, PharmD)

References are being re-verified against PubMed and will return with review dates.

B
Moderate Evidence
Observational studies and case series with consistent findings

Observational studies and case series with consistent findings

Selank Nasal Spray is a compounded, investigational neuroactive peptide preparation primarily studied for anxiolytic, neuroprotective, cognitive-enhancing, and immunomodulatory effects. Typical pharmacy compounding produces a nasal spray at 1 mg/mL for both clinical research and off-label therapeutic use in anxiety disorders, cognitive dysfunction, and other neuropsychiatric or immunological indications.

Selank’s mechanism of action involves positive allosteric modulation of gamma-aminobutyric acid type A (GABA-A) receptors in the brain. By enhancing the affinity and activity of endogenous GABA at these inhibitory receptors, Selank has been studied for anxiolytic and calming effects. It also alters the gene expression involved in the GABAergic system, and secondarily regulates neuroimmune gene networks—including effects on cytokine balance, monoamine neurotransmitters (serotonin, dopamine), and antiviral pathways. This multi-modal action is proposed to underlie its anxiolytic properties and potential cognitive and immune effects.

Selank exhibits an excellent tolerability profile in clinical and preclinical studies. Rare adverse effects include mild nasal or throat irritation, transient headache, or dizziness. Allergic reactions are exceedingly rare, and there is no evidence for sedation, dependence, withdrawal, or systemic toxicity in published research. Monitoring is recommended for local irritation, psychological changes, or unexpected systemic effects.

Contraindications: Hypersensitivity to Selank or excipients; do not use in pregnancy, lactation, or pediatric populations due to insufficient data.
Precautions: Use caution in patients on other CNS-active drugs; human safety data, though encouraging, remain limited and off-label use should involve specialist oversight.

⚠️ Important safety information above

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Important Information About Compounded Medications

These peptides are not FDA-approved but are commonly used by providers and patients under medical supervision. These statements have not been evaluated by the FDA. These products are not intended to diagnose, treat, cure, or prevent any disease. We provide evidence-based information from current research to help navigate this evolving field. Our goal is clear, evidence-based information for clinicians, with professional oversight at every step.

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