Selank, a short synthetic peptide registered in Russia as non-prescription nasal drops for anxiety and nervous exhaustion, is sold elsewhere mainly through unregulated vendors. Small Russian trials from the institutes that created it, in people with anxiety disorders, suggest anxiety relief comparable to older sedating anti-anxiety drugs and less fatigue. No data address healthy aging, and its short safety list reflects limited study rather than proven safety. (Full Review)
| Marker | Target | Why |
|---|---|---|
| GAD-7 score | No established target; change from own baseline | Main efficacy marker |
| Resting heart rate | 60–100 beats/min (standard reference range) | Safety check: palpitations reported in users |
| Pregnancy test (urine or serum hCG) | Negative (standard reference range) | Safety check: pregnancy stops use |
| INR (warfarin users only) | 0.8–1.2 (standard reference range) | Safety check: rise changes use |
Cadence: Baseline before starting; then at day 3, at day 14, and before each repeat course; warfarin users add an INR 1–2 weeks after starting. No change after two full courses indicates non-response.