Cognitive & Neuroprotection
Cerebrolysin
Cerebrolysin is a liquid preparation of small peptides and amino acids made by enzymatically breaking down pig brain tissue, and it is a routine, widely prescribed stroke medicine across Russia, China and parts of Eastern Europe. Neither the American nor the European regulator has authorised it for anything, which makes it one of the clearest illustrations in the corpus of how far medical practice can diverge across borders on the same preparation. Its evidence has also been examined harder than most: a 2023 Cochrane review of seven randomised trials in 1,773 stroke patients concluded it probably makes little or no difference to whether people die, and probably increases serious non-fatal adverse events.
Last updated
Mechanism
A mixture of low-molecular-weight neuropeptides and free amino acids reported to reproduce neurotrophic factor activity on neurons.
Reported effects
What sources associate with this compound. Reported categories, not outcomes we have graded — each would need its own citation and rung.
- Stroke recovery research
- Cognitive function research
- Neurotrophic signalling context
Dosing on file unverified
IV: 10-50 mL/day diluted in saline, 10-21 day cycles; IM: up to 5 mL/day; Stroke: 30-50 mL/day; AD: 10-60 mL/day
Carried from a source that labels it unverified, and reproduced with that label attached. A record of what is reported, not a recommendation. No citation on this page establishes it.
What is circulated about this dose. 3 claims are recorded on this page with the pages they were read from. Read what is circulated.
Half-life, storage & sport
- Elimination half-life
- not on file — no primary pharmacokinetic study found.
- Storage
- Reconstituted: Solution in sealed ampoules (not lyophilized). Store below 25C, protect from light, do not freeze; single-use, use immediately once opened. — source. EVER Pharma product information.
- In sport (WADA 2026)
- Not prohibited. Not named, and it is an approved medicine in Austria, Russia, China and elsewhere, so S0 does not apply. It is a porcine brain peptide preparation containing neurotrophic fragments; if a batch carried growth-factor activity, S2.3's residual clause could be argued. Not FDA-approved. the list
Literature on file 10
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animal in vivo
Neurotrophic effects of Cerebrolysin® in animal models of excitotoxicity (2000, cited 9x) graded on: an animal model — read from the indexed abstract — “mice”
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human observational
Efficacy and Safety of Cerebrolysin as an Adjunct to Mechanical Thrombectomy in Acute Ischemic Stroke: A Systematic Review and Meta-Analysis of Observational Studies. graded on: a synthesis of human studies — “Systematic Review”
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in vitro
Exosomes Released by Cerebrolysin-Treated Cerebral Endothelial Cells Reverse Fibrin- or tPA-Impaired Endothelial Cell Permeability. graded on: an in-vitro system — read from the indexed abstract — “in vitro”
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human RCT
NCT00947531: A Randomized, Double-blind, Placebo-controlled Clinical Trial to Evaluate the Safety and Efficacy of 20 ml Cerebrolysin in Patients With Vascular Dementia graded on: randomised and placebo-controlled — “Randomized, Double-blind, Placebo-controlled”
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human RCT
NCT00911807: A Randomized, Double-Blind, Clinical Trial to Compare the Safety and Efficacy of Cerebrolysin and Aricept (Donepezil) and a Combination Therapy in Patients With Probable Alzheimer's Disease (AD) graded on: a randomised trial — “Randomized, Double-Blind, Clinical Trial”
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human RCT
NCT02149875: A Comparison of Safety and Efficacy of Dl-3-n-butylphthalide and Cerebrolysin on Neurological and Behavioral Outcomes in Acute Ischemic Stroke: a Randomized, Double-blind Study. graded on: a randomised study — “Randomized, Double-blind Study”
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human RCT
Cerebrolysin and Recovery After Stroke (CARS): A Randomized, Placebo-Controlled, Double-Blind, Multicenter Trial (Stroke 2016, cited 120x) graded on: randomised and placebo-controlled — “Randomized, Placebo-Controlled”
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human observational
Safety and efficacy of Cerebrolysin in early post-stroke recovery: a meta-analysis of nine randomized clinical trials (Neurological Sciences 2017, cited 102x) graded on: a synthesis of human studies — “meta-analysis”
Not graded
2 citations whose study design could not be read from the title. Left ungraded rather than guessed at.
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not graded
NCT00840671: A Prospective, Randomised, Placebo Controlled, Double Blind Trial About Safety and Efficacy of Combined Treatment With Alteplase (Rt-PA) and Cerebrolysin® in Acute Ischemic Hemispheric Stroke graded on: NCT00840671 is completed and has posted no results - a registration, not a reported outcome — “NCT00840671”
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not graded
NCT01388738: Navigation Brain Stimulation (NBS) for Evaluation of the Neuroprotective Drug Efficiency in Patients After Ischemic Stroke. graded on: NCT01388738 is completed and has posted no results - a registration, not a reported outcome — “NCT01388738”
What is circulated not evidence 6
Claims passed around in community guides and vendor copy, recorded because they circulate — not because they are true. Each is shown with the page it was read from and what this record actually holds. Checked 2026-08-24.
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5 to 10 mL a day for cognitive enhancement in healthy people is the community protocol, typically five days on and two days off for four to eight weeks then a four-week break.
5 days on, 2 days off for 4–8 weeks, then 4-week break
On the record The record holds no dosing at all for cerebrolysin. No dose, no volume and no cycle is on file for a compound that is a licensed medicine in several countries with a published ampoule strength, and which the record itself grades at the human randomised-trial rung.
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Subcutaneous self-injection is described in nootropic guides as the most accessible route, while the trials the compound's reputation rests on used intravenous infusion under supervision.
Subcutaneous (most accessible)
On the record The record lists two route entries — intravenous or intramuscular, and subcutaneous, intramuscular or intranasal — with nothing distinguishing which carries the trial evidence. It grades the compound at the human randomised-trial rung on 'randomised and placebo-controlled' without saying by which route, so it cannot answer the question the community is answering with guesswork.
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Vivid dreams are described in guides as normal and as a sign of neuroplasticity, and early headaches as expected and self-resolving.
vivid dreams (normal, sign of neuroplasticity activity)
On the record The record holds no side effects at all for cerebrolysin. An effect is being interpreted as evidence that the compound is working, against a safety record that holds nothing.
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The safety record established in thousands of stroke patients in controlled trials is transferred in community copy to healthy users at biohacking doses.
5–10mL of pharmaceutical ampoule solution per day
On the record The record lists stroke recovery research, cognitive function research and neurotrophic signalling context as benefits — all indication-shaped, none about healthy cognitive enhancement. Its list of fields not on file is unusually long — molecular weight, formula, CAS number, PubChem entry, structure identifiers and half-life are all not held — and it notes the record was merged from two prior entries and never graded as a whole.
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Ten millilitres a day is stated as the minimum effective dose for a statistically significant cognitive effect, with 5 mL said to have failed significance and 30 mL to add nothing.
5–10mL of pharmaceutical ampoule solution per day
On the record Not on file. The record holds no dose-response data and no dose at all for cerebrolysin, so a specific claim about which volumes reached significance cannot be checked against it.
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Ampoules are described as being stored and handled like any other peptide vial, with the solution kept for repeated use across a course.
Injection site irritation is possible
On the record The record is explicit and contradicts this: solution in sealed ampoules, not lyophilised; store below 25C, protect from light, do not freeze; single-use, use immediately once opened. The single-use instruction is one of the clearer safety-relevant facts in this slice, and it is not what the community practice assumes.
Identity
Also called
- Cerebralisin
Notes unverified prose
Approved in >50 countries; 398-patient AIS study used 20 mL IV infusions; TBI study used 30 mL/day IV for 10 days; AD trial used 10, 30, or 60 mL IV; multiple RCTs
Not on file 10
8 of the 8 fields we track hold nothing on this record, and each says why. 2 further absences are named below. A blank field is a bug; a named absence is a finding.
- molecular weightnothing we hold supplies it
- molecular formulanothing we hold supplies it
- CAS registry numbernothing we hold supplies it
- PubChem identifiernothing we hold supplies it
- amino-acid sequencenot applicable to this compound
- SMILES stringnothing we hold supplies it
- InChInothing we hold supplies it
- InChI keynothing we hold supplies it
- half-lifenothing we hold supplies it
- evidence regradethis record was merged from cerebralisin and cerebrolysin; the combined citation set has not been graded as a whole, and the tier was set from the stronger of the two prior gradings rather than from a fresh reading
Each field links to every other record missing the same thing. The full ledger holds 765 gaps across 163 records.
Listed prices 31
What 26 shops we track listed for Cerebrolysin, read from their own public catalogues on 2026-09-14. We take no commission on these and they are not ranked by any payment — how vendors are scored.
Compare prices31 listings from 26 shops
| Vendor | Size | Price | Per mg |
|---|---|---|---|
| LIVV | 2000 mg | $425.00 USD | $0.21/mg |
| Hero Peptides | 60 mg | $39.00 USD | $0.65/mg |
| Athena Peptides | 60 mg | $49.00 USD | $0.82/mg |
| AMC Essentials | 60 mg | $49.99 USD | $0.83/mg |
| Pure Lab Peptides | 60 mg | $49.99 USD | $0.83/mg |
| Umbrella Labs | 60 mg | $49.99 USD | $0.83/mg |
| Southern Aminos | 60 mg | $52.50 USD |
$0.88/mg |
| Modified Aminos | 60 mg | $69.99 USD | $1.17/mg |
| milehighpeptides.com | 60 mg | $70.00 USD | $1.17/mg |
| Arizona Peptides (.us) | 60 mg | $85.99 USD |
$1.43/mg |
| Arizona Peptides USA | 60 mg | $85.99 USD |
$1.43/mg |
| Nationwide Peptides | 60 mg | $99.00 USD | $1.65/mg |
| Oasis Labs | 60 mg | $106.00 USD | $1.77/mg |
| Certified Peptides | 60 mg | $110.00 USD |
$1.83/mg |
| Modified Aminos | 60 mg | $129.99 USD | $2.17/mg |
| PeptiFy Labs | 30 mg | $84.99 USD | $2.83/mg |
| Modified Aminos | 60 mg | $179.99 USD | $3.00/mg |
| Mile High Compounds | size not listed | $119.99 USD |
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| Vendor | Size | Price | Per mg |
|---|---|---|---|
| Luxara Labs | 60 mg | $75.00 CAD | $1.25/mg |
| Luxara Labs | 30 mg | $45.00 CAD | $1.50/mg |
| Red Leaf Research Labs | 60 mg | $90.00 CAD | $1.50/mg |
| Canada Steroid Depot | 60 mg | $138.00 CAD | $2.30/mg |
| VPeptide Canada | 30 mg | $69.99 CAD | $2.33/mg |
| VPeptide Canada | 30 mg | $89.99 CAD | $3.00/mg |
| Northern Peptides | 60 mg | $190.00 CAD | $3.17/mg |
| Pacific Peptides | 60 mg | $190.00 CAD | $3.17/mg |
| Amino Peptides | 60 mg | $199.99 CAD | $3.33/mg |
| Polar Peptides | 60 mg | $199.99 CAD | $3.33/mg |
| Peptide Shop Canada | size not listed | $30.00 CAD | — |
| Toronto Peptides | size not listed | $40.00 CAD |
— |
| Peptide Shop Canada | size not listed | $55.00 CAD | — |
None of these shops lists your destination. Choose “Show all” to see every listing we hold.
Prices are the vendor's own listing, reproduced with the date we read it — never converted between currencies, and compared per milligram only where the vendor states the vial size.