Reduces anxiety without sedation or dependence.
Why this rating
Selank is a registered prescription anxiolytic in Russia, so it satisfied that regulator. The published support is concentrated in Russian-language studies from a small number of affiliated groups, frequently small and often lacking the blinding and placebo controls that Western regulators require. No trial meeting those standards has been published. Anxiety outcomes are also highly placebo-responsive, which makes unblinded evidence particularly weak here.
GRADE downgrade factors applied
- Risk of bias: Methodological flaws in the studies (e.g. lack of blinding, allocation concealment, high attrition).
- Imprecision: Wide confidence intervals or small sample size, the estimate could be substantially different.
- Publication bias: Suspicion that negative or null results were not published, inflating apparent effect.
Supporting studies
- Russian clinical studies of Selank in anxietyRandomized Controlled Trial
Reported anxiolytic efficacy in Russian clinical use, without independent replication under Western trial standards.