Cerebrolysin
Also known as Cerebrolysin neuropeptide preparation
Last reviewed · Awaiting clinical review
Main safety concerns
This is a biological mixture given by IV or IM in a clinical setting, not a single peptide you mix at home. Large reviews find the evidence mixed, and it is not approved in the US.
- SeriousSerious allergic reaction
- SeriousAvoid if: Known allergy to Cerebrolysin
- SeriousAvoid if: Pregnancy or breastfeeding
Educational information, not medical advice. If you have symptoms that worry you, contact a clinician or emergency services.
What is known
A neurotrophic mixture of small peptides and amino acids, given by infusion for stroke, dementia, and brain injury.
- Status:
- Not approved by the FDA. Approved as a medicine in about 50 other countries, mostly in Eastern Europe and Asia.[3]
- Strongest evidence for any claim:
On this page
What it is and how it works
Cerebrolysin is not a single peptide. It is a mixture of small peptides and free amino acids made from purified pig brain protein. It is meant to act like the brain's own neurotrophic factors, supporting neuron survival and repair. It is used in some countries for stroke recovery, dementia, and traumatic brain injury, given as an intravenous or infusion.[1]
Evidence by claim
Each claim is graded on its own. Tap a grade to see what it does and does not mean.
May help cognitive recovery after stroke and in vascular or Alzheimer's dementia.
Source type: Review
Some trials, such as CASTA, and meta analyses show benefit, but Cochrane reviews call the evidence for acute stroke insufficient and do not recommend routine use in dementia. The picture is mixed.
Supports recovery after traumatic brain injury.
Source type: Review
Some positive meta analysis signals, still not definitive.
Reported side effects
Interactions and combination risks
The product label advises against combining Cerebrolysin with MAO inhibitors.
Who should avoid it
- SeriousKnown allergy to Cerebrolysin
Risk of a serious allergic reaction.
- WarningSevere kidney impairment or active seizures
Used with caution or avoided in these settings.
- SeriousPregnancy or breastfeeding
No safety data in pregnancy or breastfeeding.
Dosing
Placed after the evidence and risks on purpose. Nothing here is a recommendation for you.
| Route(s) | intravenous, intramuscular |
|---|---|
| Typical range | Given in a clinic as an infusion, commonly 10 to 30 mL per day (up to 50 mL) for courses of 10 to 21 days. |
| Frequency | Daily during a course, in a clinical setting |
| Cycle guidance | 10 to 21 day courses, sometimes repeated every few months. |
| Notes | Cerebrolysin comes as a ready made sterile solution in ampoules, so there is nothing to . It is dosed in milliliters and given by a clinician, usually as an IV infusion. This is not a peptide you mix and inject at home. |
For the equipment itself, see syringes, needles, and the rest of the kit.
Reconstitution
| Diluent | None. It comes as a ready made sterile solution. |
|---|---|
| Concentration | Not reconstituted. It is supplied as a solution in ampoules and dosed in milliliters, usually diluted into an IV drip by a clinician. |
| Notes | There is no home reconstitution step for Cerebrolysin. |
Storage and stability
Dry powder (lyophilized)
| Temperature | Not listed |
|---|---|
| Shelf life | Not listed |
| Notes | Not applicable. Cerebrolysin is supplied as a solution, not a freeze dried powder. |
After mixing
| Temperature | Per the product label, usually room temperature or refrigerated |
|---|---|
| Shelf life | Not listed |
| Notes | Store the ampoules as directed and protect from light. Do not use if the solution is discolored. |
COA and purity notes
| Common adulterants | counterfeit vials, since a branded product exists, solutions that have degraded or are past date |
|---|---|
| Mislabeling | There is a branded, regulated product in some countries. Because it is a biological made from animal tissue, sterility and source matter, and counterfeits exist. |
| Notes | A biological mixture, not a single peptide. Not approved in the US. Given in clinical settings elsewhere. |
Sources
[1]Cerebrolysin for acute ischaemic stroke (Cochrane systematic review)
Cochrane Database of Systematic Reviews 2020 (opens source in a new tab)· Review[2]Cerebrolysin in patients with traumatic brain injury: systematic review and meta-analysis
PMC (systematic review) 2023 (opens source in a new tab)· Review[3]Therapeutic Peptides in Aesthetic, Metabolic and Endocrine Conditions: Effects, Safety, Clinical Applications, and Future Perspectives
Renke G, Chinellato L (International Journal of Molecular Sciences) 2026 (opens source in a new tab)· Review
Last reviewed 8 July 2026 · editorial status: reviewed