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피부과 전문의들을 통해 피나스테리드 복용과 우울감 간에 직접적인 인과관계가 밝혀진 바 없다는 점이 알려졌기 때문이다. 실제 대다수인 의료진들은 약 복용 보다는 탈모 자체로 인한 우울감 혹은 심리적 요인에 의해 발생하는 부작용인 ‘노시보 효과 가능성을 지적하고 있다.
앞서 유럽과 캐나다의 경우, 다체로운 테스트 논문을 토대로 비록 해당 실험가 자살을 야기한다고 증명되지는 않았으나, 피나스테리드 성분의 탈모치료제 제품에 '막막한 선택에 대한 충동을 부를 수 있다'는 경고 문구를 삽입한 바 있다.
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