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색다른 탈모 치료약 개발을 위해 수많은 임상이 진행되고 있지만 피나스테리드 만큼의 효과를 입증한 약은 아직 나오지 않았다. 현재 식품의약품안전처의 허락을 받은 탈모 치료약은 프로페시아 계열(피나스테리드)과 아보다트 계열(두타스테리드) 일곱 가지뿐이다.

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유럽과 캐나다의 보건 당국은 탈모치료제에 ‘절망스러운 선택에 대한 충동을 부를 가능성이 있다는 경고 문구를 삽입하도록 지시했다. 로이터의 말을 인용하면 머크는 2009년부터 탈모약 복용 후 심각한 우울감을 앓았다는 보고를 200건 이상 접수했지만 보고 사례가 많지 않고 구체적이지 않다고 보고 후속 조처를 하지 않았다. 또 안타까운 선택과 관련한 내용을 약제 라벨에 추가하지 않도록 FDA를 설득한 것으로 확인됐다.