And you have to keep in mind with any sort of pharmaceutical there's a major bias in research. There's billions of dollars to be made by showing that things are effective and safe. There's much less of an incentive to to show that things are ineffective or unsafe. Even for those who are genuinely completely altruistically motivated, there's far more interesting research to pursue and topics that don't come with lovely consequences such as making influential enemies within the industry you're dependent upon grants for.
Consider things like cigarettes, leaded fuel, or whatever else. There's invariably decades of "science" proving it completely harmless before some crisis points triggers a 'reevaluation'. And for things intended to interact with your cognitive abilities, if there are negative effects it's entirely possible we might never reach that crisis point as any negatives effects may likely manifest in ways that are rather less apparent than the effects of e.g. lead or tobacco consumption.