DSIP has a smaller modern human evidence base than commonly used sleep medications, so Careful clinician screening is necessary. The patient’s full medication list matters because sedating drugs, alcohol, sleep medications, and other neuroactive therapies can change both effectiveness and tolerability. Because Bowery offers DSIP as a capsule, the route differs from many of the older published studies, which is another reason not to promise the same effect or onset. Patients should report excessive sedation, dizziness, headache, unusual dreams, mood changes, or any worsening of sleep.