Hello! Inspiral can sometimes cause side effects such as headache, faster heartbeat, anxiety, or sleep problems, especially when starting treatment or adjusting the dose. These effects are often manageable, but it is important to inform your prescribing psychiatrist or doctor so they can review the dose or timing if needed. Do not stop or change the medicine on your own. Maintaining good sleep habits, limiting caffeine, and managing stress may also help. If symptoms become severe, persistent, or you experience chest pain, seek medical attention promptly.