Zotepine is primarily used in the treatment of psychiatric conditions, particularly schizophrenia. It functions as an antipsychotic agent, helping to manage symptoms such as hallucinations, delusions, and disordered thinking. The medication works by modulating the activity of certain neurotransmitters in the brain, including dopamine and serotonin, which are often imbalanced in individuals with schizophrenia.

In clinical practice, zotepine is often prescribed when other antipsychotic medications have not been effective or have caused intolerable side effects. It is available in oral form and is typically administered in divided doses throughout the day to maintain stable blood levels. Regular monitoring is essential to assess its efficacy and to manage any potential side effects, such as weight gain, sedation, or extrapyramidal symptoms.

Zotepine may also be used off-label for other psychiatric conditions, such as bipolar disorder or severe anxiety, though its use in these cases is less common and should be guided by a healthcare professional. Its application is tailored to the individual’s needs, and treatment plans often include a combination of medication, therapy, and lifestyle adjustments for optimal outcomes.