Used primarily in the treatment of major depressive disorder, the compound demonstrates atypical antidepressant properties by modulating serotonin reuptake, though its exact mechanism differs from standard SSRIs or SNRIs. It has been utilized clinically for mood stabilization and relief of depressive symptoms, particularly in patients who do not respond well to conventional antidepressants. Some studies suggest benefits in reducing anxiety and improving cognitive function in depressed individuals. It has also been explored for use in managing neuropathic pain and irritable bowel syndrome due to its effects on central nervous system pathways. However, misuse potential exists, especially at high doses, where it may produce opioid-like effects, leading to dependence. As such, its therapeutic use is carefully regulated in many countries.