Why does Diazepam have a much longer duration of action than its initial half-life suggests?
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Correct answer: It is converted into active metabolites with very long half-lives
Diazepam is metabolized by the liver into several active metabolites, including nordiazepam (desmethyldiazepam), which has a half-life of over 100 hours. This results in cumulative effects and prolonged sedation, especially with repeated dosing.
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