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Because diazepam can have lots of different effects, it is prescribed for a range of different medical conditions. These might include anxiety, difficulty falling asleep or as an emergency medication to be given during seizures. Because diazepam can make you sleep heavily, it is advisable not to consume alcohol when taking diazepam. The combined effect of alcohol and diazepam may lead to changes in your breathing and make it more difficult to wake up.

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When taken orally, blood levels of the drug reach maximum in about one hour. Intravenous or intramuscular injection is more effective. Diazepam is metabolized into different metabolites in the liver, main of which are nordiazepam and oxazepam. These metabolites affect the body for a long time. It takes several days (not hours) for the release of all active compounds from the body. Therefore, patients experience lethargy for 1-2 days after taking the medicine. They feel weak in the morning. Those who keep feeling this way for a long time usually switch to Xanax (another benzodiazepine). This substance has a much shorter half-life and is excreted from the body faster.

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Concomitant use of benzodiazepiones, including Valium, and opioids may result in profound sedation, respiratory depression, coma, and death. Because of these risks, reserve concomitant prescribing of these drugs for use in patients for whom alternative treatment options are inadequate.
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