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Tapentadol may also cause serious breathing problems in children older than 18 years old who have the following conditions: asthma, sleep apnea, brain or spinal cord tumors, or enlarged tonsils and adenoids. tapentadol can slow down a child’s heart rate and has occasionally been associated with very low blood pressure. tapentadol should not be used in children younger than 18 years old (indications). tapentadol can cause some people to have unusual thoughts or behaviors, such as hallucinations.

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