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doi: 10.1152/physrev.00014.2018 70

Tapentadol has a lower risk of abuse compared to other opioids due to its dual mechanism of action and its reduced affinity for serotonin re-uptake inhibition, which is associated with the euphoric effects experienced via the use of some opioids [113,115]

Down syndrome Down syndrome is known to involve increased systemic oxidative stress (Busciglio and Yankner 1995)
