“…Previous reports that opiates can exacerbate itch sensation in humans (Lanz et al, 1982;Stenseth et al, 1985;Ballantyne et al, 1988) would predict an increase in 5-HT-evoked scratching, which was not observed presently. 5-HT is an inflammatory mediator associated with pain and hyperalgesia (Jensen et al, 1991;Taiwo and Levine, 1992;Abbott et al, 1996) and is liberated from rodent mast cells and platelets in many inflammatory responses (Gustafsson, 1980;Purcell et al, 1989). In humans, intradermal injection (up to 20 g/20 l) (Keele and Armstrong, 1964;Fjellner and Hägermark, 1979;Hägermark, 1995) or iontophoresis of 5-HT (1%) (Weisshaar et al, 1997) is weakly pruritic.…”