“…8 Since SP is synthesized by small diameter primary afferent fibers 6 and its receptor, the neurokinin 1 (NK1) receptor, is densely distributed in spinal cord lamina I nociceptive-specific neurons, 1 both SP and its receptors are well situated to send and receive nociceptive input from the periphery. Indeed, both have been implicated in the heightened nociception that accompanies inflammatory, 1,13,14,17,29,30,32,37,39 neuropathic, 1,7,14,18,24,27,29,33,35,38,41,44 and experimentally-induced states of central sensitization (eg, capsaicin or mustard oil application, repeated afferent stimulation). 2,19,45 There is evidence to suggest that SP-NK1 neurotransmission is also involved in morphine tolerance.…”