1 Isolated cardiac myocytes of the ferret were used to investigate the influence of cocaine and cocaethylene on the intracellular Ca2`transient indicated by the indo-l 405/480 nm ratio signal, and peak cell shortening.2 Both cocaine and cocaethylene produced significant decreases in peak intracellular Ca2`and peak cell shortening in a dose-dependent manner. Of interest, (1) the minimally effective dose of cocaethylene was ten fold lower (10-8 M versus 10-M) than that of cocaine; (2) the log EC, of cocaethylene was -5.99 ± 0.13 (1.0 x 10-6M), which was about ten fold lower than that of cocaine (-5.02 ± 0.11, 9.6 X 10-6 M); and (3) 1 x 10-4 M cocaethylene decreased the contraction amplitude by 71 ± 7%, while the same concentration of cocaine decreased the amplitude only by 55 ± 5%, indicating that cocaethylene is more potent than cocaine. 3 The negative inotropic effects of either cocaine or cocaethylene could be overcome by noradrenaline (5 gM) or calcium.4 In contrast to cocaine, cocaethylene shifted the peak [Ca2+]i-peak shortening relationship downward, indicating that cocaethylene decreased myofilament Ca2+-responsiveness. 5 These data indicate that both cocaine and cocaethylene act directly on cardiac myocytes to produce a negative inotropic effect that is due to decreased Ca2+ availability. In contrast to cocaine, cocaethylene produces more potent inhibition by an additional action to decrease myofilament Ca2+-responsiveness.