Neurokinin (NK) 1 receptors and Ca V 2.3 calcium channels are both expressed in nociceptive neurons, and mice lacking either protein display altered responses to noxious stimuli. Here, we examined modulation of Ca V 2.3 through NK1 receptors expressed in human embryonic kidney 293 cells. We find that NK1 receptors generate complex modulation of Ca V 2.3. In particular, weak activation of these receptors evokes mainly stimulation of Ca V 2.3, whereas strong receptor activation elicits profound inhibition that overlaps with channel stimulation. Unlike R-type channels encoded by Ca V 2.3, L-type (Ca V 1.3), Ntype (Ca V 2.2), and P/Q-type (Ca V 2.1) channels are inhibited, but not stimulated, through NK1 receptors. Pharmacological experiments show that protein kinase C (PKC) mediates stimulation of Ca V 2.3 through NK1 receptors. The signaling mechanisms underlying inhibition were explored by expressing proteins that buffer either G␣ q/11 (regulator of G protein signaling protein 3T and carboxyl-terminal region of phospholipase C-1) or G␥ subunits (transducin and the carboxyl-terminal region of bovine G-protein-coupled receptor kinase). A fast component of inhibition was attenuated by buffering G␥, whereas a slow component of inhibition was reduced by buffering G␣ q/11 . When both G␥ and G␣ q/11 were simultaneously buffered in the same cells, inhibition was virtually eliminated, but receptor activation still triggered substantial stimulation of Ca V 2.3. We also report that NK1 receptors accelerate the inactivation kinetics of Ca V 2.3 currents. Altogether, our results indicate that NK1 receptors modulate Ca V 2.3 using three different signaling mechanisms: a fast inhibition mediated by G␥, a slow inhibition mediated by G␣ q/11 , and a slow stimulation mediated by PKC. This new information concerning R-type calcium channels and NK1 receptors may help in understanding nociception, synaptic plasticity, and other physiological processes.