Calcium-activated chloride channels (Cl Ca ) are crucial regulators of vascular tone by promoting a depolarizing influence on the resting membrane potential of vascular smooth muscle cells. Niflumic acid (NFA), a potent blocker of Cl Ca in vascular myocytes, was shown recently to cause inhibition and paradoxical stimulation of sustained calcium-activated chloride currents [I Cl(Ca) ] in rabbit pulmonary artery myocytes. The aims of the present study were to investigate whether NFA produced a similar dual effect in coronary artery smooth muscle cells and to determine the concentration-dependence and dynamics of such a phenomenon. Sustained I Cl(Ca) evoked by intracellular Ca 2ϩ clamped at 500 nM were dose-dependently inhibited by NFA (IC 50 ϭ 159 M) and transiently augmented in a concentration-independent manner (10 M to 1 mM) ϳ2-fold after NFA removal. However, the time to peak and duration of NFAenhanced I Cl(Ca) increased in a concentration-dependent fashion. Moreover, the rate of recovery was reduced by membrane depolarization, suggesting the involvement of a voltage-dependent step in the interaction of NFA, leading to stimulation of