The ␣ 2A -adrenergic receptor (AR) subtype mediates antinociception induced by the ␣ 2 AR agonists clonidine, dexmedetomidine, norepinephrine, and 5-bromo-N-(4,5-dihydro-1H-imidazol-2-yl)-6-quinoxalinamine (UK-14,304) as well as antinociceptive synergy of UK-14,304 with opioid agonists [D-Ala 2 ,N-Me-Phe 4 ,Gly 5 -ol]-enkephalin and deltorphin II. Differential localization of ␣ 2 -adrenergic (␣ 2A -, ␣ 2B -, ␣ 2C -) and opioid (-, ␦-, -) subtypes suggests differential involvement of subtype pairs in opioid-adrenergic analgesic synergy. The present study applies a novel imidazoline 1 /␣ 2 -adrenergic receptor analgesic, moxonidine, to test for involvement of ␣ 2B -and ␣ 2C ARs in antinociception and antinociceptive synergy, because spinal antinociceptive activity of moxonidine shows minimal dependence on ␣ 2A AR. Intrathecal administration of moxonidine produced similar (2-3-fold) decreases in both mutant mice with a functional knockout of ␣ 2A AR (D79N-␣ 2A AR) and ␣ 2C AR knockout (KO) mice. The potency of moxonidine was not altered in ␣ 2B KO mice, indicating that this subtype does not participate in moxonidine-induced spinal antinociception. Moxonidine-mediated antinociception was dose dependently inhibited by the selective ␣ 2 -receptor antagonist SK&F 86466 in both D79N-␣ 2A mice and ␣ 2C KO mice, indicating that ␣ 2 AR activation is required in the absence of either ␣ 2A -or ␣ 2C AR. Spinal administration of antisense oligodeoxynucleotides directed against the ␣ 2C AR decreased both ␣ 2C AR immunoreactivity and the antinociceptive potency of moxonidine. Isobolographic analysis demonstrates that moxonidine-deltorphin antinociceptive synergy is present in the D79N-␣ 2A mice but not in the ␣ 2C AR-KO mice. These results confirm that the ␣ 2C AR subtype contributes to spinal antinociception and synergy with opioids.