Trains of action potentials cause Ca 2+-dependent facilitation and inactivation of presynaptic P/Q-type Ca 2+ channels that can alter synaptic efficacy. A potential mechanism for these effects involves calmodulin, which associates in a Ca 2+-dependent manner with the pore-forming α 1A subunit. Here, we report that Ca 2+ and calmodulin dramatically enhance inactivation and facilitation of P/Q-type Ca 2+channels containing the auxiliary β 2a subunit compared with their relatively small effects on channels with β 1b. Tetanic stimulation causes an initial enhancement followed by a gradual decline in P/Q-type Ca 2+ currents over time. Recovery of Ca 2+ currents from facilitation and inactivation is relatively slow (30 sec to 1 min). These effects are strongly inhibited by high intracellular BAPTA, replacement of extracellular Ca 2+ with Ba 2+, and a calmodulin inhibitor peptide. The Ca 2+/calmodulin-dependent facilitation and inactivation of P/Q-type Ca 2+ channels observed here are consistent with the behavior of presynaptic Ca 2+ channels in neurons, revealing how dual feedback regulation of P/Q-type channels by Ca 2+ and calmodulin could contribute to activity-dependent synaptic plasticity.