Several hemolytic diseases are associated with vasospasm. Haem release during hemolysis can build up to toxic levels. Under normal conditions haem is degraded by haem oxygenase to carbon monoxide (CO), bilverdin and Fe2+. The mechanisms causing vasospasm are poorly understood. Arterial smooth muscle cells (SMCs) express BK channels which produce spontaneous transient outward currents (STOCs) when activated by Ca2+ sparks. STOCs hyperpolarize SMCs resulting in cell relaxation and vasodilation. Previous studies show that intracellular haem inhibits whereas CO enhances BK channel activity in inside-out patches. We hypothesize that haem interaction with BK channels might contribute to the vasospasm. Therefore, the current study aims to investigate the mechanism of action of haem by examining the effects of extracellular haem and CO on whole-cell BK currents. SMCs were isolated from the mesenteric artery of male Wistar rats. Depolarizing pulse-induced BK currents and STOCs were recorded using whole-cell patch techniques. CO was applied using CO-releasing molecule 3 (CORM-3) which was prepared before each use. Extracellular haem (5 µM) increased pulse-induced BK currents and STOC amplitudes by 2.3 ± 0.5 (p≤0.01, n=9) and 1.28 ± 0.09 (p≤0.05, n=5) times respectively. Extracellular CORM-3 (30 µM) had no significant effect on pulse induced BK currents (n=8) but doubled STOC frequency (2.06 ± 0.61, p≤0.05, n=6) without affecting STOC amplitude (n=6). In the presence of the HO-inhibitor, zinc protoporphyrin-IX, haem increased STOC amplitude (1.5 ± 0.04, p≤0.001, n=4) and frequency (2.4 ± 0.5, p≤0.05, n=4). In summary, our results suggest that the stimulatory effect of haem on STOCs has a component that is independent of its degradation product, CO. Furthermore, other intracellular factors could be contributing to the positive haem effects. Information gained from further studies could improve our understanding of the changes in vascular tone that occur during haemolytic diseases.