Publisher Summary This chapter describes regulation of catecholamine release. The transmitter that is released from the nerve terminals can be affected by several inactivating mechanisms at the nerve terminal–effector cell level. The inactivating mechanisms are: (1) binding to receptors, (2) enzymatic destruction by catechol- O -methyl-transferase (COMT) and monoamine oxidase (MAO) (3) re-uptake into the nerve terminals by the “membrane pump,” (4) extra-neuronal uptake, and (5) diffusion into the perfusate. Variations in the amount of noradrenaline (NA) overflow after a certain number of sympathetic stimuli were often discussed to be because of quantitative variations in the role of these inactivating mechanisms. An example is the effect on the overflow of NA obtained after α-receptor blocking drugs, such as phenoxybenzamine (PBZ). The increase is often found to be 4–10 times the normal NA overflow. This effect has been explained as because of blockade of one or several of the local inactivating mechanisms, thus permitting the non-inactivated NA to reach the perfusate. It has also been proposed that the amount of transmitter released from the nerve terminals per nerve impulse is increased after a α-receptor blocker, such as PBZ.