Phenthonium (10-50 microM), a quaternary derivative of 1-hyoscyamine, increases the frequency of miniature end-plate potentials (2-5 fold) and blocks the nicotinic receptor-ionic channel in skeletal muscles. When tested on rat diaphragms previously incubated with [3H]choline, phenthonium (50 microM) increased the spontaneous release of radiolabelled acetylcholine (ACh) from 11.6 +/- 6.4 to 110.5 +/- 40.2 x 10(3) dpm/g within 15 min. The effect was transient, declining to 24.6 +/- 14.7 after 50 min. Subsequent electrical stimulation still in the presence of phenthonium increased the efflux to 164.7 +/- 45.3. The fractional release relative to the level before stimulation did not differ from controls. Phenthonium (20 microM) did not increase the spontaneous ACh release but doubled the efflux induced by nerve stimulation. The present results, compared to previous electrophysiological findings, indicate that quantal and nonquantal release are increased by phenthonium. They also show that the transient effect is not due to ACh depletion in nerve terminals.