Serotonin (5-HT), and in particular 5-HT 2 receptors, play an important role in cardiorespiratory function within the brainstem. In addition, abnormalities in the 5-HT system have been implicated in many cardiorespiratory disorders, including sudden infant death syndrome. However little is known about the mechanisms of action of 5-HT 2 receptors in altering the activity of parasympathetic cardiac neurons in the brainstem. In this study we examined the effects of activation of different subtypes of 5-HT 2 receptors on spontaneous and respiratory evoked GABAergic neurotransmission to cardioinhibitory vagal neurons within the nucleus ambiguus as well as rhythmic fictive inspiratoryrelated activity. A single application of α-Me-5-hydroxytryptamine maleate (α-Me-5-HT), a 5-HT 2 receptor agonist, did not significantly alter the frequency of spontaneous or respiratory-evoked GABAergic inhibitory post-synaptic currents (IPSCs) in cardiac vagal neurons. However, repetitive successive applications of α-Me-5-HT elicited a long-lasting (≥ 1 hour) decrease in the frequency of spontaneous as well as inspiratory-related GABAergic IPSCs to cardiac vagal neurons. This study demonstrates multiple, but not single applications of the 5-HT 2 receptor agonist α-Me-5-HT caused a long-lasting inhibition of both spontaneous and fictive inspiratory-related GABAergic neurotransmission to CVNs which can be prevented by the 5-HT 2B receptor antagonist SB204741, but persisted with the 5-HT 2A/2C receptor antagonist ketanserin. The 5-HT 2 receptor agonist α-Me-5-HT also reversibly and transiently excited central fictive inspiratory activity which was abolished by ketanserin, but was unaffected by the 5-HT 2B receptor antagonist SB204741.