Mg2+ efflux from rat erythrocytes was measured in NaCl, NaNO3, NaSCN and Na gluconate medium. Substitution of extracellular and intracellular Cl− with the permeant anions NO3 − and SCN− reduced Mg2+ efflux via Na+/Mg2+ antiport. After substitution of extracellular Cl− with the non-permeant anion gluconate, Mg2+ efflux was not significantly reduced. In Na gluconate medium, an influence of the changed membrane potential and intracellular pH on Mg2+ efflux could be excluded. The results indicate the existence of Cl−-independent Na+/Mg2+ antiport and of Na+/Mg2+ antiport stimulated by intracellular Cl−. Intracellular Cl−, as determined by means of 36Cl−, was found to stimulate Na+/Mg2+ antiport through a cooperative effect according to a sigmoidal kinetics. The Hill coefficient for intracellular Cl− amounted to 1.4–1.8, indicating that two intracellular Cl− may be simultaneously active. With respect to specificity, Cl− was most effective, followed by Br−, J−, and F−. Stimulation of Na+/Mg2+ antiport by intracellular Cl− together with intracellular Mg2+ may play a role during deoxygenation of erythrocytes and in essential hypertension.