Unlock Nature’s Best - Discover Our Range of
Health Supplements.

Shop Now
close button

Can Lamotrigine Cause Lymph Node Enlargement?

By Nation Health MD Mar 16, 2025

Medically reviewed by Medically reviewed by our experts

Medically reviewed by Medically reviewed by our experts

Medically reviewed by 4 min read

Citations 8 citations

can lamotrigine cause lymph node enlargement?

Can lamotrigine cause lymph node enlargement? Lamotrigine is a medication commonly used to treat epilepsy and bipolar disorder. While effective, it may cause some side effects, including lymph node enlargement, in rare cases. This blog will look at how lamotrigine might cause swollen lymph nodes. It will discuss its link to immune system reactions and when to get medical help.

Key Article Findings

  • Lamotrigine can occasionally cause lymph node enlargement due to immune system activation, though this reaction is uncommon.
  • In rare cases, it may trigger a severe inflammatory condition like hemophagocytic lymphohistiocytosis (HLH), leading to persistent swelling and systemic symptoms.
  • If your lymph nodes swell for more than two weeks, hurt, or come with fever, tiredness, or skin changes, see a doctor.

How Lamotrigine Affects the Immune System

Lamotrigine works primarily as a neurological medication, but it can influence immune system function in several ways. The medication can cause immune responses that vary from mild to severe.

One possible effect is swelling of the lymph nodes. This occurs when the immune system sees the medication as something to watch. This causes more white blood cells to become active.

Most people’s immune systems adapt to lamotrigine without serious issues. However, in rare cases, the medication can trigger more severe immune reactions. The most serious of these is hemophagocytic lymphohistiocytosis (HLH), a condition where the immune system becomes overactive and attacks healthy tissues.

HLH symptoms include:

  • Persistent swelling of lymph nodes, particularly around the neck and ears
  • Ongoing fever that doesn’t respond to normal treatment
  • Severe fatigue
  • Widespread inflammation throughout the body
  • Unexpected skin changes or rashes

Lymph Node Enlargement: A Side Effect of Lamotrigine

The lymphatic network plays a vital role in supporting natural protective functions. But can lamotrigine cause lymph node enlargement? When taking lamotrigine, some individuals may notice changes in their lymphatic tissue as their body processes the compound. 

When the body identifies lamotrigine, protective cells increase their activity within the lymphatic tissue. This natural response can lead to noticeable changes in tissue size as the system carries out its essential functions. The process typically unfolds slowly, allowing the body time to adapt.

Common observations may include:

  • Mild changes in tissue firmness
  • Subtle warmth near affected areas
  • Gentle sensitivity when turning the head
  • Changes that vary throughout the day

These lymphatic responses often follow distinct patterns. Unlike seasonal wellness challenges that cause sudden changes, lamotrigine-related tissue responses tend to develop more gradually. The changes may align with the body’s natural adaptation process and often correspond with timing of use.

When to Seek Medical Attention

While some herbs for lymphatic system could support overall lymphatic function, certain symptoms may require medical evaluation. Consider seeking medical attention if you experience:

  • Persistent swelling that lasts more than two weeks
  • Painful or rapidly growing lymph nodes
  • Fever, night sweats, or chills
  • Unexplained fatigue or body aches
  • Skin rashes or other unusual reactions

These symptoms could signal an excessive immune response or an underlying condition that needs evaluation. If swelling is accompanied by significant discomfort or other flu-like symptoms, it’s best to check with a healthcare provider.

Conclusion

So, can lamotrigine cause lymph node enlargement? While it’s rare, some individuals may experience swelling due to immune system responses. Monitoring symptoms is important, especially if swelling persists or is accompanied by discomfort. If you have concerns about side effects, consulting a healthcare provider can help ensure your well-being and peace of mind.

What to avoid when taking lamotrigine?

Avoid alcohol, certain over-the-counter medications, and abrupt dosage changes, as they may interfere with lamotrigine’s effects. Also, be cautious with other substances affecting the nervous system. Always consult a healthcare provider before adding new supplements or medications.

Can I drink caffeine while on lamotrigine?

Caffeine is generally safe with lamotrigine, but it may affect energy levels or mood. Some individuals notice increased sensitivity to caffeine, leading to jitteriness or sleep disturbances. Moderation is key, and adjusting intake based on personal tolerance may help.

Can lamotrigine cause weight gain?

Lamotrigine is not commonly associated with weight gain. Some individuals may experience appetite changes, but weight fluctuations are typically mild. In some cases, weight stabilization or slight weight loss has been reported due to its effects on energy levels and metabolism.

1.

Ng, F., Hallam, K., Lucas, N., & Berk, M. (2007). The role of lamotrigine in the management of bipolar disorder.

https://pmc.ncbi.nlm.nih.gov/articles/PMC2655087/
2.

Lamotrigine tablets. (2024). Cleveland Clinic.

https://my.clevelandclinic.org/health/drugs/20217-lamotrigine-tablets
3.

Research, C. F. D. E. A. (2022). FDA Drug Safety Podcast: FDA warns of serious immune system reaction with seizure and mental health medicine lamotrigine (Lamictal). U.S. Food And Drug Administration.

https://www.fda.gov/drugs/fda-drug-safety-podcasts/fda-drug-safety-podcast-fda-warns-serious-immune-system-reaction-seizure-and-mental-health-medicine
4.

Hemophagocytic lymphohistiocystosis. (2024). Johns Hopkins Medicine.

https://www.hopkinsmedicine.org/health/conditions-and-diseases/hemophagocytic-lymphohistiocystosis
5.

Vishwanath, V., & Grzybowski, B. (2017). Hemophagocytic lymphohistiocytosis: A diagnostic conundrum. Journal of Pediatric Neurosciences, 12(1), 55.

https://pmc.ncbi.nlm.nih.gov/articles/PMC5437791/
6.

Liao, S., & Von Der Weid, P. (2014). Lymphatic system: An active pathway for immune protection. Seminars in Cell and Developmental Biology, 38, 83–89.

https://pmc.ncbi.nlm.nih.gov/articles/PMC5437791/
7.

Mulroy, E., & Walker, E. (2017). Lamotrigine-related pseudolymphoma presenting as cervical lymphadenopathy. Epilepsy & Behavior Case Reports, 7, 40–41.

https://pmc.ncbi.nlm.nih.gov/articles/PMC5357739/
8.

Professional, C. C. M. (2025). Swollen lymph nodes. Cleveland Clinic.

https://my.clevelandclinic.org/health/symptoms/15219-swollen-lymph-nodes
Popular Articles

Advertisement. This site offers health, wellness, fitness and nutritional information and is designed for educational purposes only. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your health, you should always consult with a physician or other health-care professional. Do not disregard, avoid or delay obtaining medical or health related advice from your health-care professional because of something you may have read on this site. The use of any information provided on this site is solely at your own risk.