The effects of chronic administration of phenytoin, a common anticonvulsive drug, on immune responses were studied in mice. Anti‐keyhole limpet haemocyanin (KLH) IgE antibody response after KLH‐immunization was enhanced in phenytoin‐treated mice. Proliferative responses of spleen cells induced with KLH, concanavalin A (ConA), lipopolysaccharide and anti‐CD3 antibody were reduced in phenytoin‐treated mice. Accessory function of spleen adherent cells on ConA‐induced T cell proliferative response was reduced in phenytoin‐treated mice. KLH‐induced IL‐4 production of spleen cells was enhanced, while IFN‐γ production was reduced in phenytoin‐treated mice. In addition, production of IL‐1α, but not IL‐6 and IL‐12 by spleen adherent cells from phenytoin‐treated mice was reduced. Natural killer cell activity was reduced in phenytoin‐treated mice. These results suggest that phenytoin treatment preferentially induces a Th2 type response. We also observed that plasma ACTH and corticosterone levels were increased in phenytoin‐treated mice, and speculated that phenytoin might act directly and indirectly, through HPA axis activation, on the immune system to modulate Th1/Th2 balance.