Drought is a key abiotic stress that negatively affects growth and development as well as symbiotic nitrogen fixation in alfalfa (Medicago sativa L.). To understand whether nodulation would affect drought stress response in alfalfa, we analyzed the lipid peroxidation, activities of antioxidant enzymes including superoxide dismutase (SOD), and catalase (CAT), contents of superoxide anion radical, non-enzymatic antioxidants including reduced glutathione (GSH) and proline, total protein, and soluble sugar in dehydration-stressed alfalfa. Three-month-old alfalfa plants without nodule, with active nodules, or with inactive nodules were dehydrated for 0, 1, 2, 4, 6, 8, and 10h. We found that roots and leaves from plants with nodules, especially with active nodules, showed less lipid peroxidation which was associated with higher CAT activities and higher levels of GSH. Roots and leaves with active nodules also accumulated less free proline and soluble sugar compared to plants without nodules, suggesting that proline and soluble sugar may have a limited role in osmotic adjustment in these plants. The results suggested that active nodules may have a positive effect on drought stress tolerance in alfalfa.