Redox reactions in living cells involving a coenzyme nicotinamide-adenine-dinucleotide (NAD) are stereospecific and depend on NAD conformation states and on the structure of enzyme binding sites. Therefore, information on NAD conformation states in various environments is important for understanding of the mechanisms of redox reactions. In this paper the structural dynamics of reduced nicotinamide-adenine-dinucleotide (NADH) in water–methanol and water–ethanol solutions was investigated by means of molecular dynamics simulations. The trajectory analysis revealed three stable conformation groups characterized by the distance RNA−AD between adenine and nicotinamide centers of mass: folded (RNA−AD< 5.5 Å), intermediate (5.5 Å <RNA−AD< 12 Å) and unfolded (RNA−AD> 12 Å). It was shown that conformation equilibrium shifted from the folded conformation group at low alcohol concentrations towards the intermediate conformation group at high alcohol concentrations, while the fractional concentration of unfolded conformation group remained almost constant. The nicotinamide and adenine rings were found to be almost parallel in folded conformations and perpendicular in intermediate conformations, while no preferable positions of the rings were found in unfolded conformations. The results obtained were used for the analysis of experimentally determined rotational diffusion times τrexp in NADH in water–methanol and water–ethanol mixtures. Comparison between the calculated and experimental τr values using the generalized Stokes–Einstein–Debye equation allowed for determination of the wettability coefficient C and effective molecular volume Vm as a function of alcohol concentration. The coefficient C was found to be always less than unity and have a minimum at 40% of alcohol which was more pronounced for ethanol than for methanol mixtures. This dependence was attributed to the influence of solution viscosity that has a maximum at 40% of alcohol. The effective molecular volume Vm was found to be practically constant at alcohol concentrations below 60% and rise dramatically at higher alcohol concentrations. This dependence was attributed to the solvation of NADH at high alcohol concentrations.