We tested the hypothesis that C57BL/6J mice will model human metabolic interactions between dlâmethylphenidate (MPH) and ethanol, placing an emphasis on the MPH transdermal system (MTS). Specifically, we asked: (1) will ethanol increase dâMPH biological concentrations, (2) will MTS facilitate the systemic bioavailability of lâMPH, and (3) will lâMPH enantioselectively interact with ethanol to yield lâethylphenidate (lâEPH)? Mice were dosed with MTS (Âź of a 12.5 cm2 patch on shaved skin) or a comparable oral dlâMPH dose (7.5 mg/kg), with or without ethanol (3.0 g/kg), and then placed in metabolic cages for 3 h. MPH and EPH isomer concentrations in blood, brain, and urine were analyzed by gas chromatographicâmass spectrometry monitoring of Nâ(S)âprolylpiperidyl fragments. As in humans, MTS greatly facilitated the absorption of lâMPH in this mouse strain. Similarly, ethanol led to the enantioselective formation of lâEPH and to an elevation in dâMPH concentrations with both MTS and oral MPH. Although only guarded comparisons between MTS and oral MPH can be made due to routeâdependent drug absorption rate differences, MTS was associated with significant MPHâethanol interactions. Ethanolâmediated increases in circulating concentrations of dâMPH carry toxicological and abuse liability implications should this animal model hold for ethanolâconsuming attentionâdeficit hyperactivity disorder patients or coabusers. Š 2011 WileyâLiss, Inc. and the American Pharmacists Association J Pharm Sci 100:2966â2978, 2011