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What Is Lean (Drug)? The Dangers of “Purple Drank”

Lean, also known as “purple drank,” “sizzurp,” or “dirty sprite,” is a recreational drug mixture that has made its way into mainstream culture—particularly through hip-hop and rap music. Often glamorized for its euphoric and sedative effects, Lean is far from harmless. Its highly addictive nature and dangerous health consequences make it a serious concern for users and their loved ones.

In this article, we explore what Lean is, how it’s made, its effects on the body, signs of addiction, and how to get help.

What Is Lean?

Lean is a sweet-tasting but dangerous mixture made primarily from prescription cough syrup containing promethazine and codeine—two drugs with sedative and opioid properties. It’s typically combined with soft drinks like Sprite or Mountain Dew and often flavored with hard candies like Jolly Ranchers to make it more palatable.

A Brief History

Lean originated in the 1960s blues scene in Houston, Texas, where musicians mixed cough syrup with beer. The modern version rose to popularity in the 1990s, especially within the Southern hip-hop community.

How Is Lean Made?

The classic recipe for Lean includes:

  • Cough syrup with promethazine and codeine

  • Soft drinks (e.g., Sprite)

  • Ice

  • Optional candies for flavor enhancement

Ingredients Explained:

Promethazine:
An antihistamine with sedative effects, used to treat allergies, nausea, and vomiting. In Lean, it intensifies drowsiness and relaxation.

Codeine:
An opioid used for mild to moderate pain relief and as a cough suppressant. It produces euphoric effects when taken in large amounts, contributing to its misuse.

The mixture’s sugary, fruity taste conceals its medicinal components—but not its potency. The combination of sedative and opioid effects creates a dangerously addictive experience.

Short-Term and Long-Term Effects of Lean

Initial Effects

  • Euphoria and relaxation

  • Drowsiness and slowed reflexes

  • Respiratory depression

  • Slowed heart rate

Mental and Emotional Impact

  • Impaired judgment

  • Confusion or disorientation

  • Hallucinations

  • Mood swings

Long-Term Health Risks

  • Liver damage due to chronic drug use

  • Tooth decay from high sugar content

  • Constipation and weight gain

  • Urinary tract infections

  • Potential for overdose, especially when mixed with alcohol or other depressants

Signs of Lean Addiction and Dependence

Addiction to Lean can develop slowly as the body builds tolerance, requiring more of the substance to achieve the same effects. This can quickly spiral into psychological and physical dependence.

Signs of Lean Abuse:

  • Frequent lethargy or excessive sleep

  • Mood instability or irritability

  • Sudden weight changes

  • Respiratory issues or a persistent cough

  • Declining performance at work or school

  • Financial struggles related to drug purchase

  • Secrecy and lying about substance use

  • Possession of cough syrup without a prescription

If you or a loved one exhibits any of these symptoms, it may be time to seek help.

Withdrawal Symptoms from Promethazine-Codeine (Lean)

When someone stops using Lean, they may experience intense withdrawal symptoms, including:

  • Cravings

  • Anxiety or panic

  • Insomnia

  • Muscle aches

  • Tremors

  • Irritability or depression

  • Nausea and vomiting

  • Seizures in severe cases

How Long Do Withdrawals Last?

The withdrawal timeline varies depending on the individual’s usage history, dosage, and overall health. In most cases, symptoms peak within a few days and can last up to several weeks, making professional medical support essential.

Getting Help for Lean Addiction

At Luxury Rehabs in Los Angeles, we provide a safe, supportive environment for those ready to break free from Lean addiction. Our luxury rehab and detox facilities in Woodland Hills offer personalized care for substance abuse, trauma, and co-occurring mental health conditions.

With a compassionate team and medically supervised detox programs, we help you safely manage withdrawal symptoms and begin your recovery journey with confidence.

Call Now: (844) 897-3268

Your Recovery Starts Today

Struggling with Lean or another substance? You’re not alone. Luxury Rehabs is here to guide you toward healing with evidence-based therapies, holistic care, and a team that truly understands.

Reach out to Luxury Rehabs in Woodland Hills, Los Angeles, and take the first step toward a healthier, more fulfilling life.