Lean, also known as purple drank and several other names, is a recreational drug beverage, prepared by combining prescription-grade cough syrup with a soft drink and hard candy. The concoction originated in Houston, Texas, and is popular in the hip hop culture or those who reside in the southern United States.
The physiological effects of lean on the user is to produce mild euphoric side effects, which are accompanied by motor-skill impairment, lethargy, drowsiness, and a dissociative feeling from all other parts of the body. It has been suggested that the super-sweet combination of soda, cough syrup, and Jolly Ranchers provides a flavor and mouthfeel, which stays on the tongue for an extended duration. This phenomenon is often appealing to first time users. Lean is often used in combination with alcohol and/or other drugs.
Dosage
Please be extremely careful when administering lean as frequent use can lead to longterm addiction as well as exacerbating the chance for overdosing.
Initially, only ingest up to 20ml and wait for 30 minutes before having more. After this interval, increase the dosage by a maximum of 10ml, whilst always keeping a 30min interval between administering lean.
Hazard
DO NOT MIX WITH ALCOHOL.
When taken in prescribed quantities, cough syrup is quite safe but dangers arise in higher doses since promethazine is a depressant of the central nervous system (CNS), and codeine is a respiratory depressant. When codeine is taken in very large amounts, it can cause one to stop breathing. Using alcohol and other drugs alongside lean increases the chance of respiratory depression. Fallieras stated that the concoction does not cause seizures itself, but increases their likelihood in those susceptible to them. The drink includes a massive amount of the opiate codeine, which can be addictive in high doses, and Fallieras states that promethazine has at least anecdotally been noted to intensify the euphoric effects of codeine in the brain.
The addictive nature of the drink means that trying to discontinue regular usage can bring about symptoms of withdrawal. In a 2008 interview with MTV News, Lil Wayne described the withdrawal as feeling like death in your stomach when you stop. Everybody wants me to stop all this and all that. It aint that easy.
Lean is confirmed or suspected to have caused the deaths of several prominent users. Respiratory depression is a potentially serious or fatal adverse drug reaction associated with the use of codeine, but mainly the danger lies in the much more potent and CNS-depressing phenothiazine-related antihistamine promethazine. This depression is dose-related and is the mechanism for the potentially fatal consequences of overdose: respiratory or cardiac arrest. As with most CNS depressants, mixing with alcohol greatly increases the risk of respiratory failure and other complications.