Lean, often referred to as “purple drank,” “sizzurp,” or “dirty Sprite,” is a recreational drug concoction made by mixing prescription-strength cough syrup containing codeine and promethazine with soft drinks, often flavored with hard candy for added sweetness. Popularized in the music industry and hip-hop culture, lean’s allure comes from its euphoric and sedative effects. However, the reality of lean use extends far beyond its initial appeal, carrying significant health risks and potential side effects.

Codeine, an opioid, suppresses pain and induces drowsiness, while promethazine is an antihistamine with sedative properties. The combination can create profound relaxation and a sensation of being “high.” Yet, habitual use of lean poses severe risks, including addiction, respiratory depression, and even death due to overdose. Long-term consumption may lead to liver damage, kidney issues, dental decay (“purple drank mouth”), and impaired cognitive function. The highly addictive nature of codeine can result in withdrawal symptoms when users attempt to quit.

Other lean side effects include dizziness, nausea, constipation, and hallucinations. The syrup’s sedative properties can dangerously slow down the central nervous system, increasing the risk of accidents, unconsciousness, and respiratory failure. Lean should not be underestimated — its potential for abuse, severe side effects, and harmful consequences far outweigh any perceived short-term pleasure.