In slang, “lean” refers to a recreational drug drink made by mixing prescription-strength cough syrup containing codeine and promethazine with soft drinks, such as soda, and sometimes candy for flavor. It is also known as “purple drank,” “sizzurp,” or “dirty sprite.”

Origins of the Term

• The term “lean” comes from the physical effect it has on users, causing them to feel drowsy and sometimes making them physically lean or sway due to its sedative properties.

Effects of Lean

• Euphoric high
• Relaxation and sedation
• Potential for impaired motor skills and drowsiness

Risks and Dangers

• Addiction: Codeine is an opioid, and long-term use can lead to dependency.
• Respiratory Depression: High doses can slow breathing, potentially leading to overdose.
• Liver Damage: Promethazine and acetaminophen in the cough syrup can harm the liver.
• Heart Issues: Chronic use may lead to irregular heartbeats or heart failure.

Note: Lean is illegal when used recreationally and can have severe health consequences.