Lean, also known as Purple Drank, Sizzurp, or Syrup, is a recreational drug drink made by combining prescription-strength cough syrup with a soft drink and, often, hard candy for flavor. The cough syrup typically contains codeine (an opioid) and promethazine (an antihistamine), making the concoction both sedative and potentially addictive.

Components of Lean

1. Prescription Cough Syrup:
   • Contains codeine, which provides the opioid effects.
   • Includes promethazine, which acts as a sedative and anti-nausea agent.
2. Soft Drink:
   • Commonly a sweet soda like Sprite or Mountain Dew to dilute the syrup.
3. Hard Candy (Optional):
   • Added for flavor, with candies like Jolly Ranchers being a popular choice.

Effects of Lean

• Euphoria: Due to the codeine, lean can produce a relaxed and euphoric feeling.
• Drowsiness: Promethazine contributes to its sedative effects.
• Altered Perception: Some users report a slowed-down sense of time or mild hallucinations.

Risks and Dangers

Lean carries significant health risks, especially with prolonged use:

1. Addiction: Codeine is an opioid and can lead to dependency.
2. Respiratory Depression: High doses of codeine can slow or stop breathing, which is potentially fatal.
3. Liver Damage: Overconsumption of acetaminophen (sometimes present in formulations) can harm the liver.
4. Overdose: Misuse can lead to coma or death, especially when combined with alcohol or other sedatives.

Cultural References

Lean gained notoriety through its association with the hip-hop community in the Southern United States. Artists like DJ Screw and Lil Wayne have referenced it in their music, which has contributed to its widespread recognition.

Legal Status

In most places, the sale of codeine-containing cough syrup is tightly regulated, requiring a prescription. Misusing or obtaining it without a prescription is illegal and can lead to serious legal consequences.