Lean (drug)

Lean or purple drank (known by numerous local and street names) is a polysubstance drink used as a recreational drug. It is prepared by mixing prescription-grade cough or cold syrup containing codeine (opioid drug) and promethazine (anti-histamine drug) with a soft drink and sugar candy. The beverage originated in Houston as early as the 1960s and is popular in hip hop culture, especially within the Southern United States.

Lean
TypePolysubstance drink
Region of originSouthern United States
Introduced1960s
ColourPurple; may vary based on ingredients
IngredientsCodeinepromethazine cough syrup, soft drink
Related productsDextromethorphan syrup

Users of lean are at risk of addiction, and serious complications include respiratory depression, respiratory arrest, and cardiac arrest. Lean is especially dangerous when consumed with alcohol.

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