What Is Lean? Purple Drank Addiction and Abuse

In recent years, a dangerous trend known as “Lean” has gained popularity among young adults, celebrities, and even some adolescents. Also referred to as “Purple Drank,” this concoction has become a concerning subject due to its addictive nature and potential for abuse. In this article, we delve into the world of Lean, exploring its composition, effects, and the escalating problem of addiction and abuse associated with this dangerous substance. By shedding light on this issue, we hope to raise awareness and promote a better understanding of the risks involved with Lean consumption.


What Is Lean or Purple Drank?

Lean, also known as Purple Drank, is a recreational drug concoction that has gained notoriety in recent years. It is typically made by combining prescription-strength cough syrup, codeine, and promethazine with soda and sometimes adding a hard candy like Jolly Ranchers for flavor. The resulting liquid is usually purple, called “Purple Drank.”

The key ingredients in Lean contribute to its effects. Codeine, an opioid medication, acts as a central nervous system depressant, providing a sedative and analgesic (pain-relieving) effect. Promethazine, an antihistamine, enhances the sedative properties of codeine and also acts as a mild tranquilizer.

Lean gained popularity through its association with hip-hop culture, references in music lyrics, and its use by high-profile celebrities. It is often glamorized in media, contributing to its appeal among young adults.

Lean produces various effects, including relaxation, euphoria, and a sense of detachment from reality when consumed. It can also induce drowsiness, slowed breathing, and impaired coordination. Due to its sedative properties, Lean is often used recreationally for its calming and numbing effects.

However, Lean poses serious risks and dangers. Its misuse or abuse can lead to addiction, respiratory depression, organ damage, and overdose. The codeine present in Lean is an opioid, which means it carries a high risk of dependence and addiction, especially when used regularly or in large quantities.

Furthermore, Lean can interact negatively with other substances, such as alcohol or benzodiazepines, amplifying their depressant effects and increasing the risk of dangerous complications, including respiratory failure and death.

Given the potential for addiction and the severe health risks associated with Lean, raising awareness about its dangers and promoting education on substance abuse prevention is crucial.

Is Lean A Drug?

Lean is considered a drug due to its ability to produce psychoactive effects and alter the functioning of the central nervous system. It is a recreational concoction that typically consists of prescription-strength cough syrup containing codeine and promethazine combined with soda and sometimes candy for added flavor. The codeine and promethazine present in Lean are the key components responsible for its mind-altering properties.

Codeine Cough Syrup

Codeine, an opioid medication, acts as a central nervous system depressant. It binds to opioid receptors in the brain, spinal cord, and other areas of the body, leading to a variety of effects, including pain relief, sedation, and feelings of euphoria. These effects contribute to the drug-like qualities of Lean.

Promethazine Cough Syrup

Promethazine, on the other hand, is an antihistamine with sedative properties. It enhances the effects of codeine, further intensifying its sedative and calming properties. Codeine and promethazine create a potent mixture that can induce relaxation, drowsiness, and a sense of detachment from reality.

While Lean may not be classified as a single specific drug in the traditional sense, it is widely recognized and referred to as a substance of concern due to its recreational use and abuse. It has gained popularity through its association with hip-hop culture, music lyrics, and high-profile celebrity endorsements.

The effects of Lean can be appealing to individuals seeking a euphoric or numbing experience. However, it is important to note that Lean poses serious risks and dangers. Misuse or abuse of Lean can lead to addiction, respiratory depression, organ damage, and even overdose. The codeine present in Lean is an opioid, making it highly addictive, especially when used regularly or in large quantities.

Furthermore, Lean carries additional risks when used in combination with other substances. Mixing Lean with alcohol or other central nervous system, depressants can amplify their effects and increase the risk of dangerous complications, including respiratory failure and death.

Due to its potential for addiction and associated health risks, Lean is considered a drug of concern. It is crucial to raise awareness about the dangers of Lean, promote education on substance abuse prevention, and provide resources for those struggling with addiction to find help and support.

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  1. What is Delsym Cough Syrup?

    Delsym Cough Syrup is an over-the-counter medication used to relieve cough symptoms. It contains an active ingredient called dextromethorphan, which is a cough suppressant. Delsym is known for its extended-release formulation, relieving up to 12 hours.

  2. Is The Lean Drug Dangerous?

    Yes, the Lean drug is considered dangerous. Lean, also known as Purple Drank, is a recreational concoction that combines prescription-strength cough syrup (often containing codeine and promethazine) with soda and sometimes candy. The codeine in Lean is an opioid, carrying a high risk of addiction and potential respiratory depression. Misuse or abuse of Lean can lead to severe health risks, including overdose, organ damage, and even death.

  3. Is There Such A Thing As Homemade Cough Syrup?

    Yes, homemade cough syrups can be made using various ingredients, although their effectiveness and safety can vary significantly. Natural remedies like honey, lemon, ginger, and herbal teas are often used in homemade cough syrups. However, it’s important to note that homemade cough syrups may not undergo the same quality control and testing as commercially available cough syrups, and their efficacy and safety may not be well-established. It’s always advisable to consult with a healthcare professional before using any homemade remedies.

  4. What is Hydrocodone Cough Syrup?

    Hydrocodone cough syrup is a prescription medication used to relieve cough symptoms. It contains hydrocodone, which is a semi-synthetic opioid painkiller and may also include other ingredients such as antihistamines or expectorants. Hydrocodone cough syrup is typically prescribed for short-term use and under medical supervision due to its potential for addiction and side effects associated with opioid medications.

  5. What Is Purple Drank?

    Purple Drank is another name for the recreational concoction known as Lean. It is a mixture of prescription-strength cough syrup (often with codeine and promethazine) with soda and sometimes candy for flavor. The resulting liquid is usually purple, called “Purple Drank.” Purple Drank gained popularity through references in music and media, but it is considered a dangerous substance due to its addictive nature and associated health risks.

Lean Factsheet

What Is Lean Drug?

The Lean drug, also known as Purple Drank, is a recreational concoction that combines prescription-strength cough syrup (often containing codeine and promethazine) with soda and sometimes candy for flavor. Lean produces sedative and euphoric effects when consumed due to opioids and other ingredients. However, Lean is considered dangerous due to its potential for addiction, respiratory depression, and other severe health risks.


Lean Purple Drank Effects

  • Euphoria and relaxation: Lean can induce intense happiness and a sense of calmness.
  • Sedation and drowsiness: Lean has strong sedative properties, leading to excessive sleepiness and lethargy.
  • Impaired coordination: Lean can cause numbness, clumsiness, and difficulty with motor skills.
  • Respiratory depression: One of the most dangerous effects of Lean is slowed breathing or even respiratory failure.
  • Dizziness and lightheadedness: Lean can cause dizziness, lightheadedness, and balance problems.
  • Nausea and vomiting: Some users may experience gastrointestinal discomfort and vomiting.
  • Constipation: Regular use of Lean can lead to severe constipation.
  • Addiction and withdrawal: Lean contains opioids, making it highly addictive and causing withdrawal symptoms when use is stopped.

Lean Cough Syrup Addiction Treatment

  • Medical Detoxification: The first step in treating Lean addiction is often a medically supervised detoxification process. This helps manage withdrawal symptoms safely and ensures the individual’s physical stability during withdrawal.
  • Behavioral Therapies: Various behavioral therapies, such as cognitive-behavioral therapy (CBT), motivational interviewing, and contingency management, can effectively address the psychological aspects of addiction. These therapies help individuals understand and modify their thoughts, behaviors, and triggers related to Lean use.
  • Support Groups: Participating in support groups like Narcotics Anonymous (NA) or other addiction support groups can provide individuals with a supportive community of people who have experienced similar challenges. These groups offer guidance, encouragement, and accountability during the recovery process.
  • Individual Counseling: Individual counseling sessions with addiction counselors or therapists can provide personalized support, address underlying issues contributing to addiction, and develop coping mechanisms for relapse prevention.
  • Medication-Assisted Treatment (MAT): In some cases, medications such as buprenorphine or naltrexone may be part of a comprehensive treatment plan. These medications can help reduce cravings and manage withdrawal symptoms, supporting long-term recovery.
  • Dual Diagnosis Treatment: If there are underlying mental health disorders co-occurring with Lean addiction, a dual diagnosis treatment approach may be necessary. This involves simultaneously addressing substance use disorder and the co-occurring mental health condition.

Purple Drank Abuse Statistics

To fully comprehend the impact of Purple Drank abuse, it is essential to examine the available statistics that shed light on the prevalence and consequences of this dangerous trend. Purple Drank, also known as Lean, has gained alarming popularity among various demographics, leading to a concerning rise in addiction and associated health risks. In this section, we delve into the available data and statistics surrounding Purple Drank abuse, aiming to provide a comprehensive overview of the extent of the problem. By understanding the statistics, we can better grasp the urgency of addressing Purple Drank abuse and work toward effective prevention and intervention strategies.


Approximately 3.8% of adults aged 18 to 25 in the United States reported misusing cough and cold medicines, including Lean or Purple Drank.

Source: NSDUH

Between 2008 and 2011, there was a significant increase in emergency department visits related to codeine misuse among young people.

Source: Fortuna et al., Pediatrics, 2016.

The DEA has noted an increase in seizures of cough syrups containing codeine and promethazine, the main components of Lean, in recent years.

Source: DEA


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Lean can appear in a drug test, depending on the substances tested. Drug tests can detect the presence of codeine, promethazine, and other components found in Lean.
Lean can appear in a drug test, depending on the substances tested. Drug tests can detect the presence of codeine, promethazine, and other components found in Lean.

Does Lean Show Up In A Drug Test?

Yes, Lean can appear in a drug test, depending on the substances tested. Drug tests can detect the presence of codeine, promethazine, and other components found in Lean.

Most standard drug tests, such as urine or blood tests, do not directly screen for Lean as a specific substance. However, they can identify the individual drugs present in Lean, such as opioids (codeine) and antihistamines (promethazine).

If a drug test includes screening for opioids or specific prescription medications, Lean can be detected. The codeine component of Lean will typically trigger a positive result for opioids. It’s important to note that some drug tests may have a specific panel for codeine detection, while others may have a broader opioid panel.

It’s advisable to disclose any medication or substance use to the testing facility or employer, particularly if you have a legitimate prescription for codeine or promethazine. This can help ensure an accurate interpretation of the results and prevent misunderstandings.

Suppose you are concerned about a drug test and have been using Lean or other substances. In that case, it’s best to consult a healthcare professional or testing facility to get specific information about the substances being tested and their detection methods.

How To Make Purple Drank?

Lean is typically made by combining certain ingredients to create a recreational concoction. The specific recipe can vary, but here is a general description of how Lean is made:

  • Cough Syrup: The main ingredient of Lean is typically a prescription-strength cough syrup containing codeine and promethazine. This cough syrup is commonly obtained with a prescription from a healthcare professional.
  • Mixing Container: A container, such as a cup or a bottle, is used to mix the ingredients. It can be a regular cup or a specific type often associated with Lean, such as a styrofoam cup.
  • Soda or Carbonated Beverage: A soda or carbonated beverage, such as Sprite or Mountain Dew, is added to the mixing container. The soda is used to dilute the cough syrup and enhance the flavor.
  • Candy (Optional): Some individuals may add certain types of candy, typically hard candy or Jolly Ranchers, to the mixture. The candy can add additional flavor and sweetness.
  • Mixing Process: The cough syrup is poured into the mixing container, followed by the soda and, if desired, the candy. The ingredients are then stirred or shaken to ensure they are well mixed.
  • Consumption: Once the mixture is prepared, it is typically consumed orally by drinking it from the mixing container. The drink is usually purple, where “Purple Drank” originates.

Notably, the production and consumption of Lean can be illegal and potentially dangerous. The misuse or abuse of cough syrup containing codeine and promethazine can lead to serious health risks, addiction, and legal consequences. It is strongly advised to follow prescribed medication usage guidelines and seek professional medical advice when using any medications.

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Purple Drank Addiction Treatments

Treating Lean addiction requires a comprehensive approach that addresses the physical, psychological, and social aspects. Here are some common treatments used to address Lean addiction:

  • Medical Detoxification: The first step in treating Lean addiction is often medical detoxification. This process involves supervised withdrawal to manage the physical symptoms and cravings associated with discontinuing Lean. Medical professionals can provide medications and monitoring to ensure safety and comfort during detox.
  • Behavioral Therapies: Various behavioral therapies, such as cognitive-behavioral therapy (CBT) and motivational interviewing, effectively treat Lean addiction. These therapies help individuals understand the underlying causes of their addiction, develop coping skills, and modify unhealthy behaviors and thought patterns.
  • Support Groups: Participating in support groups like Narcotics Anonymous (NA) or other addiction support groups can benefit individuals recovering from Lean addiction. Support groups provide a safe and supportive environment for sharing experiences, receiving guidance, and fostering accountability.
  • Individual Counseling: Individual counseling sessions with addiction counselors or therapists allow personalized treatment. This one-on-one therapy helps individuals address underlying emotional issues, learn effective coping strategies, and develop relapse prevention plans.
  • Medication-Assisted Treatment (MAT): Medications may be part of a comprehensive treatment plan for Purple Drank addiction. Medications such as buprenorphine or naltrexone can help reduce cravings, manage withdrawal symptoms, and support long-term recovery. MAT should be used in conjunction with behavioral therapies for optimal results.
Treating Purple Drank addiction requires a comprehensive approach that addresses the physical, psychological, and social aspects of addiction.
Treating Purple Drank addiction requires a comprehensive approach that addresses the physical, psychological, and social aspects of addiction.
  • Dual Diagnosis Treatment: A dual diagnosis approach may be necessary if co-occurring mental health disorders are present alongside Purple Drank addiction. This involves simultaneously addressing the addiction and underlying mental health condition to achieve comprehensive recovery.
  • Aftercare Support: After completing formal treatment, aftercare support is crucial to maintain sobriety. This may involve ongoing therapy, continued participation in support groups, regular check-ins with healthcare professionals, and the development of a relapse prevention plan.

Each treatment plan may vary based on specific needs and circumstances. It’s important to seek professional help from addiction specialists or treatment centers that can provide comprehensive assessments and tailor treatment approaches accordingly. Recovery from Purple Drank addiction is a process that requires commitment, support, and a multidimensional approach to address all aspects of the addiction.

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We Level Up is dedicated to delivering integrated care that fosters healing and supports long-term recovery. Their services include individual counseling, group therapy, behavioral therapy, and medication management. With a compassionate and skilled team, they establish a nurturing environment where individuals can delve into the root causes of their addiction, cultivate healthy coping mechanisms, and nurture resilience for a balanced and meaningful life. We Level Up’s commitment to providing comprehensive care and its expertise in managing dual diagnosis situations make them a trusted choice for those seeking specialized treatment for substance abuse and co-occurring mental health issues.

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Sources
  1. National Institute on Drug Abuse (NIDA) – Cough and Cold Medicine Abuse: https://www.drugabuse.gov/publications/research-reports/misuse-prescription-drugs/overview
  2. Substance Abuse and Mental Health Services Administration (SAMHSA) – Misuse of Prescription Drugs: https://www.samhsa.gov/find-help/national-helpline
  3. Drug Enforcement Administration (DEA) – Drug Fact Sheets: https://www.dea.gov/
  4. Centers for Disease Control and Prevention (CDC) – Prescription Opioid Overdose Data: https://www.cdc.gov/
  5. Food and Drug Administration (FDA) – Safe Disposal of Medicines: https://www.fda.gov/consumers/consumer-updates/where-and-how-dispose-unused-medicines
  6. National Institutes of Health (NIH) – Codeine: https://pubchem.ncbi.nlm.nih.gov/compound/codeine
  7. National Institute on Drug Abuse (NIDA) – Prescription Drugs and Cold Medicines: https://www.drugabuse.gov/drug-topics/trends-statistics/infographics/prescription-drugs-cold-medicines
  8. U.S. Department of Health and Human Services (HHS) – Substance Abuse Treatment Locator: https://findtreatment.samhsa.gov/
  9. National Survey on Drug Use and Health (NSDUH) – Substance Abuse and Mental Health Data: https://www.samhsa.gov//2019-nsduh-detailed-tables
  10. National Library of Medicine (NLM) – Purple Drank: https://medlineplus.gov/