The preparation commonly referred to as “lean” is a mixture primarily composed of prescription-strength cough syrup containing codeine or promethazine, combined with a soft drink, typically Sprite or Mountain Dew. A piece of hard candy, such as a Jolly Rancher, is sometimes added to modify the flavor profile. The resulting concoction is known for its purple hue, contributing to its association with the name “purple drank.”
The consumption of this mixture presents significant health risks. The codeine in the syrup is an opioid, leading to potential respiratory depression, addiction, and overdose. Promethazine, an antihistamine, adds to the sedative effects and can also cause decreased awareness. The combination of these substances with sugary drinks further exacerbates potential health problems. Historically, its recreational use has been documented within certain subcultures, often glamorized in media, despite its dangers.
