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Lean, also known as purple drank, sizzurp, barre, and Texas tea, among other names, is a concoction of cough syrup, soda, hard candy, and, in some cases, alcohol. Healthline does not endorse the use of any illegal substances, and we recognize abstaining from them is always the safest approach.
However, we believe in providing accessible and accurate information to reduce the harm that can occur when using. Then there are the high-profile athletes whose lean-related suspensions and hospitalizations continue to make the headlines. The most commonly used ingredients are prescription cough syrup that contains the opioid codeine and the antihistamine promethazine.
The cough syrup is mixed Lean drink in a can soda and sometimes alcohol. Some people also add hard candies, especially Jolly Ranchers, to the mix. Other variations of purple drank involve a combination of codeine tablets added to cough syrup and soda.
The amount of each ingredient varies. But to get the desired effects, a lot Lean drink in a can than the recommended or safe dose is used. It remains a lesser, but still potent, controlled substance when mixed with other ingredients. All products containing it are only available with a prescription due to the risk of misuse. The distribution or manufacturing of it without a is illegal. Cough syrups containing codeine fall into the risk of misuse category since Actavis — considered to be the best of codeine cough syrups by lean users — was taken off the market due to its popularized misuse.
DXM cough syrup is available without a prescription, but some states restrict the sale of it to people over the age of It acts on your central nervous system CNS and slows your brain activity for a sedating effect. While some people may enjoy the euphoric effect of lean, it can also produce other less than desirable, and even downright dangerous, effects in high doses, including:. Combining alcohol enhances the effects of the codeine and DXM. The most serious potential effect of mixing even a small amount of alcohol with cough syrup is respiratory depression.
This reduces the amount of oxygen to your brain. It can lead to organ damage, comaor death. Lean may also interact with herbal remedies and supplements, including natural sleep aidssuch as valerian root and melatonin. Like alcohol, all of these things can intensify the impact of lean on your CNS, resulting in potentially life-threatening side effects. Acetaminophena common ingredient in cough and cold medications, has been linked to liver damage when you take more than the recommended dose or drink alcohol while taking it. High amounts of acetaminophen and other drugs can prevent your liver from properly metabolizing chemicals, leading to excessive amounts in your liver.
On their own, codeine and alcohol can also cause liver damage when you ingest more than the recommended dosage.
Purple drank contains ingredients that are habit-forming. This means you can quickly develop a tolerance and dependence to it. Common withdrawal symptoms include:. Unlike dependence, which involves your body simply getting used to a substance, addiction in cravings and a complete loss of control over use. CNS depression from drinking high amounts of lean can slow or stop your heart and lungs.
The risk of a fatal overdose is even higher when you mix it with alcohol. If you or someone you know are planning on using lean, you need to know what overdose s and symptoms to watch for. Developing an addiction to lean is totally possible.
Remember, one of its main ingredients, codeine, is an opioid. This is a type of drug with a high potential for dependence and addiction. You can bring it up to your healthcare provider if you feel comfortable. Keep in mind that patient confidentiality laws will prevent them from reporting this information to law enforcement. Robitussin, along with many other cough-suppressant products, contain an ingredient known as DXM. This can have dangerous interactions and side…. Codeine is an opiate used to treat pain or cough.
Learn what to expect from withdrawal if you become dependent on or addicted to codeine. Experts say the packaging may entice people to ingest the liquids, a potentially dangerous move. Learn what a K-hole is, including how people describe it, the risks involved, and whether there are ways to make it safer. Xanax alprazolam doesn't affect everyone in the same way.
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Medically reviewed by Alan Carter, Pharm. How did it become so popular? Is it legal? What does it do? What happens if you add alcohol? What about other interactions? Does it have any long-term effects? Is it addictive?
Can it kill you? Warning s. Getting help. What Is a K-Hole, Exactly? What Does Xanax Feel Like? Read this next. Medically reviewed by Zara Risoldi Cochrane, Pharm. Medically reviewed by the Healthline Medical Network. Skip the Vinegar. Medically reviewed by Deborah Weatherspoon, Ph.
Medically reviewed by Debra Sullivan, Ph.Lean drink in a can
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