What Is Lean?

Also known as Purple Drank, Sizzurp, and several other names, lean is a liquid concoction of Codeine, cough medicine containing either the antihistamine Promethazine or Dextromethorphan (DXM), a carbonated beverage, hard candy, and occasionally alcohol. Independently, Codeine and Promethazine are both depressants that largely affect the nervous system, and when they’re combined, the result is intense and euphoric sedation. In larger quantities, lean has been found to induce hallucinations and lucid dreams or nightmares; some artists have claimed it to assist in their creative process. Potentially deadly, this dangerous cocktail can cause numerous other effects in the body such as dizziness, loss of consciousness, seizures, severe constipation, and sometimes death.

Effects Of A Lean Withdrawal

Some of the broader symptoms of withdrawal include:

  • Agitation
  • Loss of appetite
  • Runny nose
  • Teary eyes

  • Body aches
  • Yawning
  • Trouble sleeping
  • Diarrhea


The main ingredient of lean is Codeine and as such, the causes and symptoms of withdrawal are in line with those of other Opioids. Because of their numbing effect on the mind and body, Opioids are incredibly addictive and can cause significant damage. Though Codeine is considered to be one of the weaker prescribed pain medications (in comparison to that of Morphine or Fentanyl), it is just as likely that excessive or illicit use can lead to a tolerance.

When the body is no longer receiving a substance it has become dependent on, it goes into withdrawal. In the short-term, an individual may feel anxious, irritable, restless, and have a hard time sleeping. The long-term effects are more detrimental: permanent psychosis, the formation of brain lesions that cause memory loss, changes in behavior, and cognitive deterioration.


Commonly found in allergy medications, Promethazine works by blocking allergy-response chemicals in the brain. This causes a sedative effect which is why it is so popularly combined with Codeine in lean; the combination intensifies the high and feelings of tranquility. The drug has also been found to combat Opioid-induced nausea and is even used to aide in alleviating withdrawal symptoms.

Because the consumption of this compound is largely coupled with Opioids and the sale is legal, there is limited research on the symptoms of Promethazine; only overdose and withdrawal. Some of the few common signs of a Promethazine overdose are similar to its potential side effects like loss of coordination, severe drowsiness, irregular breathing, and seizures.

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Dextromethorphan (DXM)

A cough suppressant, DXM communicates with the part of the brain that triggers coughing. Used as a replacement for Codeine in cough/cold medicines, this substance can imitate illicit drugs like Ketamine or Ecstasy if consumed in high doses. When taken as directed, there are minimal side effects apart from the occasional fatigue, nausea, or vomiting. If enough of the substance is consumed to lead to a dependance, withdrawal symptoms can present in the form of disturbed sleeping patterns, nausea, and excessive sweating.

How Long Does Lean Stay In The Body?

Length Of Time Lean Is Detected In Samples
Saliva 1-4 days
Blood Up to 24 hours
Urine 2-3 days
Hair 2-3 months (following 2-3 weeks after consumption)

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Detoxing From Lean

Though the individual elements of lean are legal, that doesn’t make the drink (or the misuse of any of the constituent components) without significant consequences. Of all the substances present in the cocktail, Codeine is the most problematic and habit-forming, making detox imperative for anyone experiencing a lean addiction. While lean withdrawal is not necessarily life-threatening, the detoxification process presents uncomfortable challenges that many individuals suffering from addiction choose to avoid by continuing to use despite the associated risks.

These challenges are made harder when one attempts to treat themselves and detox at home without the presence and assistance of a medical professional. At a medical rehabilitation facility, doctors are there throughout the process, prescribing medications and ensuring that treatment plans are catered to the individual and their unique needs. Without medical supervision, one does not have the access to certain medications like Clonidine or Librium which help to alleviate the intensity of withdrawal symptoms. Buprenorphine may be given to shorten the amount of time spent detoxing and Methadone can ease the pain felt during the detoxification period.

One of the other common medications used to assist in Opioid withdrawal management is that of Naltrexone or Naloxone. The first is used in prolonged treatment of an Opioid use disorder as well as that of alcohol, rendering it especially useful in cases where lean has been laced with alcohol in addition to the “normal” ingredients. Naloxone is an emergency medication that rapidly reverses an overdose by binding to Opioid receptors and blocking/reversing the effects of incoming Opioids.

Attending a rehabilitation center provides a safe and stable environment in which professionals are present every step of the way toward eventual sobriety; reach out to a treatment provider to ask questions and learn more.

Get Help Today

If you or someone you know and love is struggling with lean addiction or abuse, it’s important to remember that there are resources to help you. Contact a treatment provider to learn more about recovery and treatment options.