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Lean (also called “purple drank” or “sizzurp”) is a recreational drug mixture made by combining prescription cough syrup containing codeine and promethazine with soft drinks and sometimes candy. Codeine is an opioid, while promethazine is an antihistamine that adds to the sedative effects.

People use lean for its relaxing, euphoric feeling, but it can be dangerous. It slows breathing and heart rate, which can lead to overdose—especially when mixed with alcohol or other drugs
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