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 more 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 license 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, coma , or death. Lean may also interact with herbal remedies and supplements, including natural sleep aids , such 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. Acetaminophen , a 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 results in cravings and a complete loss of control over use. What's the danger? Too much codeine and promethazine can depress the central nervous and respiratory systems, stopping the heart and lungs.
Doctors also see nausea, dizziness, impaired vision, memory loss, hallucinations and seizures. Bottom line: It can be deadly, especially when mixed with other drugs and alcohol. The National Institute on Drug Abuse says: "Teens may think that just because something is available from the pharmacy, it won't harm them — but that's not true. How common is it? Lean can also be made using over the counter cough medicine, making it even more accessible.
Possibly leading to addiction — many people high on dextromethorphan experience mild euphoria. But taking large amounts of the cough suppressant can lead to intense hallucinations and paranoia. These effects can cause violent behaviors that may result in assault or suicide. Lean can cause anxiety, muscle soreness, sweating, fatigue, diarrhea, abdominal cramps, vomiting, dilated pupils.
Dehydration is also possible due to diarrhea and vomiting; this can lead to seizures. Lean made with DXM can cause decreased coordination, increased heart rate, and blood pressure and potential brain damage from a lack of oxygen getting to the brain.
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