Sizzurp / Lean
Streetnames: syrup, drank, Purple Drank, lean, syrup, barre, purple jelly, Texas tea, dirty Sprite and Tsikuni.
Sizzurp or Purple Drank is a mix of codeine-based prescription cough syrup, cooldrinks and, often, sweets.
Purple drank is a slang term for a concoction which includes a prescription-strength cough syrup used in a manner inconsistent with its labeling as a recreational drug. The mixture became popular in the hip hop community in the southern United States, originating in Houston
The prescription-strength cough syrup used in purple drank contains codeine and promethazine (not to be confused with dextromethorphan; DXM). The cough syrup, used in doses much higher than medically recommended, is typically mixed with ingredients such as the soft drinks Sprite or Mountain Dew and optionally “a Jolly Rancher hard fruit candy thrown in for extra sweetness.” The purplish hue of purple drank comes from dyes in the cough syrup. The amount of cough syrup used “can exceed up to 25 times the recommended dose.” The concoction is “Typically consumed out of Styrofoam cups”.
There are numerous slang terms for purple drank, including sizzurp,
What does it do?
The physiological effects of purple drank on the user is to produce mild “euphoric side effects”, which are accompanied by “motor-skill impairment, lethargy, drowsiness, and a dissociative feeling from all other parts of the body”. The codeine, which is an opiate, produces a feeling of euphoria. The cough syrup also contains a drug called promethazine, which acts as a sedative.
When kids talk about these products, the most common street names they use are “syrup,” or “drank,” or “lean”. So if you get a kid talking about, “Leaning on Syrup,” or even talking about, “Gonna go get me some Syrup,” these ought to be key words to parents that these kids are using codeine cough syrup.
Dangers of using the drug:
Dangers arise in higher dosages because promethazine is a depressant of the central nervous system and codeine is a respiratory depressant. When codeine is taken in very large amounts, it can cause one to stop breathing. Using alcohol and other drugs alongside purple drank increases the chance of problems. The drink includes a “massive” amount of the opiate codeine, which can be addictive in high doses. “There are occasions where one is able to see a student in withdrawal, because their bodies shake. It is especially concerning, because the drug is taken on an empty stomach to enhance the potency of the high.”
The legal age for dispensing schedule 1 and 2 medications is 14 years old, so it up to parents to monitor and educate their kids about the dangers of this mixture.
Purple drank is confirmed or suspected to have caused the deaths of several prominent users. Respiratory depression is a potentially serious or fatal adverse drug reaction associated with the use of codeine, but mainly the danger lies in the much more potent and CNS-depressing phenothiazine-related antihistamine promethazine. This depression is dose-related and is the mechanism for the potentially fatal consequences of overdose: respiratory or cardiac arrest. As with most CNS depressants, mixing with alcohol greatly increases the risk of respiratory failure and other complications.
Lil Wayne: The rapper spent several days in hospital in March 2013 after suffering from a string of seizures, allegedly from drinking a dangerous concoction of promethazine and codeine.
More about the drug and the effects:
The drug codeine is a dissociative drug with similar effects to Ketamine, which causes a kind of out of body experience. When the kids talk about doing it, they talk about leaning on syrup, because if you sip on it all day long it’s like getting very drunk. And they literally have to lean on something to stand up.
Because codeine is a narcotic, it can cause addiction. If you drink too much of it, it can cause seizures and you can end up in treatment. Once a person gets addicted, they can’t just cut it off and go cold turkey, you’re going to be very ill for a while.
Effects of codeine
Although codeine is a prescription drug the abuse of codeine can cause significant damage to an individual’s life. Some of these effects may include:
- Acute pancreatitis
- Major depression
- Liver damage
- Kidney damage
- Financial problems
- Legal issues
- Domestic problems
- Job loss
- Heightened pain sensitivity
- Uncontrollable muscle twitches
- Muscle spasms, cramps, and pain
- Loss of productivity at school or work
- Impaired social relationships
- Respiratory depression
- Cold, clammy skin
- Decreased muscle tone
So these kids are messing with something that can be very dangerous in terms of their treatment, and their future lives. Teens in particular are abusing the drink because it’s easily accessible to them. They can buy all of the ingredients used to make the dangerous drink over the counter. The homemade drug is “popular” because “there is no smell, it has many attributes to contribute to an intense high, there are minimal side effects and symptoms unless you really know what to look out for and of course, it isn’t illegal.
Locking up any medications you may have at the house, throwing out old prescriptions and talking to your children about the dangers of this drink and drugs are some of the best practices to keep your kids away from the stuff.
Symptoms of codeine abuse
Symptoms of codeine abuse will vary among users depending upon the amount used and the length of drug abuse. Symptoms of codeine abuse include:
- Mood swings
- Increase in amount of time sleeping
- Decreased appetite
- Increased hospital visits
- No longer caring for loved ones
- “Doctor shopping” or visiting a number of doctors to obtain more codeine prescriptions.
- Prescription forgery
- Stealing prescriptions or opiates from friends and family
- Healthcare fraud
- Lying to cover-up amount used
- Blue tinge to lips and fingernails
- Muscle twitches
- Nausea and vomiting
- Dry mouth
- Urinary retention
- Respiratory depression
- Decreased libido
- Memory loss
- Lack of emotions
Effects of Withdrawal
Someone who is physically dependent upon codeine should not attempt to stop using without the supervision of a trained medical professional. The immediate cessation of codeine can cause a number of withdrawal effects.