Monitoring the Future. National Institute of Drug Abuse. Hallucinogens and Dissociative Drugs. Library of Medicine. ToxNet: Promethazine. ToxNet: Codeine. National Institute on Drug Abuse. Cough and Cold Medicine Abuse. Published February 15, World Health Organization. Am J Crim Justice. Your Privacy Rights.
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Table of Contents. What Does Purple Drank Do? Common Side Effects. Signs of Use. How to Get Help. How to Recognize Purple Drank This potential "killer" cough syrup is cut with soda and sometimes candy or even alcohol—giving it a signature saccharine taste and purple color. Spotting the Signs of Overdose If you suspect someone has overdosed on sizzurp, call immediately or the national toll-free Poison Help hotline Bluish-colored fingernails and lips Breathing problems slow and labored breathing, shallow breathing, no breathing Cold, clammy skin Coma Confusion Dizziness Drowsiness Fatigue Lightheadedness Loss of consciousness High or low blood pressure Muscle twitches Tiny pupils Spasms of the stomach and intestines Weakness Weak pulse.
Was this page helpful? Thanks for your feedback! Sign Up. What are your concerns? Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Related Articles. 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. Where Waves of Change Begin. Evidence-based treatment. Expert Staff. Proven Approach.
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