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Codeine is an opioid that can produce relaxation and euphoria when consumed in sufficient quantities. Promethazine is an antihistamine that also acts as a sedative. Users may also flavor the mixture with the addition of hard candies.

Codeine and other opioids present a high risk of fatal overdose due to their effect of depressing the central nervous system, which can slow or stop the heart and lungs. This classification puts codeine in the same grouping as morphine and opioids like heroin, Oxycontin, or Vicodin.

The prescription cough syrup used in lean also contains promethazine, which relaxes the user. When taken in high doses, DXM can cause any or all of these six side effects:. For example, an individual may mix fruit-flavored vodka, cough syrup, and candy together.

The sugar and other ingredients in the drink often cover up the flavor of alcohol and codeine, making it easier to consume in large quantities. Getting behind the wheel of a car or operating machinery after drinking lean increases the likelihood of accidents. As a depressant, alcohol can cause sedation and even euphoria. Once the buzz from the drink wears off, however, you may feel very sleepy and possibly depressed.

Alcohol also essentially amplifies the effects of the other drugs. As lean slows down activity in the brain and nervous system, taking it with other drugs that have sedating effects can be especially harmful.

Anti-anxiety drugs, such as benzodiazepines, sleeping pills, and sedatives, are especially dangerous. Using other opioids, such as fentanyl or heroin, increases the risk of breathing problems and fatal overdose. People who think that they have an addiction to lean are usually addicted to its active ingredient, which is codeine.

Codeine, in the same way as other opioids, is highly addictive. The sweet flavor of other additives, such as soda and candy, can entice users to try the drink, furthering the risk of addiction. Some users may also intentionally misuse promethazine because of its sedative effects.

Doing this can trigger an addiction to both promethazine and codeine. Some signs that a person may have an addiction to either lean or the drugs that it contains include:. People who are reluctant to quit and those who have very severe addictions or chronic health problems may need serious medical treatment. Although popular culture often portrays lean as a harmless, sugary way to spur creative thinking, it is a potent and potentially addictive drug.

Addiction is a condition in which a person is unable to stop using a substance or engaging in a behavior. Read on to learn more. Codeine is a prescription medication that can sometimes cause addiction. A person who is dependent on codeine may experience withdrawal symptoms when….

Addiction is a chronic condition in which a person is unable to stop taking a substance or engaging in an activity despite negative effects on their…. The main risk factor of addiction is taking a mood-altering substance or engaging in an addictive behavior for the first time.

However, other, more…. Opioids are important for controlling pain, but they can lead to opioid-induced constipation OIC. Why does this happen and what other effects do…. What to know about lean. Medically reviewed by Alan Carter, Pharm. What is it?