|Titre :||Lean (Purple Drank/Syrup)|
|Type de document :||Rapport|
|Mention d'édition :||Version: 1.0|
|Editeur :||UK and Ireland DrugWatch, 2018|
|Collection :||Information Sheet|
|Format :||10 p. + 8 p.|
|Discipline :||PRO (Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods)|
Thésaurus TOXIBASECODEINE ; TYPE D'USAGE ; PHENOTHIAZINES ; EFFET SECONDAIRE ; SYMPTOME ; MEDICAMENTS ; SURDOSE ; TOXICITE ; REDUCTION DES RISQUES ; JEUNE
Thésaurus GéographiqueROYAUME-UNI ; IRLANDE
Introduction: Lean, also known as Purple Drank, Barre, Sizzurp or Syrup, refers to a drink that is made from over the counter (OTC) medications and used for psychoactive effect. It typically contains codeine and promethazine and has been referred to as CPHCS (codeine and promethazine hydrochloride cough syrup) in research papers. It has been referenced in rap lyrics and is linked to a slowed-down hip-hop beat which mirrors the effects of intoxication from the cocktail. Use of Lean in the UK has been particularly linked to young people, with concerns and alerts raised by drug services around the country.
Background: In the US a codeine and promethazine linctus is readily available, which is mixed with a fizzy drink and sometimes a sweet, alcohol and/or fruit juice to mask the taste of the medicine to form a purple cocktail. In the UK however there is no equivalent OTC medication, and due to constraints in obtaining prescription strength cough syrup, some users mix promethazine or codeine with other OTC cough syrups, sometimes taken with alcohol. The term Lean in the UK has therefore come to apply to a combination of OTC medications, usually in syrup form.
Effects: These will depend on the ingredients but for Lean made from codeine and promethazine, users report that it has several stages or plateaus: the first being mild stimulation, the second a mix of relaxation and euphoria (similar to alcohol plus cannabis) with mild hallucinations, the third a dissociative "out of body" state akin to a low dose of ketamine, and the fourth level is a fully dissociative state similar to a high dose of ketamine. Effects begin within 30-60 minutes and last for approximately six hours. Comments from users include "everything was slowed down", "fun to drink (if you can avoid falling asleep)" and "some trippy stuff", along with a sense of wellness and distortion of time. Social contact also appears to play a part: "it's a community drug... you're not really going to drink it all by yourself, you're going to pour for all your friends. [Extract]
|Domaine :||Autres substances / Other substances|
|Refs biblio. :||35|