If you have listened to popular music artists in the past decade, you’ve probably heard of one mixed concoction that goes by several names: Purple Drank, Dirty Sprite, Sizzurp and Lean. In fact, 33% of rap songs that reached the top ten of Billboard’s Hot 100 chart in 2017 mentioned the mixture. And many musicians, such as Future and Lil Wayne, are associated with lyrics and imagery of cough medicine abuse.

In recent years, lean has arguably become the most commonly-used slang term related to cough medicine abuse. The term “lean” refers to a mixture of prescription cough syrup containing codeine, soda, and sometimes hard candy. However, many people aren’t aware that “lean” technically contains prescription cough medicine and therefore may use the slang term more broadly to describe over-the-counter (OTC) cough medicine abuse as well.

It’s important for parents to be aware that lean’s association with famous people can influence more impressionable audiences to abuse cough medicine of various forms. They might think it looks cool or be curious about the feeling of euphoria.