Date of Presentation
5-4-2023 12:00 AM
College
School of Osteopathic Medicine
Poster Abstract
A 23 year old female was brought to the Emergency Department by EMS for confusion and aggressive behavior. The friends told EMS that the patient had been ingesting "purple drank" and that she had told her friends that she made the concoction with promethazine and opiate cough syrup with some vodka added. She mixed it in a carbonated soda. “Purple Drank” or “Lean” is a combination of codeine promethazine hydrochloride and soda or alcohol that has frequently been misused since the 1990s. This paper aims to highlight the recent resurgence of promethazine abuse occurring in the United States as well as investigate contributing factors.
Keywords
Case Reports, Substance-Related Disorders, Promethazine, Codeine, Purple Drank
Disciplines
Emergency Medicine | Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms | Pharmaceutical Preparations | Public Health Education and Promotion | Substance Abuse and Addiction
Document Type
Poster
Included in
Emergency Medicine Commons, Pathological Conditions, Signs and Symptoms Commons, Pharmaceutical Preparations Commons, Public Health Education and Promotion Commons, Substance Abuse and Addiction Commons
Case Report and Review: Promethazine ("Purple Drank") Abuse
A 23 year old female was brought to the Emergency Department by EMS for confusion and aggressive behavior. The friends told EMS that the patient had been ingesting "purple drank" and that she had told her friends that she made the concoction with promethazine and opiate cough syrup with some vodka added. She mixed it in a carbonated soda. “Purple Drank” or “Lean” is a combination of codeine promethazine hydrochloride and soda or alcohol that has frequently been misused since the 1990s. This paper aims to highlight the recent resurgence of promethazine abuse occurring in the United States as well as investigate contributing factors.