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In recent months, gossip magazines have reported on Justin Bieber's erratic behavior, such as wearing a gas mask, fainting at a London concert, and traveling with a monkey. Mixed in with these reports is speculation about Bieber's alleged use of a drug concoction called "Sizzurp."

Bieber isn't the only musician associated with the drink. Back in March and again at the beginning of May, rapper Lil Wayne was admitted to the hospital with seizures, allegedly from his use of Sizzurp (although he denied it).

NIDA works to stay on top of new drugs. If celebrities are involved, it's even more important for people-especially teens-to know the facts, because sometimes people may think something's cool just because a star does it.
Facts About Sizzurp
First, it is not cool. In fact, it's quite dangerous. Sizzurp, also known as "Lean" and "Purple Drank," is a mixture of cough medicine-often prescription strength, containing an opioid called codeine-and soft drinks and candy for flavor. Abuse of cough medicines, especially ones that contain opioids, can cause an overdose leading to coma or even death. Less grave (but still serious) symptoms include nausea, dizziness, impaired vision, memory loss, hallucinations, and seizures like Lil Wayne experienced.

Teens may think that just because something is available from the pharmacy, it won't harm them-but that's not true. When not used as directed on the label, cough and cold medicines (even over-the-counter ones) can be dangerous.

Tell us in comments: If a celebrity does something, do you feel the urge to try it? What would you say to a friend who wanted to try Sizzurp?

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In recent months, gossip magazines have reported on Justin Bieber's erratic behavior, such as wearing a gas mask, fainting at a London concert, and traveling with a monkey. Mixed in with these reports is speculation about Bieber's alleged use of a drug concoction called "Sizzurp."

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A history of drugs and Sizzurp promotion in Rap.

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- Depression
- Attempt to fit in
- Peer Pressure
- Is taken innocently
- Neglect
- To get high

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BBC Report on Sizzurp "The Influence of Sizzurp by Hip-Hop Culture"

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BBC Report on Sizzurp "The Influence of Sizzurp by Hip-Hop Culture"

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(Video)

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Drinking Lean: The Codeine Based Drink Associated With Hip Hop Culture

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Lean is the name of a codeine-based drink that has become popular within some strands of hip hop culture in the US - and now it has made its way to Bristol. It is made with prescribed codeine-based cough syrup, but, when mixed with alcohol and other drugs like Xanax, it poses an extreme overdose risk.

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An example of how music and celebrity influencers encourage Sizzurp abuse.
*Note recognizable lyrics- not valid graph info*

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Most teenagers and young adults "get hooked" on Sizzurp at parties. It is assumed that the drug is a pop of some sort, and of course, negative peer pressure and celebrity influencers only encourage young people to abuse the drug.

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Sizzurp is a category 3 drug. It falls under the description "designer drug" because it can be created at home, it contains prescription drugs, and it is a hallucinogen.

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Sizzurp ingredients include a soda drink, prescription codeine cough syrup and purple jolly ranchers.

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USA Today "Sizzurp: What you need to know about cough syrup high"

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USA Today "Sizzurp: What you need to know about cough syrup high"

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Candy-flavored cough syrup, mixed with soda, is a dangerous drug, doctors say.

Parents, if you haven't yet heard of sizzurp, it may be time to start listening up.

The candy-flavored cough syrup concoction popularized by rap singers has been around for years but, as NBC's Today show reported Thursday, doctors are increasingly concerned about kids seeking out this dangerous high, glamorized in songs and videos.

Here's what you need to know, according to government agencies and to doctors who spoke to NBC and the Los Angeles Times:

What is it? Sizzurp - also known as purple drank, syrup and lean - is a mix of codeine-based prescription cough syrup, soda and, often, Jolly Ranchers candy.

What does it do? The codeine, which is an opiate, produces a feeling of euphoria. The cough syrup also contains a drug called promethazine, which acts as a sedative. The combo can make users lean over - thus the nickname "lean."

What's the danger? Too much codeine and promethazine can depress the central nervous and respiratory systems, stopping the heart and lungs. Doctors also see nausea, dizziness, impaired vision, memory loss, hallucinations and seizures. Bottom line: It can be deadly, especially when mixed with other drugs and alcohol. The National Institute on Drug Abuse says: "Teens may think that just because something is available from the pharmacy, it won't harm them - but that's not true."

How common is it? While it's unclear how many people drink sizzurp mixes, about 1 in 10 teens uses cough syrup or cold medicine to get high, according the U.S. Drug Enforcement Administration. Some of the abuse involves over-the-counter cough syrup, which contains a different ingredient, dextromethorphan.

Read or Share this story: http://usat.ly/1jEvyV4

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Sizzurp: What you need to know about cough syrup high

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Candy-flavored cough syrup, mixed with soda, is a dangerous drug, doctors say. Parents, if you haven't yet heard of sizzurp, it may be time to start listening up. The candy-flavored cough syrup concoction popularized by rap singers has been around for years but, as NBC's Today show reported Thursday, doctors are increasingly concerned about kids seeking out this dangerous high, glamorized in songs and videos.

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- Dental Decay
- Urinary Tract Infections
- Weight Gain
- Trouble Breathing
- Irregular Heart Rate
- Seizures
- Can cause coma or death
- Impair Vision
- Hallucinations
- Dizziness
- Memory Loss
- Constipation

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Sizzurp, or the purple drink, is a depressant made up a lemon-lime soda and cough syrup. There is no specific scientific name for it as it is made up of soda and different chemicals. It is made up of promethazine, antihistamine, codeine, and opiates.

Sometimes, people like to add other drugs other than the codeine from the cough syrup. This includes marijuana.
This drink is used to reach a euphoric feeling.

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- Purple Drank
- Purple Jelly
- Lean
- Texas Tea
- Dirty Sprite

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It is called Texas Tea because it originated from Houston. Sizzurp was first created by blues singers in the 60s, but hip-hop artists pushed it into pop culture. Rappers popularized the drink, including Lil Wayne who was caught drinking Sizzurp and was sent to emergency care due to incessant seizing.

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National Institute on Drug Abuse Sizzurp Report

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National Institute on Drug Abuse Sizzurp Report

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Extreme Relaxation Drink Being Sold In Stores

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Most Dangerous Drug Sizzurp Lil Wayne Favorite

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National Institute on Drug Abuse (NIDA/NIH)

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Emerging Trends: "Syrup," "Purple Drank,""Sizzurp," "Lean"

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NIDA's Community Epidemiology Work Group(CEWG) member and University of Texas Research Scientist, Jane Maxwell, Ph.D talks about the emerging drug trend, drinking Codeine-Promethazine Cough Syrup also known as "Syrup,""Sizzurp," "Lean" This video can also be viewed at: http://www.drugabuse.gov/drugs-abuse/emerging-trends, http://www.drugabuse.gov/videos/emerging-trends-syrup-purple-dranksizzurp-lean, http://www.drugabuse.gov/nida-research Comments on this video are allowed in accordance with our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html

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Create a new document and edit with others at the same time -- from your computer, phone or tablet. Get stuff done with or without an internet connection. Use Docs to edit Word files. Free from Google.

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National Geographic's "Sippin Sizzurp to Get High"

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National Geographic's "Sippin Sizzurp to Get High"

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Since the 90's, Houstonians have been using syrups like Promethazine and Codeine to get high.