It's promethazine and codeine cough syrup. Dudes just mix that with all kinds of shyt from soda to candy to give it taste. I think you need a prescription pretty much everywhere, but you can probably get some other codeine syrup OTC and extract it or something.
Codeine is like weaker morphine. Painkiller highs are euphoric in high doses (especially if you smokn weed) but really that shyt just numbs you and seems to slow the world. It's kind of like an MDMA high without all the empathy and much more dangerous side effects and addiction potential.
Promethazine by itself really ain't much. That shyt is used to treat allergies, nausea, itchy skin, and it helps to sleep... small shyt like that. In high doses that shyt gets you drowsy which is probably why so many dudes move funny and pass out while on lean(hence the name) . I think it's also a slight dissociative and can probably be compared to low doses of ketamine where you have trouble moving around and shyt.
Really opiates ain't nothing to fukk with... You got dumbasses that die just from making tea with the poppy pods. There's like a dozen different kinds of opiates (alkaloids) and they can each hook you in a different way. If you drink a tea made from pods you ingest all kinds of them which gets you hooked like a mahfukker.
Here's a recipe but before you drink that shyt, look at what the last dude posted and ask yourself if you really wanna be that guy
https://www.drugs-forum.com/forum/showthread.php?t=116401
I drink my lean out of a baby bottle, so you have no choice but to sip. Like my boys from 3-6 mafia do. And u can't spill it when u start lean'n!! I've seen people so thowed they just drop there cups lol.