The rising practice of combining kratom, a available botanical, with pain reliever – often referred to as "Kratom Lean" – presents a complex legal lacuna. For now, the countrywide regulated status of kratom is in flux, varying significantly by state across localities, while codeine’s controlled nature adds another aspect of juridical question

The growing popularity of "legal lean" syrup, a concoction with codeine and website copyright, is creating a seriously dangerous situation when combined with kratom. Both act on the brain in separate ways, but their concurrent effects can be severe. Individuals may experience exacerbated respiratory suppression, severe sedation, and a greater risk