I see cocaine as a higher risk, due to the long term permanent damage it causes to the heart and the brain. MDMA abuse causes a fairly rapid onset of negative s

I see cocaine as a higher risk, due to the long term permanent damage it causes to the heart and the brain. MDMA abuse causes a fairly rapid onset of negative symptoms and a reduction of positive effects that gets most people to stop before they can do too much damage to themselves (the long term impact of heavy MDMA abuse is still uncertain but anecdotal evidence suggests that recovery is possible).