It needs to be used incredibly frequently and at very high doses. “Some people taking MDMA have died following severe overheating and other medical emergencies

It needs to be used incredibly frequently and at very high doses. “Some people taking MDMA have died following severe overheating and other medical emergencies. Deaths following the use of MDMA usually involve high doses and/or the simultaneous use of other substances. MDMA overdoses and drug combinations can also cause serotonin syndrome, which can be fatal. MDMA-associated deaths may alternatively involve overcompensation of the risk of dehydration by drinking much too much water, which coupled with the fact that MDMA may stop a person from urinating, causing fatally low concentrations of salt.” Source: https://drugscience.org.uk/drug-information/mdma/ https://drugscience.org.uk/drug-information/mdma/ This website contains a lot of information and is well sourced. All in all, compared to other drugs MDMA is quite safe when taken properly and in proper doses. A lot of deaths come from what people think is MDMA but actually isn’t.