The alternative is mushrooms, and that REALLY makes people content and turns people away from capitalism. So they will take what they can.
With mushroom I never had that.
I stopped taking MD years ago because of how I felt afterward.
Normal for any psycho-stimulant I'd say. Even alcohol. Some things are much worse for some people though, so I'd say as with all of these powerful things like mushrooms and MDMA; very occasionally for planned medicinal rather than recreational use. And with the right people, in the the right context, safe space, and some free days after to chill, reflect and detox.