Use Zumm-25 is used for short-term symptomatic treatment of mild to moderate intensity pain. This includes acute muscle or joint pain, painful menstruation (dysmenorrhea), and toothache. How to take It is usually recommended to take 1 tablet (25 mg) every 8 hours, but no more than 3 tablets (75 mg) per day. For elderly people or patients with kidney or liver diseases, treatment should begin with a total daily dose of no more than 2 tablets (50 mg). If well tolerated in elderly people, the initial dose can be increased to 75 mg of dexketoprofen. For acute pain, to achieve faster action, tablets should be taken on an empty stomach (at least 30 minutes before a meal, or no later than 15 minutes before a meal). Contraindications Zumm-25 is contraindicated in the following cases: - Allergy to dexketoprofen or other non-steroidal anti-inflammatory drugs (NSAIDs), or to any of the excipients of the drug. - Third trimester of pregnancy and breastfeeding period. - Age under 18 years. - Presence or history of kidney, liver, heart diseases (arterial hypertension and/or heart failure), as well as fluid retention in the body. - Taking diuretics, dehydration and reduction of blood volume due to significant fluid loss (e.g., due to increased urination, diarrhea, or vomiting). - Chronic inflammatory bowel diseases (Crohn's disease or non-specific ulcerative colitis). - Severe heart failure, moderate or severe renal impairment, or severe hepatic impairment. - Increased bleeding or blood clotting disorders. - Severe dehydration (significant body fluid loss) due to vomiting, diarrhea, or insufficient fluid intake.