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Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.
I'm sorry to see that you have been waiting a while for a response, I suspect that is related to the time that you posed your question (late evening when few experts are online) and because ketorolac is not commonly used in dogs.
Tramadol is used for pain in dogs and a normal low dose would be 1-2mgs per pound of body weight every 6-12 hours as needed. 25mgs would be a fine dose for her body weight. Tramadol alone is rarely enough for good pain control in dogs however, and is usually combined with other drugs (often nonsteroidal anti-inflammatories).
Ketorolac is a nonsteroidal anti-inflammatory. It has a very narrow margin of safety in dogs and can lead to significant gastrointestinal irritation and ulceration. If it is used it is generally given once for acute or surgical pain at a dose of 0.15mg per pound of body weight and gastroprotectant drugs are given as a precaution. If she is 22 pounds she would take 0.3mgs. 10mgs would be much too much for a 22 pound dog. I would not recommend using this drug combination for your girl.
Again, my apologies for your wait. Please let me know if you have any further questions.
Hello, I wanted to check in and see if you had any further questions after reading my response. If you do please feel free to respond with them. If not I would appreciate an update on your pup, thank you, ***** *****