After 1 week at 10 mg/day, increase the dose to 20 mg/day. However, due to higher plasma levels in lower weight children, the starting and target dose in this group may be 10 mg/day. Consider a dose increase to 20 mg/day after several weeks if insufficient clinical improvement is observed.
About the lake. Lake Koocanusa is 90 miles long and at full pool, 370 feet deep. Although it sounds like an ancient tribal name of some sort, Lake Koocanusa is not an Indian name. A lady named Alice Beers who lived in Rexford, Montana won a contest in 1971 to name the reservoir formed by Libby Dam.
Lake Como is about 29 miles (47 km) long and up to 2.5 miles (4 km) wide, with an area of 56 square miles (146 square km) and a maximum depth of 1,358 feet (414 m). It receives the Adda River, which enters it near Colico and issues from it at Lecco, and also the waters of numerous other rivers and mountain streams, including the Mera.