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 Koocanusa. Lake Koocanusa. Lake Koocanusa, created by Libby Dam, is a very large lake, stretching from Montana all the way back into Canada. Due to its isolated location in far northwest Montana, as well as the nearby proximity to Whitefish Lake and Flathead Lake, the lake only receives a fair amount of use for recreational boating.