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.
Canandaigua Lake. Canandaigua Lake is the fourth largest of the Finger Lakes. It is called the Chosen Spot in the Seneca language. Canandaigua Lake is 15 1/2 miles long, 1 1/2 miles wide, and has a shore line of about 36 miles. About fifty percent of the surrounding land is in forest, but most of the remainder is under agriculture. The city of Canandaigua is the lakes largest population center.