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.
The maximum length of the Lake is 21.2 miles (north to south) and the maximum width is 11.9 miles (east to west). The surface area is 191 square miles (122,200 acres). The shoreline length is 75.1 miles and the encircling state highway is 71.8 miles long.