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 completion of the dam created a lovely 40-foot waterfall at the outlet, much to the enjoyment of local residents. Although the water is 50 feet deep at the dam, most of the lake averages around 12 feet - perfect for a variety of fish. And fishing is the most favored activity at Galena Territory.