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.
They are also the longest Finger Lakes, though neither's width exceeds 3.5 miles (5.6 km); Cayuga Lake is 38.1 miles (61.3 km) long, and 66.9 square miles (173 km2), the largest in total area. Oneida Lake is generally not considered one of the Finger Lakes, but it is sometimes called the thumb.