I am always a huge fan of how my MD did it.
Generally referred to “titrating” up.
We did a couple of days at 5mg, then 10mg, then 15 mg…
We took notes on positive benefits and side-effects at each level, and we used the dose that had the highest benefit with no side-effects.
As a professional, when I was in a smaller community, I could often guess who the child’s MD was based on what their prescriptions were. I don’t like thinking that the prescription did more to identify a single MD’s pattern than an individual’s needs.
With that said, if a doctor takes the time to do this, it is possible for children to have very high doses.
I have seen some big variances in individual’s responses to meds. I have seen people get huge benefit from extremely small doses. On the other hands, I have seen kids barely get any response from a dose that would give me a stroke… literally.