MarthaMI have two SW CAH boys, the 7 year old takes 10mgs per day +florinef (wt 54lbs), and the 10 year old take 12.5 mgs + florinfef (wt 7olbs).
I would start with 10mgs and then retest...I think that seems like a big jump- we usually increase by 2.5mgs at a time.
Good luck to you.