A Patient Is Diagnosed with Trigeminal Neuralgia and Reports Having

A patient is diagnosed with trigeminal neuralgia and reports having paroxysms several times each day. What is the initial treatment for this patient?

A) A combination of baclofen, lamotrigine, and phenytoin
B) A high dose of carbamazepine with subsequent titration downward
C) Botox injections or intranasal lidocaine as needed
D) Low doses of anticonvulsants with gradual increase as needed