A patient presents to clinic requesting maintenance treatment for opioid use disorder

A patient presents to clinic requesting maintenance treatment for opioid use disorder. She is healthy otherwise and is taking no regular medications. She tells the clinician that she has been taking opioids for the past 5 years and wants to stop. She reports her last use was that morning and is noted to be nodding off throughout the appointment. The clinician believes she would be a good candidate for Suboxone treatment. What is the most important consideration prior to starting Suboxone for this patient? Group of answer choices Starting Suboxone could trigger withdrawal in this patient, so treatment should be delayed until after withdrawal has begun Because Suboxone is metabolized by the kidneys, you must ask her about any history of renal disease prior to initiating treatment The clinician must prescribe Suboxone cautiously because it has a high likelihood of causing serotonin syndrome