A 55-year-old man with a history of borderline personality d…
A 55-year-old man with a history of borderline personality disorder and severe opioid use disorder presents seeking treatment to reduce his opioid cravings and prevent relapse. He has a history of multiple overdose attempts and unstable adherence to prior treatments. Considering his psychiatric comorbidity and risk factors, which medication would be the most appropriate to initiate as part of a comprehensive treatment plan to reduce opioid cravings and support recovery?