Acamprosate off lable
Hi everyone! Has anybody used Acamprosate off label for insomnia or anxiety? If so please share your experience.
I have a patient a 72M (very nice gentleman) with severe anxiety and insomnia that developed after 2 strokes, he fortunately has no other neuromuscular deficits, we tried all classical approaches including melatonin, ssri, benzos/hypnotics, SGA, doxepin, mirtazapine, trazodone, Seroquel, low dose lithium (300mg qhs), gabapentin etc. None of these worked well ir he had SEnso we had to stop (Ambien helped but caused high daytime anxiety and dyspnea). Quviviq and similar things are not an option due to financial factors.
He currently can sleep (most of the time) only with Zyprexa 15mg that he tolerates well but due to his age and metabolic factors it is not the best option for the long term.
Im thinking of trying QHS depakote or lithium, but also looking for other options.
Sleep study scheduled for next week.
Any helpful information/ideas would be greatly appreciated. Thank you!