Sound Blaster should work for the sound effects only, I will have to test and find out why it isn't, could be a resampling problem if it asks for 8khz or lower sample rate though I thought the Kernel Mixer would resample that up to 48 khz.
Adlib music is unfortunately not supported by the WDM Sound Blaster emulator at all, only General Midi.
I might have to write another Windows driver to trap the Adlib ports and pass it directly to Nuked OPL3. There is that one alpha version of VDMSOUND but it hasn't been maintained or updated for 24 years so maybe it's time for someone else to have a go.
You can also try the game in DOSBox which does its own Adlib and Sound Blaster emulation and should work better, but I know that kind of ruins the nostalgia factor. You can also try in pure DOS with VSBHDA but that requires setting up a boot menu since it needs a different memory manager that won't work with Windows. Finally, you could also try a source port or this version that supports General MIDI for the music.