amiodarone on dialysis?

oops. There wasn't a link to anything. But what I was really wondering is if it was dangerous to give it to the patient while on dialysis. Will it make this patient crash? But a list would be really neat to have as well!!

This has come up a couple of times at my acute unit....Amio is hepatically cleared. I am told it does not dialyze out by several physicians. Including pharmacists. The problem is it seems as though it does at times. Pt's on amio gtts are on it for rate control and rhythm control.....may have chf, myopathy, valves etc...usually unstable pts to begin with....so........put them on tx, try to uf a little bit and bam.....v tach, ectopy, hypotension the works. So it begs the question: is it b/c some of the Amio dialyzes out or b/c the pt allready has a bad heart and cannot handle the stress of dialysis????
One option that has worked on SOME PT'S is to try crrt/sled txs??? If the rhythm stabilizes and you are able to pull fluid than that may be best for these pt's.
Good topic, like I said it has come up a couple of times where I work.