Tell your doctor if you have any history of irregular heartbeat, liver, stomach, or intestinal problems before beginning on Zuplenz. Ondansetron can cause a heart condition called QT prolongation that affects heart rhythm and is potentially serious. Tell your doctor of all medications you are currently taking and if you have any history of heart failure, slow heartbeat, QT prolongation in EKG, or cardiac arrest. Low levels of potassium can contribute to QT prolongation. Only use medication during pregnancy or when breastfeeding if your doctor approves it.