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Ranolazine, marketed as Ranexa, is an oral medication designed to manage chronic chest pain, known as angina. It is primarily used when other treatments do not sufficiently alleviate symptoms. Available as extended-release tablets, Ranolazine can be found in both brand-name and generic versions. This medication can be combined with other angina treatments, like nitrates, calcium channel blockers, and beta-blockers. Ranolazine works by enhancing the heart's efficiency in using oxygen, which helps reduce the frequency of chest pain and may improve exercise capacity. Although the exact mechanism is not fully known, it is believed to adjust the flow of electrolytes in the heart, thereby mitigating angina symptoms. Always consult your healthcare provider before starting any new medication regimen.