PROBLEM TO BE SOLVED: To provide methods and therapeutic agents for treating or managing acute coronary syndrome, particularly, unstable angina and acute myocardial infarction.SOLUTION: Provided is a therapeutic formulation for treating acute coronary syndrome comprising a therapeutic agent which specifically decreases or inhibits the activity of phagocytic cells and/or eliminates or diminishes the amount of phagocytic cells including but not limited to macrophages and monocytes, where the therapeutic agent is encapsulated, embedded or in a particulated form of 0.05-1.0 micron in size, and the therapeutic formulation is administered to a patient in need thereof in an effective amount to decrease the phagocytic activity. In some embodiments of the formulation, the therapeutic agent is a bisphosphonate represented by Formula (I). (Ris H, OH or halogen; Ris halogen, heteroaryl, cycloalkylamino etc.)SELECTED DRAWING: None【課題】急性冠症候群、特に、不安定狭心症及び急性心筋梗塞の治療又は管理のために計画した方法及び治療剤の提供。【解決手段】マクロファージ及び単球を含むが、これらに限定されない食細胞の活性を特異的に低下若しくは阻害、且つ/又は食細胞の量を消失若しくは減少させるための封入され、包埋され、又は大きさが0.05~1.0ミクロンの微粒子状である治療薬を含む、食細胞活性を低下させる製剤の有効な量を、それを必要とする患者に投与することを含む急性冠症候群の治療剤。前記治療薬が式(I)で表されるビスホスホネートである治療剤(R1はH、OH又はハロゲン;R2はハロゲン、ヘテロアリール、シクロアルキルアミノ等)【選択図】なし