Dr Rumi

Classification of anti cholinergic drugs
1. Antimuscarinics Drugs
 Atropine
 Scopolamine
2. Antinicotinics Drugs
 Ganglionic blockers (Hexamethonium)
 Neuromuscular blockers (Atracuronium)
Uses of Anti cholinergic Drugs
 Respiratory disorders, such as COPD.
 Overactive bladder and incontinence.
 Asthma.
 Symptoms of Parkinson's disease, such as tremor.
 Cardiovascular disease.
 Gastrointestinal symptoms, such as vomiting.
 Allergies.
 Depression.

[Classification of Insulin]
There are four main groups of insulin.
1. Rapid acting insulin
 Lispro (humolog)
 Aspart (novolog)
 Gilulisine (apidra)
2. Short acting insulin
 Regular (humulin or novolin)
 Velosulin (used in insulin pump)
3. Intermediate acting insulin
 NPH (N)
4. Long acting insulin
 Insulin glargine (lantus)
 Insulin detemir (levemir)
Mechanism of action of Insulin
In liver, insulin activates glycogen synthesis, increases lipogenic gene expression, and
decreases gluconeogenic gene expression. In white adipocyte tissue (WAT), insulin
suppresses lipolysis and increases glucose transport and lipogenesis