Conversation: The conversation between human and AI assistant.
[|Human|] I am a 60 year old woman.who has worked in nursing care for 30 years.I still work as a h.c.a. in a local hospital,for the past eight years i have suffered with psorisis.my older sister has had it most of her life .there are 8 children in our family and noticed only 4 have developed some psorisis.I am now waiting to be refered to a rhumotollgist.but afraid they may ask me to take methotrexate ..my ollder sister has had this and has had been loosing her sight.I dread that happening to me as I have inhereted stigmtism and my long sightedness is plus 8 in my right eye.can you reasure me please.
[|AI|]  Hi.thanks for your queryMethotrexate is very well known for its potential toxic/side effects. Before starting a patient on Methotrexate, a physician always performs a complete analysis of efficacy of alternate and safer methods of therapy. There are several medications that are available as an alternate to this Chat Doctor. The treatment is preceded by certain investigations and systemic examination(including ocular examination) to ascertain the safety to start the same. Blood tests are also repeated at regular intervals when a patient is on methotrexate to keep a check on the safety profile. You can undergo the investigations as will be prescribed, if at all methotrexate is to be started and ensure proper follow-ups with your doctor about the same. Take care.