I was turned down twice for Accutane before I was prescribed it. The first time I was quite young and they wanted to exhaust other options, which is when I started my journey of potions and lotions and pills, including birth control, I was only 11 or 12 at the time (My dad [a doctor, who had taken accutane,] took me to the derm because my acne was awful, even at this age, and he knew it would get worse just like his did). The second time I was shot down because I have a hx of depression/arthritis, so the timing wasn't very good. So I continued to try more lotions and potions and pills, this time including some antibiotics and hormone stuff. Now at 23, 10 years after my journey started, my derm and I decided it was the only other option to try.
Yes, I needed two negative pregnancy tests prior to starting and you need to be on birth control and commit to using a second method of birth control like condoms etc. I also have blood tests to make sure I'm not pregnant every 4 weeks.
There is no specific mental health test or anything (at least here in Canada) but my derm definitely asked me about my mental health history and there was a serious discussion about what to do if I noticed my mental health decline or if I felt off, weird, not myself, etc.
I did not have to sign anything prior to taking Accutane, just a discussion with my doc.
Hope this helps! Good luck
Edited by meowza, 16 May 2013 - 06:20 PM.