Yeah blood work and all that can be monitored.
BUT my concern stems from a study done on the brain which found that after Accutane use there was a 21% DECREASE in brain metabolism in the frontal cortex - an area of the brain which mediates symptoms of depression. The question here is how damaging would this be for people like me who are prone to depression? It's not all that cheap to get your brain checked up on, and when you do it might be too little too late. If you are interested I've linked the study below:
https://www.ncbi.nlm.nih.gov/pubmed/15863802