Tom, Thanks for your response. Yes, it does seem to me that the ddvap wears off - she usually goes to bed at 8:30 and gets up at 6:30 or 7; since she has been on the spray, she has held off on wetting until after 4 am. I know this because she would come and wake me up and tell me she had wet the bed - sometimes 3 times a night. Last night I waited until I went to bed, got her to go to the bathroom and then administered the spray; she held off wetting till nearly 5:30. I feel that my situation is not desperate because she has no issues during the day and unless she is extremely tired, she does wake up shortly after or as she is urinating. Just like the pullup debate, I wonder if the drug is good thing in the long run - i.e. what about when we take her off of it. My concern lies in the fact that dry nights are extremely rare - less than 5 her entire life- and that I feel the longer this goes on, the more ingrained the situation gets. In my research, I have read that this isn't that rare up through age six - after that it really does become a reason for concern. To top all of this off, we are a Navy family and getting ready to move at the end of the month. So, getting settled in a new house followed by adjusting to a new school..... lots of upheaval in a child's life. We have been spending weekends at our new home (kind of camping) which is about 2 hours away so it won't be a totally new situation for her. However, we don't have beds or a washer there, so I have to put her back in pullups when we are there. You do the best that you can with the situation at hand. We are not making a big deal about it but I think it is important to make her aware. She knows how to get up and remove the top layer of sheets and plastic and she changes herself most nights. She has told me she wants to stop wetting. Anyway - thanks for your input. Once we get settled, I will try the alarm. I agree, she should be off the medicine at that time.