Pain is subjective, therefor, it is hard to say who is really in pain, and who is just med-seeking. That being said, there are people who sincerely need their medication "around-the-clock" so that it stays on board & they arent caught in a situation where they waited too long & get no relief from the med. I have known patients to set alarms for this reason as if they sleep until they awaken (in pain) then the pain is such that the med is ineffective...if I were in the same situation I would prefer the patient to set the alarm than risk having them in pain that I cant relieve with medication, thus also setting myself and my staff up for possible complaints from family members, etc. I am aware that there are those who may not even need the med but use it for habitual purposes, but I am in no position to judge or determine whether someone is having chronic pain or drug-seeking...