you take off the patch. ??? When using this product, if you have vivid dreams or other sleep disturbances, you may remove the patch at bedtime and apply a new one in the morning. ??? Stop use and ask a doctor if skin redness caused by the patch does not go away after four days, or if your skin swells, or you get a rash. ??? Stop use and ask a doctor if irregular heartbeat or palpitations occur. ??