Oh my god, I had such an intense nightmare just now that I had to research this at 4am. I forgot to take the patch off at night again (last time was a nightmare too but not so horrific). I dreamt that I was in a cabin with these strangers and the one guy (something like the clockwork orange guy) tried to force me to give him oral, and I was screaming and no one could hear me. Eventually when I finally made a break to run away, he followed me and stuck a make shift heroin needle in my back.
I woke up after anything way worse, but holy god! Never wearing a patch at night again. Its ok if you take it off, but remember to take it off or else!! :-\