It can in some people. Occasionally users have trouble sleeping or experience vivid dreams when they wear the patch for 24 hours. You can take the patch off before you go to sleep, but this might lead to withdrawal symptoms early in the morning.
If you can tolerate the vivid dreams, they should improve as your body gets used to the 24-hour patch. If you are having trouble sleeping and are considering taking a sleep aid, please talk to your doctor first.
Medical review: Nathan Cobb, MD, September 21, 2017