If you have had to change your patch early because it has come off, there are a few options you can consider to avoid disrupting your weekly schedule. One option is to finish your current pack and immediately start a new one without taking a break this month. Another option is to get a new pack to replace the missing patch, take the regular break week as planned, and then continue with a new pack starting after the first patch. Lastly, you could get a new pack to replace the missing patch, discard the remaining patches, take a break, and start a new pack. It's important to communicate with your pharmacist to ensure proper guidance and approval for these options.