Deciding whether to take time off work with a perforated eardrum depends on various factors, including the severity of the rupture, associated symptoms, and the nature of your work. If your job involves activities that can potentially worsen the condition or delay the healing process, such as exposure to loud noises or increased risk of infection, it may be advisable to take some time off to promote recovery. Consulting with your healthcare professional will help you make an informed decision based on your specific circumstances.