No, it is not safe to take Nexito (Escitalopram) without a doctor's advice. Abruptly stopping your previous prescription can trigger severe withdrawal symptoms. Additionally, starting a new psychiatric medication on your own is highly risky. Nexito requires precise dosing and professional monitoring, as self-medicating can lead to dangerous side effects, worsening of your anxiety or depression, or potentially serious drug interactions. Because psychiatric treatments must be highly personalized, please consult your psychiatrist immediately to safely transition between medications and establish a proper, supervised treatment plan.