<s>[INST] i am on paxil and my  liver enzymes are elevated should i be worried? and are there any ssr that don't elevate liver enzymes? I am 60 ht 5'5" and I weight 127# no significant medical history other then depression.  I have been on paxil for 2 1/2 years. [/INST] Hi and welcome to HCM. Thank you for your query.It depends on how elevated these are. It may be jst slightly elevated due to paxil but if there is significant ast and bilirubin elevation then it may indicate some specific liver disease such as hepatitis or gallbladder stones.Wish you good health. Regards </s>