Hello thanks for asking from HCM Alprazolam is a benzodiazepine drug and it can help to control the symptoms of anxiety by causing mild sedation and relaxes individual. Some individuals with hyperactive symptoms fails to respond to alprazolam. For symptoms like palpitations, tremors, sweating etc drugs like propranolol can prove useful. If symptoms still persist then treatment of anxiety is done by prescribing SSRI or SNRI drugs. Drugs like fluoxetine, paroxetine, sertraline, duloxetine etc have good efficacy. Consult a psychiatrist for prescription of these drugs. The symptoms like severe anxiety, stress, crying spells will respond to these drugs. Try relaxation exercises, yoga, meditation, breathing exercises to decrease the symptoms. Thanks, hope this helps you.