Thank you. I understand that anything beyond 1 mg could spike blood pressure level.

I started on .5 by neuro and movement dr increased me to 1mg but said that was the top dose

Did you ask your Neurologist? They may be more knowledgeable than others on this site.

1mg max I was told by Nurse and Neuro

Assuming your Neurologist prescribed this medication why don't you ask them? They're the professionals. We are NOT!