The use of topical high-volume budesonide irrigation does not appear to have a significant effect on IOP and carries a low risk of HPA axis suppression when used long term.
![](https://www.enttoday.org/wp-content/uploads/2016/09/ENT_0916_pg6a-150x150.png)
The use of topical high-volume budesonide irrigation does not appear to have a significant effect on IOP and carries a low risk of HPA axis suppression when used long term.