While budesonide is commonly prescribed for EoE, it's important to note that some people may experience adverse reactions. The medication has a bitter taste, which is why many people mix it into smoothies with sweeteners like honey to make it more palatable. Steroids, including budesonide, can actually worsen heartburn symptoms in some people. If you're experiencing significant heartburn while taking budesonide, you should discuss this with your healthcare provider as they may need to adjust your treatment plan or explore alternative options.