It was formerly the site of traditional balsa or bamboo raft riding, until the river was heavily silted by sticky lahar or mud flow brought by the eruption of Mount Pinatubo on June 15, 1991, filling the river with over 10 feet (3.0 m) of lahar.

Its main tributary is the O'Donnel River in Santa Lucia, Capas, Tarlac.

The river was once a good source of fish and water used for irrigation, the irrigation system now takes just about "all" of the remaining water and distributes it to barangays in Tarlac City such as Matatalaib and Maliwalo.

The river bed is also being used as a source of sand and stones that can be used as construction materials.

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