Gary started taking Rilutek the day he was diagnosed, September 1, 2010. Who knows if it helped or not, but his progression was fairly slow when compared to many on here. He got an elective trach in December 2014, and ended up on a ventilator full time after getting pneumonia a couple weeks later, so quit taking it then. He also used marijuana for most of that time - even though he had a medical marijuana card, I felt like a criminal most of the time. haha Had to grow it myself (ordered seeds from the Netherlands). Anyway, either his progression was always going to be slow, or those things helped; we will never know. I do know he has not had the pain that others have complained about. Yet.