The attitude of Italian general practitioners in prescribing practices
for patients with cancer pain was assessed by means of a questionnair
e. The results indicated that among most of the doctors who completed
the questionnaire the basic principles of pain treatment in cancer pat
ients are largely understood. Oral morphine emerged as the most common
ly used opioid (60%) and controlled-release morphine as the preferred
preparation. Non-steroidal anti-inflammatory drugs were the most commo
nly used minor analgesics. Fear of side effects and restrictive prescr
ibing regulations emerged as the most important barrier against adequa
te pain management. The survey emphasised the need for continued effor
ts in implementing specific educational programming for improvement in
cancer pain management.