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What exactly defines a word as an "accepted musical term" anyways? How many composers must have used it before until it becomes "accepted"? And weren't -all- musical terms in the end used by one composer for the first time, when they certainly weren't an "accepted musical term" yet? I quite agree with sticking to more well-known terms if you're using Italian, of course, but the primary concern should be understandability, nothing else. At least go by the guideline that if you don't know a term, don't use it. Yes, a professional musician might be able to understand it, but how can you know how well-known it is if you don't even know it yourself?
If you have to use a dictionary (musical or other) for your musical indications, better use English right away. If you're very lucky, those musicians who don't understand "pauroso" (which will be quite many) will look it up in a dictionary. But it's much more likely they'll be too lazy for that and simply ignore it alltogether.
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