Please consider the following scenario:
Now that he'd got/gotten the truth, his face enlightened.
I know that now that is an idiom and should be taken as such, and since it may mean since I don't see any impediment in using it.
On the other hand, now, according to the American Heritage of the English Language, definition #3:
- In the immediate past; very recently: left the room just now.
So, since my sentence refers to a now used in a distant past I wonder if there might be any conflictual semantic in it.
Note: in my language such example is perfectly valid.