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How to treat severe back pain if I have pacemaker/defibrillator?

Hi everyone! I had quadruple bypass surgery 5 years ago. No I have implanted pacemaker/defibrillator. Recently i developed severe back pain and can barely walk. I got prescribed Norco, lidocaine patches, and diclofenac 75 mg. Yesterday I took Norco and I put a lidocaine patch and I woke up with weird heart sensation, like slow heart rate or something. Could it be caused by lidocaine patch? I also take the following medication:
Atorvastatin Calcium 80 Mg- 1 tab in the evening
Carvedilol 6.25 Mg- 2 tabs morning and 1 in evening
Spironolactone 25 Mg- half a tab morning
Aspirin 81 mg- 1 in the morning
I anyone with heart disease and backache can help with their knowledge, it would be greatly appreciated.
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