All you can do is be there for someone when they're ready. Sadly, in cases like this it's very difficult for the person, they will either hit rock bottom and seek change, face a judge or die.....
I take it she is the one with Lupus? I've lived with a serious painful illness myself for 8 years. Hope she has a good Doctor, they should be able to treat her pain and get her off herion at the same time with something like methadone.
Be a friend. I hope she has direct family that can intervene if needed.
Good luck.....
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