Tamper resistant pharmaceutical composition and a process for the production of tamper resistant pharmaceutical composition are described herein. Tamper resistant pharmaceutical composition comprising drug substance and water soluble ingredient having cloud point greater than about 90° C., wherein the cloud point of the water soluble ingredient inhibit extraction of the drug substance from the pharmaceutical composition by hot water having temperature greater than about 90° C. Tamper resistant pharmaceutical composition comprising (a) drug substance; (b) water soluble ingredient; and (c) cloud point modifier, wherein the cloud point modifier increase the cloud point of the water soluble ingredient till at least about 90° C.; wherein the water soluble ingredient and the cloud point modifier inhibit extraction of the drug substance from the pharmaceutical composition by hot water having temperature greater than about 90° C. Tamper resistant pharmaceutical composition is prepared by thermal or non-thermal process.