Ciprofloxacin (CIP) is a commonly used antibiotic which is excreted in significant quantities and may likely be found in environments, especially wastewater. Thus, in the present study, we aimed to remove CIP from aqueous solutions using activated carbon supported with multivalent carbon nanotubes MWCNTs/AC. Herein, we prepared the MWCNTs/AC and the structural characterization of the adsorbent was performed using the BET, FTIR, and SEM methods. In order to obtain the optimal conditions of MWCNTs/AC activity, different experimental conditions including the pH, adsorbent dosage, contact time, initial CIP concentration, and temperature were examined. Afterward, to approach reality, the experiments were carried out under the optimal conditions using a sewage sample previously determined in terms of the BOD, COD, pH, EC, turbidity, and concentration of ciprofloxacin. Finally, the CIP levels were measured by HPLC. According to the results, the pH of 7, contact time of 30 min, adsorbent dosage of 20 mg/L, temperature of 40 °C, and initial CIP concentration of 20 mg/L were found to be the optimal conditions for MWCNTs/AC activity. In these conditions, the maximum removal efficiency of CIP from the synthetic and actual samples was 100% and 73%, respectively. Moreover, the adsorption behavior was in compliance with the pseudo-second-order, Freundlich isotherm kinetics. According to our findings, using MWCNTs/AC led to a considerable removal of CIP from the sewage samples. Thus, the use of this adsorbent is highly recommended in order to remove other antibiotics from water and wastewater.