The increasing environmental challenges caused by pharmaceutical waste, especially antibiotics and contaminants, necessitate sustainable solutions. Cellulose-based membranes are considered advanced tools and show great potential as effective materials for the removal of drugs and organic contaminants. This review introduces an environmentally friendly composite membrane for the elimination of antibiotics and dye contaminants from water and food, without the use of toxic additives. The potential of cellulose-based membranes in reducing the impact on water quality and promoting environmental sustainability is emphasized. Additionally, the benefits of using biobased cellulose membranes in membrane biological reactors for the removal of antibiotics from pharmaceutical waste and milk are explored, presenting an innovative approach to achieving a circular economy. This review provides recent and comprehensive insights into membrane bioreactor technology, making it a valuable resource for researchers seeking efficient methods to break down antibiotics in industrial wastewater, particularly in the pharmaceutical and dairy industries.