Water quality and usability are global concerns due to microbial and chemical pollution resulting from anthropogenic activities. Therefore, strategies for eliminating contaminants are required. In this context, the removal and decrease in antibiotic activity (AA) associated with levofloxacin (LEV), using TiO2 and Ag/TiO2 catalysts, with and without sunlight and peroxydisulfate, was evaluated. Additionally, the disinfection capacity of catalytic systems was assessed. The catalysts were synthesized and characterized. Moreover, the effect of Ag doping on visible light absorption was determined. Then, the photocatalytic treatment of LEV in water was performed. The materials characterization and EPR analyses revealed that LEV degradation and AA decrease were ascribed to a combined action of solar light, sulfate radical, and photocatalytic activity of the TiO2-based materials. Also, the primary byproducts were elucidated using theoretical analyses (predictions about moieties on LEV more susceptible to being attacked by the degrading species) and experimental techniques (LC-MS), which evidenced transformations on the piperazyl ring, carboxylic acid, and cyclic ether on LEV. Moreover, the AA decrease was linked to the antibiotic transformations. In addition, the combined system (i.e., light/catalyst/peroxydisulfate) was shown to be effective for E. coli inactivation, indicating the versatility of this system for decontamination and disinfection.