We used antimonene (Sb) as a delivery vehicle for transporting drugs like Carmustine (CMT), Lomustine (LOMU) and Nitrosourea (NU) in both gaseous and liquid states. The Sb nanosheet structure is stable, and its potential for drug adsorption has been investigated in both parallel and perpendicular directions. The parallel configuration is most stable with a higher adsorption energy of −1.18 eV, −0.63 eV and −1.14 eV for LOMU, CMT and NU respectively. We investigated structural parameters, electronic properties, work function and chemical reactivity. Only NU alters the Sb’s semiconductor behaviour to metallic and has the shortest recovery time in the parallel direction. Hirshfield charge analysis revealed that nanosheet displays electron accepting properties, whereas drugs act as electron donors. The decreased work function for CMT and LOMU enhances substrate activity, indicating stronger interactions that may improve drug delivery. We confirmed the drug’s effective interaction with amino acids without impairing proteins. Furthermore, calculated results predicted a minimal acidic environment of malignant growth, CM, NU and LOMU drugs could start to release from the Sb surface without significantly altering the structural properties. This study illustrates how Sb nanosheet holds promise as an effective carrier for drug delivery in biomedical applications.