When disposed incorrectly, antibiotics can cause complex effects on environmental matrices, such as bacterial resistance. In this context, the present work investigated the degradation and mineralization of the β -lactam antibiotic ampicillin (AMP) applying a combined treatment of Fenton reaction and adsorption onto granular activated carbon (GAC). Adsorption parameters of contact time (10–210 min) and GAC dosage (5–50 g L − 1 ) were evaluated, as well as adsorption kinetics. Both in Fenton reaction and combined process, the influence of H 2 O 2 and Fe + 2 concentrations were evaluated, using five combinations of H 2 O 2 /Fe + 2 : 300/60 μ M, 300/80 μ M, 400/70 μ M, 500/60 μ M and 500/80 μ M. Finally, because of the combined process, GAC regeneration was investigated in 3 cycles. Best adsorption conditions were determined as 150 minutes of contact time and GAC concentration of 20 g L −1 , reaching 57% of AMP removal and adsorbed amount of 0.58 mg g − 1 . All Fenton experimental conditions led to a complete degradation of AMP within 1 min, suggesting the generation rate of hydroxyl radicals was faster in the first minutes of reaction. In the combined process, similar results for degradation were found. A higher mineralization (83%) and GAC regeneration (85%) was reached at H 2 O 2 /Fe + 2 = 500 / 80 μ M, indicating the influence of H 2 O 2 and Fe + 2 concentrations. GAC regeneration efficiency for the 3 cycles were, respectively, 84%, 71% and 49%. Thus, the results demonstrate the combined process of Fenton reaction and GAC adsorption is a feasible treatment reaching high mineralization. • The combined process of adsorption and Fenton is a feasible treatment for effluents containing ampicillin reaching high mineralization. • Generation rate of hydroxyl radicals was faster in the first minutes of reaction. • Fenton promotes the granular activated carbon regeneration.