Expanded use of antibiotics may increase the ability of pathogenic bacteria to develop antimicrobial resistance. Greater attention must be paid to applying more sustainable techniques for treating wastewater contaminated with antibiotics. Semiconductor photocatalytic processes have proven to be the most effective methods for the degradation of antibiotics. Thus, constructing durable and highly active photocatalytic hybrid materials for the photodegradation of antibiotic pollutants is challenging. Herein, FeTiO3/Fe-doped g-C3N4 (FTO/FCN) heterojunctions were designed with different FTO to FCN ratios by matching the energy level of semiconductors, thereby developing effective direct Z-type heterojunctions. The photodegradation behaviors of the FTO/FCN hybrids were systematically explored toward spiramycin (SPY) destruction under visible-irradiation. Using the FTO/FCN (1:2) photocatalyst, the photodegradation efficiency of the bare FTO boosted from 41.6 % to 96.6 %, which was due to suitable band positions of both photocatalysts and thus Z-type heterojunction transfer pathway to prevent the recombination of photo-charge carriers. More importantly, the FTO/FCN hybrid photocatalysts show broad applicability, as they can decompose other organic contaminants including ibuprofen (IBU), ciprofloxacin (CIP), bisphenol A (BPA), and Rhodamine B (RhB). The photodegradation rates of IBU, CIP, BPA and RhB were 90.9 %, 93.4 %, 80.6 %, and 86.2 %, respectively, after 120 min. The trapping analyses were performed and exhibited that the key reactive-species in the SPY photodegradation were •O2􀀀 and h+, while •OH and electrons were secondary species in the reaction. The FTO/FCN composite photocatalyst has the properties of high photo-stability and recycling (the SPY photodegradation and mineralization efficiencies decreased only by 4 % and 5.2 %, respectively).