In this study, the composite of Prussian blue-carboxylated MWCNTs/ZIF-67 (PB-MWCNTs-COOH/ZIF-67) was synthesized and used as modified electrode material to fabricate an electrochemical sensor for the determination of paracetamol (PAR). In this sensor system, negatively charged MWCNTs-COOH as support for the immobilization of positively charged PB can effectively avoid the agglomeration of PB and enhance the stability, conductivity and catalytic activity of the composite. ZIF-67 particles coating outside PB-MWCNTs-COOH promotes the concentration of PAR. Benefiting from the synergistic effect, the PB-MWCNTs-COOH/ZIF-67 based sensor exhibits significantly improved electrochemical sensing behavior toward the oxidation of PAR. Under the optimum conditions, the PAR sensor presents wide linear ranges of 0.01-70 μM with a low limit of detection of 3.3 nM (S/N = 3). The method also possesses long-term stability, good reproducibility and selectivity, and was employed to the determination of PAR contents in PAR tablets sample.