Carbamazepine, recognized as one of the most prevalent pharmaceuticals, has attracted considerable attention due to its potential impact on ecosystems and human health. In response, this work synthesized and characterized a novel environmentally friendly and cost-effective organic semiconductor photocatalyst PM6:Y6:ITCPTC loaded with coconut shell charcoal, and then investigated its performance for photocatalytic removal. Remarkably, carbamazepine demonstrated a photodegradation efficiency exceeding 99% within a mere 20 minutes of exposure to one sunlight intensity, and also showed good effectiveness under a low light intensity of 50 W. The catalyst exhibited exceptional reusability and stability, maintaining degradation efficiency between 95-99% over 25 cycles. The high photocatalytic activity of PM6:Y6:ITCPTC is primarily attributed to the incorporation of the third component (named ITCPTC), which enhances exciton dissociation and carrier transfer, generating superoxide radicals, electrons, and holes. Furthermore, the plausible degradation pathway of carbamazepine was proposed based on the measured intermediates and density functional theory calculations.