Display omitted •A new polycation PVBTAC-modified ZnO/SiO2 nanocomposite based on rice husk was successfully fabricated.•The optimum conditions for DCF removal using PVBTAC-modified ZnO/SiO2 were contact time 90 min, pH 8 and dosage 10 mg/mL.•The maximum adsorption capacity of DCF was 66 mg/g and the removal efficiency was 91.8%.•After four regenerations, the DCF removal using PVBTAC modified ZnO/SiO2 was still greater than 84%.•The E.coli removal was greater than 88 % that was controlled by electrostatic and non-electrostatic interactions. The present study investigated the adsorptive removal of non-steroidal medication diclofenac (DCF) using polycation, PVBTAC modified zinc oxide/silica nanocomposite (ZnO/SiO2). The ZnO/SiO2 which was fabricated based on nanosilica rice, was examined by XRD, FT-IR, TEM, EDX, and zeta potential measurements. Surface of ZnO/SiO2 was modified by PVBTAC adsorption at pH 9 and 100 mM KCl to reverse the high charge of material. The optimum parameters for DCF removal using PVBTAC-modified ZnO/SiO2 were contact time 90 min, pH 8 and adsorbent dosage 10 mg/mL. The maximum adsorption capacity and the removal efficiency of DCF were found to be 66 mg/g and 91.8%, respectively, while the bacteria Escherichiacoli(E.coli) removal reached greater than 88 %. Adsorption of DCF on PVBTAC-modified ZnO/SiO2 was mainly controlled by electrostatic attraction between anionic DCF molecules and positively charged PVBTAC-modified ZnO/SiO2 surface whereas the E.coli removal was controlled by both electrostatic and non-electrostatic interactions. Adsorption isotherms of DCF on PVBTAC-modified ZnO/SiO2 at different ionic strengths were reasonably represented by a two-step model while adsorption kinetics fitted well with the pseudo-second-order model. After four regenerations of PVBTAC modified ZnO/SiO2, the DCF removal still exceeded 84%. Our materialis agreat performance adsorbent to remove pharmaceutical and bacteria.