This work presents a new multi-residue analytical method based on solid phase extraction (SPE) with Oasis HLB sorbent, followed by gas chromatography tandem mass spectrometry (GC–MS/MS) for the simultaneous determination of a group of 10 acidic and neutral pharmaceuticals and related compounds in wastewaters. The typical derivation step was avoided, allowing the determination of acidic and neutral pollutants in a single analysis as well as providing a fast and easy method suitable for routine monitoring. Target pollutants include: anti-inflammatory drugs (ibuprofen, acetaminophen and diclofenac); an antiepileptic agent (carbamazepine); stimulants (caffeine and nicotine); an antiseptic (triclosan); a plasticizer (bisphenol A) and two of their more relevant metabolites (2,8-dichlorodibenzo-p-dioxin and 1,7-dimethylxanthine). Recoveries between 66 and 112% were achieved for all the target compounds (except for 2,8-dichlorodibenzo-p-dioxin). Good linearity was observed within the studied ranges (R² > 0.993). Acceptable intra and inter-day precision was obtained, with relative standard deviation between 2 and 18%. The application of the optimized MS/MS mode allowed method detection limits in the range of 0.2–16 ng/L, with the exception of ibuprofen (120 ng/L). Finally, the methodology was successfully applied to the analysis of hospital effluent samples. All target analytes were detected at concentrations between 1 ng/L and 83215 μg/L. Even in the absence of derivatization, all the analytes showed good peak shape, except acetaminophen, which exhibited peak tailing. However, the method proved to be repetitive and reproducible, and the peak shape did not represent a problem for the reliable quantification of this compound. For most of the analytes studied, the detection limits achieved compare well against values reported in previously published methods.