Objective To establish and validate a high performance liquid chromatography (HPLC) method for determination of dextran and sucrose in botulinum toxin type A for injection (BtxA). Methods An HPLC method was established for determination of dextran and sucrose in BtxA, of which system suitability, solution stability, linearity, specificity, accuracy, repeatability, precision and quantitative limit were verified. Results The system suitability and solution stability were both good. The linear range of the method for determination of dextran and sucrose in BtxA by external standard method was 5-15 mg/ml. In the range, the correlation coefficients of the standard curves for the determination of dextran and sucrose contents were both more than 0.999. The specificity and accuracy of the method were good. The recovery rates of dextran and sucrose were between 99.1%-100.3% and 98.3%-100.1%, respectively. The repeatability verification relative standard deviations (RSDs) of dextran and sucrose contents were ≤0.18% and ≤0.90%, respectively. The middle precision RSDs of dextran and sucrose contents were ≤0.72% and ≤0.85%, respectively. Comparing dissolved BtxA stored at 2-8 ℃ for 72 h with 0 h, the coefficients of variation of dextran and sucrose contents measured were ≤0.12%. Conclusion An HPLC detection method for dextran and sucrose in BtxA is established and can be used for quality control.