SELECT 
  1 
FROM 
  cscart_aprilec_print_temp_designs 
WHERE 
  session_id = 'BFHR-8A6J-O1DB-P26A-E3QL-OP3W-NRV5-JJ5U' 
  AND product_id = 42 
  AND expires_at > 1777123782 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00026

JSON explain

{
  "query_block": {
    "select_id": 1,
    "message": "no matching row in const table"
  }
}