SELECT 
  1 
FROM 
  cscart_aprilec_print_temp_designs 
WHERE 
  session_id = '2ZID-E9OV-GB0S-INAD-D0PC-ORWG-XHF2-JR1P' 
  AND product_id = 184 
  AND expires_at > 1777640341 
  AND confirmed = 'Y' 
LIMIT 
  1

Query time 0.00038

JSON explain

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